Association Between Body Mass Index and Cancer Screening Adherence Among Latinas in the United States and Puerto Rico.
Association Between Body Mass Index and Cancer Screening Adherence Among Latinas in the United States and Puerto Rico.
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DOI：
10.1089/whr.2021.0153
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发表时间：
2022
影响因子：
1.3
通讯作者：
Lapane, Kate L.
中科院分区：
文献类型：
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作者：
Castaneda-Avila, Maira A.;Baek, Jonggyu;Epstein, Mara M.;Forrester, Sarah N.;Ortiz, Ana P.;Lapane, Kate L.
关于体型在癌症筛查中的作用的研究是混杂的，在美国的拉丁美洲人中很少有研究。我们评估了居住在波多黎各和美国其他地区的拉丁美洲人的体型和癌症筛查依从性之间的关系。我们使用2012-2018年行为风险因素监测系统数据对50-64岁的拉丁裔（n = 16,410）进行了横断面研究。乳腺癌、宫颈癌和结直肠癌筛查（遵循指南：是/否）、身高和体重均为自我报告。根据身体质量指数（BMI）类别，估计波多黎各与美国其他地区的每种癌症筛查使用率的泊松模型得出的患病率比率（pr）。近四分之一的女性没有坚持乳腺癌和宫颈癌筛查，43.6%的女性没有坚持结肠直肠癌筛查。两组中BMI≥40.0 kg/m2的拉丁裔女性比BMI 18.5-24.9 kg/m2的女性更容易缺乏宫颈癌筛查的依从性。对于那些BMI≥40.0 kg/m2的人，波多黎各的拉丁裔比生活在美国其他地区的拉丁裔更有可能缺乏对结直肠癌筛查建议的依从性（调整后的PR: 1.38； 95%置信区间= 1.12-1.70）。在波多黎各和美国其他地区的拉丁裔妇女中，体型在癌症筛查利用中的作用有所不同，并且因癌症类型而异。了解拉丁美洲人的经历可以为促进癌症筛查的文化适应干预措施提供信息。
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 (n = 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/m2 in both groups were more likely to lack adherence to cervical cancer screening than women with BMI 18.5–24.9 kg/m2. For those with BMI ≥40.0 kg/m2, 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.
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影响因子：
12.7
作者：
DeVoe, JE;Fryer, GE;Green, L
通讯作者：
Green, L
影响因子：
5.5
作者：
Hall, Ingrid J.;Tangka, Florence K. L.;Breen, Nancy
通讯作者：
Breen, Nancy
影响因子：
3.9
作者：
Gayde, Ceyda;Goolam, Ismail;Wylie, Elizabeth
通讯作者：
Wylie, Elizabeth
影响因子：
12.7
作者：
Chao, A;Connell, CJ;Thun, MJ
通讯作者：
Thun, MJ
DOI：
10.2307/3349613
发表时间：
1973-01-01
期刊：
MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY
影响因子：
--
作者：
ANDERSEN, R;NEWMAN, JF
通讯作者：
NEWMAN, JF