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癌症病史和社会支持对不同种族/族裔的结直肠癌筛查利用率有影响。

Cancer History and Social Support Impact Colorectal Cancer Screening Utilization by Race/Ethnicity.

机构信息

Georgia Prevention Institute, Augusta University, Augusta, Georgia.

Cancer Prevention, Control, & Population Health Program, Georgia Cancer Center, Augusta University, Augusta, Georgia.

出版信息

Cancer Prev Res (Phila). 2024 Oct 1;17(10):481-489. doi: 10.1158/1940-6207.CAPR-24-0121.

Abstract

This study examined the association among cancer history, social support, and up-to-date colorectal cancer (CRC) screening among four racial/ethnic groups. We conducted a cross-sectional analysis using data on respondents aged 45 to 75 years from the 2022 Behavioral Risk Factor Surveillance System. Our outcome of interest was CRC screening and exposures of interest were race/ethnicity, cancer history, and social support. Weighted multivariable logistic regression was performed. Among 73,869 adults, the CRC screening rate was 66.8% with the highest rate in non-Hispanic (NH), Whites (72.2%), and the lowest in Hispanics (52.6%). Screening rates were higher in adults with a cancer history (81.9%) and those having social support (69%). Hispanic adults with a cancer history had lower screening use (50.9% vs. 77.4% in the no cancer history group; P value < 0.001). Regardless of race/ethnicity, adults without social support had lower screening utilization (P value < 0.05). In effect modification, NH White adults who reported no cancer history and lack of social support were 12% less likely to have CRC screening than those with social support but without cancer history (OR, 0.88; 95% confidence intervals, 0.79-0.98). Similar results were observed among Hispanic adults without a cancer history and social support, with 37% less likely to have CRC screening than those with social support but no cancer history (OR, 0.63; 95% confidence intervals, 0.42-0.93). NH White and Hispanic adults without a cancer history and limited social support were less likely to have CRC screening uptake. By implementing culturally tailored interventions that address social support needs, greater CRC screening compliance may be increased among these populations. Prevention Relevance: Adherence to CRC screening recommendations reduces cancer incidence and mortality. Effective implementation of culturally tailored interventions that address social support needs and consider cancer history have the potential for improving CRC screening compliance among NH White and Hispanic adults without a cancer history.

摘要

本研究探讨了癌症史、社会支持与四个种族/族裔群体中最新的结直肠癌(CRC)筛查之间的关联。我们使用 2022 年行为风险因素监测系统中年龄在 45 至 75 岁的受访者的数据进行了横断面分析。我们感兴趣的结果是 CRC 筛查,感兴趣的暴露因素是种族/族裔、癌症史和社会支持。进行了加权多变量逻辑回归分析。在 73869 名成年人中,CRC 筛查率为 66.8%,其中非西班牙裔(NH)白人最高(72.2%),西班牙裔最低(52.6%)。有癌症史的成年人(81.9%)和有社会支持的成年人(69%)的筛查率更高。有癌症史的西班牙裔成年人的筛查使用率较低(50.9%比无癌症史组的 77.4%;P 值<0.001)。无论种族/族裔如何,没有社会支持的成年人的筛查利用率较低(P 值<0.05)。在效应修饰中,报告无癌症史和缺乏社会支持的 NH 白人成年人进行 CRC 筛查的可能性比有社会支持但无癌症史的成年人低 12%(比值比,0.88;95%置信区间,0.79-0.98)。在没有癌症史和社会支持的西班牙裔成年人中也观察到了类似的结果,与有社会支持但无癌症史的成年人相比,进行 CRC 筛查的可能性低 37%(比值比,0.63;95%置信区间,0.42-0.93)。没有癌症史和社会支持有限的 NH 白人和西班牙裔成年人不太可能接受 CRC 筛查。通过实施针对社会支持需求的文化上适当的干预措施,可能会增加这些人群对 CRC 筛查的依从性。预防相关性:遵守 CRC 筛查建议可降低癌症发病率和死亡率。有效实施针对社会支持需求的文化上适当的干预措施,并考虑癌症史,有可能提高没有癌症史的 NH 白人和西班牙裔成年人对 CRC 筛查的依从性。

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