Harper Diane M, Plegue Melissa, Sen Ananda, Gorin Sherri Sheinfeld, Jimbo Mas, Patel Minal R, Resnicow Ken
Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Prev Med Rep. 2021 Apr 19;22:101375. doi: 10.1016/j.pmedr.2021.101375. eCollection 2021 Jun.
Middle Eastern/North Africa (MENA) women are often not identified in cancer screening studies. The aim of this study was to determine the rates and predictors of cervical and colorectal cancer (CRC) screening for women 50-65 years of three race/ethnicities. White, black and MENA women of Southeast Michigan were surveyed once in 2019 for demographics, health care barriers, chronic diseases, and cancer screening updates using in-person, telephone, and online methods. Descriptive statistics and multivariate multinomial logistic regression were used to predict up-to-date colorectal cancer and cervical cancer screening. All analyses were adjusted by local population weights for comparability and generalizability. 394 women participated with 54% up-to-date on both screenings, 21% for cervical cancer screening alone, and 12% for CRC alone. Women more likely to be up-to-date for only cervical cancer screening compared to both cancer screens are younger (aOR 0.83 (95% CI 0.76, 0.92), are of MENA descent (7.97 (2.46, 25.76) and have no insurance (9.41 (1.07, 82.92). There are no predictors for women being up-to-date for CRC screening alone compared to both screens. Among women 50-65 years old, being up-to-date in cervical cancer screening is unrelated to being up-to-date for CRC screening. Compared to Healthy People 2020, there are significant gaps in cervical and CRC screening among women 50-65 years old of all races, but particularly among women of MENA descent who are even less likely to have CRC screening than cervical cancer screening.
中东/北非(MENA)地区的女性在癌症筛查研究中常常未被纳入。本研究的目的是确定三个种族/族裔50至65岁女性的宫颈癌和结直肠癌(CRC)筛查率及预测因素。2019年,对密歇根州东南部的白人、黑人及MENA地区女性进行了一次调查,通过面对面、电话和在线方式收集人口统计学信息、医疗保健障碍、慢性病及癌症筛查最新情况。使用描述性统计和多变量多项逻辑回归来预测最新的结直肠癌和宫颈癌筛查情况。所有分析均根据当地人口权重进行调整,以确保可比性和普遍性。394名女性参与了调查,其中54%两项筛查均为最新情况,21%仅宫颈癌筛查为最新情况,12%仅结直肠癌筛查为最新情况。与两项癌症筛查均为最新情况相比,仅宫颈癌筛查为最新情况的女性更年轻(调整后比值比[aOR]为0.83[95%置信区间(CI)为0.76,0.92]),为MENA裔(7.97[2.46,25.76])且没有保险(9.41[1.07,82.92])。与两项筛查均为最新情况相比,仅结直肠癌筛查为最新情况的女性没有预测因素。在50至65岁的女性中,宫颈癌筛查为最新情况与结直肠癌筛查为最新情况无关。与《健康人民2020》相比,所有种族50至65岁女性在宫颈癌和结直肠癌筛查方面均存在显著差距,尤其是MENA裔女性,她们进行结直肠癌筛查的可能性甚至低于宫颈癌筛查。