Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.
Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.
复制标题
DOI：
10.1007/s10552-018-1005-4
复制
发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
ECHORN Writing Group
中科院分区：
文献类型：
--
作者：
Wang KH;Thompson TA;Galusha D;Friedman H;Nazario CM;Nunez M;Maharaj RG;Adams OP;Nunez-Smith M;ECHORN Writing Group
加勒比人口面临着多种非传染性慢性疾病日益加重的负担。乳腺癌是加勒比妇女癌症死亡的主要原因。鉴于本区域非传染性疾病造成的巨大负担，可能需要针对患有多种合并症的人群专门制定癌症预防和控制战略。预防性筛查，如及时的乳房X线检查，是必不可少的，但慢性病控制可能会促进或阻碍。本研究的主要目的是检查慢性疾病和及时进行乳腺癌筛查之间的关系。我们使用东加勒比健康结果研究网络（ECHORN）队列研究ECS的基线数据进行了横断面数据分析。我们的自变量是慢性疾病（高血压或糖尿病）的存在，定义为已被告知由临床提供者。我们的因变量是及时筛查乳房X光检查，定义为在过去两年内接受乳房X光检查。我们研究了协变量和及时筛查乳腺X线摄影的双变量和多变量相关性。在我们的样本（n = 841）中，52%的人报告及时进行筛查性乳房X线检查。在及时筛查的人群中，50.8%的人报告患有高血压，22.3%的人报告患有糖尿病。在我们的双变量分析中，糖尿病和高血压都与及时筛查乳腺X线摄影有关。在部分调整的模型中，我们发现患有糖尿病的女性比没有糖尿病的女性更有可能及时报告筛查性乳房X光检查。在我们完全调整的模型中，这种关联不再显著。有一个正常的医疗保健来源和一个妇女的居住岛屿与及时筛查乳腺X线摄影显着相关（p <0.05）。我们发现，有一半符合条件的妇女及时接受了筛查性乳房X光检查。糖尿病和高血压虽然常见，但与及时筛查乳房X光检查无关。乳腺癌早期筛查的重要因素之一是乳腺癌的早期筛查。
The Caribbean population faces a growing burden of multiple non-communicable chronic diseases (NCDs). Breast cancer is the leading cause of cancer death for women in the Caribbean. Given the substantial burden of NCDs across the region, cancer prevention and control strategies may need to be specifically tailored for people with multiple co-morbidities. Preventive screening, such as timely mammography, is essential but may be either facilitated or hampered by chronic disease control. The main objective of this study is to examine the relationship between a chronic disease and timely breast cancer screening. We conducted a cross-sectional data analysis using baseline data from the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study–ECS. Our independent variables were presence of chronic diseases (hypertension or diabetes), defined as having been told by a clinical provider. Our dependent variable was timely screening mammography, as defined by receipt of mammography within the past two years. We examined bivariate and multivariate associations of covariates and timely screening mammography. In our sample (n=841), 52% reported timely screening mammography. Among those with timely screening, 50.8% reported having hypertension, and 22.3% reported having diabetes. In our bivariate analyses, both diabetes and hypertension were associated with timely screening mammography. In partially adjusted models, we found that women with diabetes were significantly more likely to report timely screening mammography than women without diabetes. In our fully adjusted models, the association was no longer significant. Having a usual source of healthcare and a woman’s island of residence was significantly associated with timely screening mammography (p<0.05). We found that half of eligible women received timely screening mammography. Diabetes and hypertension, though common, are not associated with timely screening mammography. Usual source of care remains an important factor to timely breast cancer screening.
登录
查看更多内容
影响因子：
2.8
作者：
Ahmad F;Jhajj AK;Stewart DE;Burghardt M;Bierman AS
通讯作者：
Bierman AS
影响因子：
5.7
作者：
Corbie-Smith, G;Flagg, EW;O'Brien, MA
通讯作者：
O'Brien, MA
影响因子：
3.5
作者：
Chan, W.;Yun, L.;Lipscombe, L. L.
通讯作者：
Lipscombe, L. L.
影响因子：
1.9
作者：
Camacho-Rivera, Marlene;Ragin, Camille;Taioli, Emanuela
通讯作者：
Taioli, Emanuela
影响因子：
2.3
作者：
Aldridge, ML;Daniels, JL;Jukic, AM
通讯作者：
Jukic, AM