马绍尔群岛成年人全国人口样本中癌症筛查普及率及相关因素。
The Prevalence and Associated Factors of Cancer Screening Uptake Among a National Population-Based Sample of Adults in Marshall Islands.
机构信息
ASEAN Institute for Health Development, 26685Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand.
Department of Research Administration and Development, University of Limpopo, Turfloop, South Africa.
出版信息
Cancer Control. 2021 Jan-Dec;28:1073274821997497. doi: 10.1177/1073274821997497.
BACKGROUND
The study aimed to estimate the prevalence and associated factors of cancer screening among men and women in the general population in Marshall Islands.
METHODS
The national cross-sectional sub-study population consisted of 2,813 persons aged 21-75 years (Median = 37.4 years) from the "2017/2018 Marshall Islands STEPS survey". Information about cancer screening uptake included Pap smear or Vaginal Inspection with Acetic Acid (=VIA), clinical breast examination, mammography, faecal occult blood test (FOBT), and colonoscopy.
RESULTS
The prevalence of past 2 years mammography screening was 21.7% among women aged 50-74 years, past year CBE 15.9% among women aged 40 years and older, past 3 years Pap smear or VIA 32.6% among women 21-65 years, past year FOBT 21.8% among women and 22.3% among men aged 50-75 years, and past 10 years colonoscopy 9.1% among women and 7.3% among men aged 50-75 years. In adjusted logistic regression, cholesterol screening (AOR: 1.91, 95% CI: 1.07-3.41) was associated with past 2 years mammography screening among women aged 50-74 years. Blood pressure screening (AOR: 2.39, 95% CI: 1.71-3.35), glucose screening (AOR: 1.59, 95% CI: 1.13-2.23), dental visit in the past year (AOR: 1.51, 95% CI: 1.17, 1.96), binge drinking (AOR: 1.88, 95% CI: 1.07-3.30), and 2-3 servings of fruit and vegetable consumption a day (AOR: 1.42, 95% CI: 1.03-1.95) were positively and high physical activity (30 days a month) (AOR: 0.56, 95% CI: 0.41-0.76) was negatively associated with Pap smear or VIA screening among women aged 21-65 years. Higher education (AOR: 2.58, 95% CI: 1.02-6.58), and cholesterol screening (AOR: 2.87, 95% CI: 1.48-5.59), were positively and current smoking (AOR: 0.09, 95% CI: 0.01-0.65) was negatively associated with past 10 years colonoscopy uptake among 50-75 year-olds.
CONCLUSION
The study showed a low cancer screening uptake, and several factors were identified that can assist in promoting cancer screening in Marshall Islands.
背景
本研究旨在估计马绍尔群岛普通人群中男性和女性的癌症筛查患病率及其相关因素。
方法
全国横断面亚研究人群由年龄在 21-75 岁（中位数=37.4 岁）的 2813 人组成，来自“2017/2018 年马绍尔群岛 STEPS 调查”。关于癌症筛查的信息包括巴氏涂片或醋酸阴道镜检查（VIA）、临床乳房检查、乳房 X 光检查、粪便潜血试验（FOBT）和结肠镜检查。
结果
50-74 岁女性过去 2 年进行乳房 X 光检查的比例为 21.7%，40 岁以上女性过去一年进行 CBE 的比例为 15.9%，21-65 岁女性过去 3 年进行巴氏涂片或 VIA 的比例为 32.6%，50-75 岁女性过去一年进行 FOBT 的比例为 21.8%，男性为 22.3%，50-75 岁女性过去 10 年进行结肠镜检查的比例为 9.1%，男性为 7.3%。在调整后的逻辑回归中，胆固醇筛查（OR：1.91，95%CI：1.07-3.41）与 50-74 岁女性过去 2 年进行乳房 X 光检查有关。血压筛查（OR：2.39，95%CI：1.71-3.35）、血糖筛查（OR：1.59，95%CI：1.13-2.23）、过去一年看牙医（OR：1.51，95%CI：1.17-1.96）、狂饮（OR：1.88，95%CI：1.07-3.30）和每天食用 2-3 份水果和蔬菜（OR：1.42，95%CI：1.03-1.95）呈阳性，而高体力活动（每月 30 天）（OR：0.56，95%CI：0.41-0.76）与 21-65 岁女性的巴氏涂片或 VIA 筛查呈负相关。高等教育（OR：2.58，95%CI：1.02-6.58）和胆固醇筛查（OR：2.87，95%CI：1.48-5.59）呈阳性，而当前吸烟（OR：0.09，95%CI：0.01-0.65）呈阴性与 50-75 岁人群中过去 10 年结肠镜检查的使用有关。
结论
该研究表明癌症筛查的使用率较低，确定了一些可以帮助促进马绍尔群岛癌症筛查的因素。
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