Breast Cancer Screening among Southwest American Indian Women Living On-Reservation
| Autor: | Leon Nuvayestewa, Mary Papenfuss, Jill de Guernsey de Zapien, Sally Tilousi, Anna R. Giuliano |
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| Rok vydání: | 1998 |
| Předmět: |
Adult
medicine.medical_specialty Epidemiology Health Behavior Population Breast Neoplasms Logistic regression Breast cancer screening Breast cancer Cancer screening medicine Humans Mass Screening Mammography Stage (cooking) skin and connective tissue diseases education Aged Gynecology education.field_of_study medicine.diagnostic_test business.industry Arizona Public Health Environmental and Occupational Health Middle Aged medicine.disease United States Survival Rate Medical services United States Indian Health Service Indians North American Regression Analysis Women's Health Female business Attitude to Health Demography |
| Zdroj: | Preventive Medicine. 27:135-143 |
| ISSN: | 0091-7435 |
| DOI: | 10.1006/pmed.1997.0258 |
| Popis: | Background.One- and five-year breast cancer survival rates are significantly lower among Southwest American Indian (AI) women compared with non-Hispanic whites, primarily due to late stage at diagnosis. By detecting cancers at an earlier stage, screening mammography can reduce breast cancer mortality by 30% among women ages 50–69 years. Methods.To determine rate of and predictors of participation in breast cancer screening services among Southwest AI women, randomly selected AI women living on the Arizona Hopi reservation were interviewed. Independent predictors of breast cancer screening were determined using logistic regression analyses among respondents ages ≥40 years (n= 314). Results.Of respondents ≥40 years, 26.4% had had a mammogram in the past 2 years, and 23.2% of women ≥50 years had had both a mammogram and a clinical breast examination. Mammography screening in the past 2 years was independently associated with an age between 50 and 59 years, knowledge of the procedure, belief that mammography can detect breast cancer, having yearly Pap smears, and use of the Hopi-language. Conclusion.Self-reported breast cancer screening rates among this population of AI women are far below objectives set for the Year 2000. This study confirms the importance of breast cancer screening knowledge and participation in routine medical services to rates of breast cancer screening. |
| Databáze: | OpenAIRE |
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