Castaneda-Avila Maira A, Baek Jonggyu, Epstein Mara M, Forrester Sarah N, Ortiz Ana P, Lapane Kate L
Division of Epidemiology, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Division of Biostatistics and Health Services Research, Department of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Womens Health Rep (New Rochelle). 2022 May 31;3(1):552-562. doi: 10.1089/whr.2021.0153. eCollection 2022.
Research on the role of body size on cancer screening is mixed with few studies among Latinas in the United States. We evaluated the association between body size and cancer screening adherence among Latinas living in Puerto Rico and the rest of the United States.
We conducted a cross-sectional study using 2012-2018 Behavioral Risk Factor Surveillance System data among Latinas 50-64 years of age ( = 16,410). Breast, cervical, and colorectal cancer screening (guideline adherent: yes/no), height and weight were self-reported. Prevalence ratios (PRs) derived from Poisson models were estimated for each cancer screening utilization for Puerto Rico versus rest of the United States by body mass index (BMI) category.
Nearly a quarter of women lacked adherence with breast and cervical cancer screening and 43.6% were nonadherent to colorectal cancer screening. Latinas with BMI ≥40.0 kg/m in both groups were more likely to lack adherence to cervical cancer screening than women with BMI 18.5-24.9 kg/m. For those with BMI ≥40.0 kg/m, Latinas in Puerto Rico were more likely to lack adherence to colorectal cancer screening recommendations than Latinas living in the rest of the United States (adjusted PR: 1.38; 95% confidence interval = 1.12-1.70).
The role of body size in cancer screening utilization among Latinas differs in women living in Puerto Rico versus in the rest of the United States and varies by cancer type. Understanding Latinas' experience can inform culturally adapted interventions to promote cancer screening.
关于体型在癌症筛查中作用的研究结果不一，在美国拉丁裔中的相关研究较少。我们评估了居住在波多黎各和美国其他地区的拉丁裔女性体型与癌症筛查依从性之间的关联。
我们利用2012 - 2018年行为危险因素监测系统的数据，对50 - 64岁的拉丁裔女性（n = 16410）进行了一项横断面研究。乳腺癌、宫颈癌和结直肠癌筛查（遵循指南情况：是/否）、身高和体重均为自我报告。通过泊松模型得出的患病率比（PRs），针对波多黎各与美国其他地区的每种癌症筛查利用率，按体重指数（BMI）类别进行了估计。
近四分之一的女性未坚持进行乳腺癌和宫颈癌筛查，43.6%未坚持进行结直肠癌筛查。两组中BMI≥40.0 kg/m²的拉丁裔女性比BMI为18.5 - 24.9 kg/m²的女性更有可能未坚持进行宫颈癌筛查。对于BMI≥40.0 kg/m²的女性，波多黎各的拉丁裔女性比居住在美国其他地区的拉丁裔女性更有可能未遵循结直肠癌筛查建议（调整后的PR：1.38；95%置信区间 = 1.12 - 1.70）。
体型在居住于波多黎各的拉丁裔女性与美国其他地区的拉丁裔女性的癌症筛查利用率中的作用有所不同，且因癌症类型而异。了解拉丁裔女性的情况可为促进癌症筛查的文化适应性干预提供参考。
