Cancer among indigenous populations: The experience of American samoans

Mishra, Shiraz I.; Luce-Aoelua, Pat H.; Wilkens, Lynne R.

doi:10.1002/(sici)1097-0142(19961001)78:7<1553::aid-cncr31>3.0.co;2-x

Cited by 6 publications

(1 citation statement)

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“…These questions were compiled from the risk factors listed by the American Cancer Society, the National Cancer Institute, and the Centers for Disease Control and Prevention and are listed in the results tables [ 23 – 26 ]. These factors have been used in previous research and were updated with the current best evidence [ 27 , 28 ]. Attitudes and beliefs about cancer in general include general statements about cancer (agree/disagree), measures social network attitudes and beliefs, attitudes and beliefs about healthcare providers and cancer screening, and future screening intentions.…”

Section: Methodsmentioning

confidence: 99%

Breast cancer screening attitudes, beliefs, and behaviors of Zuni Pueblo women: identifying cornerstones for building effective mammogram screening intervention programs

Cartwright,

Kanda,

Kosich

et al. 2023

Cancer Causes Control

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Purpose Breast cancer is the leading form of cancer and has the second highest mortality rate of cancers for American Indian/Alaska Native (AI/AN) women. Early screening is critical. This study examines the breast cancer-related knowledge, beliefs, and behaviors of Zuni women in the Southwest United States (U.S.). Methods In 2020 and 2021, a survey was administered to better understand cancer screening patterns in Zuni Pueblo; 110 women from 50 to 75 years of age were recruited to respond to the breast cancer screening portion. Inclusion criteria included self-identifying as AI, a member of the Zuni tribe, or married to a Zuni tribal member, and meeting the age and gender requirements. Descriptive statistics and bivariate analyses were conducted examining the associations between measures of breast cancer knowledge, beliefs, and behaviors and breast cancer screening status (never, ever/non-compliant, and ever/compliant). Results Of survey participants, 47.3% have had a breast cancer screening and are up-to-date, 39.1% have had a screening in the past but are not up-to-date, and 13.6% have never been screened. Age was the only statistically significant socioeconomic predictor of breast cancer screening; the median (interquartile range) ages of each group are 62 (54, 68) ever/compliant, 56 (54, 68) ever/non-compliant, and 53 (51, 55) never (p-value < 0.001). Significant differences by health status and access to medical care include having a regular health care provider and going to see a provider for routine check-ups. The survey also shows differences in knowledge about breast cancer risk factors, beliefs, and behaviors. Women across all three screening statuses reported that they would get screened if encouraged by a health care provider. Conclusion While survey respondents report a relatively high rate of ever having had a breast cancer screening, less than half are compliant with screening guidelines, which shows there is an opportunity to improve breast cancer screening rates. With culturally tailored interventions, providers have the potential to improve breast cancer screening for Zuni women.

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Section: Methodsmentioning

confidence: 99%

Breast cancer screening attitudes, beliefs, and behaviors of Zuni Pueblo women: identifying cornerstones for building effective mammogram screening intervention programs

Cartwright,

Kanda,

Kosich

et al. 2023

Cancer Causes Control

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Mammography screening and pacific islanders: role of cultural and psychosocial factors

et al. 2007

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Risk factors for breast cancer in the breast cancer risk model study of Guam and Saipan

Guerrero

Novotny

Wilkens

et al. 2017

Cancer Epidemiology

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Background Chamorro Pacific Islanders in the Mariana Islands have breast cancer incidence rates similar to, but mortality rates higher than, those of U.S. women. As breast cancer risk factors of women of the Mariana Islands may be unique because of ethnic and cultural differences, we studied established and suspected risk factors for breast cancer in this unstudied population. Methods From 2010–2013, we conducted retrospective case-control study of female breast cancer (104 cases and 185 controls) among women in the Mariana Islands. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for each of various lifestyle-related factors from logistic regression of breast cancer, in all women and in pre- and postmenopausal women separately. Tests for interaction of risk factors with ethnicity were based on the Wald statistics for cross-product terms. Results Of the medical and reproductive factors considered — age at menarche, breastfeeding, number of live births, age at first live birth, hormone use, and menopause — only age at first live birth was confirmed. Age at first live birth, among parous women, was higher among cases (mean 24.9 years) than controls (mean 23.2 years); with increased breast cancer risk (OR=2.53; 95% CI, 1.04–6.19 for age ≥ 30y compared to <20y, P for trend = 0.01). Of the lifestyle factors —body mass index, waist circumference, physical activity, alcohol and betel-nut intake, and education — only waist circumference (OR=1.65; 95% CI 0.87–3.14 for the highest tertile group compared to the lowest, P for trend=0.04) was significantly associated with breast cancer risk and only in Filipino women. The association with many other established risk factors, such as BMI, hormone use and physical activity, were in the expected direction but were not significant. Associations for family history of breast cancer and alcohol intake were not evident Conclusions The results provide a basis for cancer prevention guidance for women in the Mariana Islands.

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Cancer among indigenous populations: The experience of American samoans

Cited by 6 publications

References 1 publication

Breast cancer screening attitudes, beliefs, and behaviors of Zuni Pueblo women: identifying cornerstones for building effective mammogram screening intervention programs

Breast cancer screening attitudes, beliefs, and behaviors of Zuni Pueblo women: identifying cornerstones for building effective mammogram screening intervention programs

Mammography screening and pacific islanders: role of cultural and psychosocial factors

Risk factors for breast cancer in the breast cancer risk model study of Guam and Saipan

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