Colorectal Cancer Screening in First Nations People Living in Manitoba
Colorectal Cancer Screening in First Nations People Living in Manitoba
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DOI：
10.1158/1055-9965.epi-14-1008
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发表时间：
2015-01-01
影响因子：
3.8
通讯作者：
Turner, Donna
中科院分区：
文献类型：
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作者：
Decker, Kathleen M.;Demers, Alain A.;Turner, Donna
背景资料：由于原住民的结直肠癌（CRC）负担似乎在增加，因此更好地了解CRC筛查的利用率非常重要。本研究的目的是描述CRC筛查之间的第一民族生活在马尼托巴。方法：联邦印第安人登记册连接到两个省级数据库。一个负二项模型被用来比较的概率，第一民族有一个粪便潜血试验（FOBT），结肠镜检查，或软乙状结肠镜检查（FS）与所有其他Manitobans.Results：第一民族谁住在温尼伯是显着不太可能有一个FOBT在过去的2年比所有其他Manitobans谁住在温尼伯[率比（RR）+/- 0.40; 95%置信区间（CI），0.37-0.44]。居住在北方马尼托巴的原住民与所有其他马尼托巴人相比，结肠镜检查或FS的可能性没有差异（RR，1.04; 95% CI，0.91-1.19）。然而，第一民族谁住在农村南部或城市地区是不太可能比所有其他马尼托巴省有结肠镜检查或FS（RR，0.81，95%CI，0.75-0.87，农村南部; RR，0.86，95%CI，0.81-0.92，城市）。结论：第一民族生活在温尼伯显着不太可能被筛选CRC使用FOBT。结肠镜检查和FS的使用取决于areaofresidence.Impact：第一民族的经验，阻碍使用CRC筛查的障碍。需要进一步的研究来了解这些障碍，以将CRC筛查的益处扩展到这一人群。(C)2014年AACR。
Background: Because the burden of colorectal cancer (CRC) seems to be increasing in First Nations, it is important to better understand CRC screening utilization. The objective of this study was to describe CRC screening among First Nations living in Manitoba.Methods: The Federal Indian Register was linked to two provincial databases. A negative binomial model was used to compare the probability of First Nations having a fecal occult blood test (FOBT), colonoscopy, or flexible sigmoidoscopy (FS) with all other Manitobans.Results: First Nations who lived in Winnipeg were significantly less likely to have had a FOBT in the previous 2 years than all other Manitobans who lived in Winnipeg [rate ratio (RR) +/- 0.40; 95% confidence intervals (CI), 0.37-0.44]. There was no difference in the likelihood of having a colonoscopy or FS for First Nations individuals who resided in northern Manitoba compared with all other Manitobans (RR, 1.04; 95% CI, 0.91-1.19). However, First Nations who lived in the rural south or urban areas were less likely than all other Manitobans to have had a colonoscopy or FS (RR, 0.81, 95% CI, 0.75-0.87, rural south; RR, 0.86, 95% CI, 0.81-0.92, urban).Conclusions: First Nations living in Winnipeg were significantly less likely to be screened for CRC using the FOBT. Colonoscopy and FS use depended on area of residence.Impact: First Nations experience barriers that impede the use of CRC screening. Further research is needed to understand these barriers to extend the benefit of CRC screening to this population. (C) 2014 AACR.