| Autor: |
Smayda LC; Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA., Day GM; Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA., Redwood DG; Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA., Beans JA; Southcentral Foundation, Anchorage, AK 99508, USA., Hiratsuka VY; Center for Human Development, College of Health, University of Alaska Anchorage, Anchorage, AK 99508, USA., Nash SH; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242, USA., Koller KR; Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA. |
| Abstrakt: |
Alaska Native communities are working to prevent cancer through increased cancer screening and early detection. We examined the prevalence of self-reported colorectal (CRC), cervical, and breast cancer screening among Alaska Native participants in the southcentral Alaska Education and Research toward Health (EARTH) study at baseline (2004-2006) and ten-year follow-up (2015-2017); participant characteristics associated with screening; and changes in screening prevalence over time. A total of 385 participants completed questionnaires at follow-up; 72% were women. Of those eligible for CRC screening, 53% of follow-up participants reported a CRC screening test within the past 5 years, significantly less than at baseline (70%) ( p = 0.02). There was also a significant decline in cervical cancer screening between baseline and follow-up: 73% of women at follow-up vs. 90% at baseline reported screening within the past three years ( p < 0.01). There was no significant difference in reported breast cancer screening between baseline (78%) and follow-up (77%). Colorectal and cervical cancer screening prevalence in an urban, southcentral Alaska Native cohort declined over 10 years of follow-up. Increased cancer screening and prevention are needed to decrease Alaska Native cancer-related morbidity and mortality. |
