Cervical and breast cancer screening outcomes among Métis people in Alberta, Canada.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Michelle L Aktary, Reagan Bartel, Ashton James, June Kima, Amanda Andrew, Angeline Letendre, Chinmoy Rahul, Bonnie Chiang, James Newsome, Huiming Yang, Karen A Kopciuk
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Abstract

Background: Breast and cervical cancer rates among Métis people in Canada are higher than non-Indigenous people but the impact of cancer screening is uncertain. This study investigated breast and cervical cancer screening participation, retention, and follow-up care among age-eligible Métis people living in Alberta compared to their non-Métis counterparts from 2006 to 2022.

Methods: Data from the Otipemisiwak Métis Government of the Métis Nation within Alberta (MNA) Identification Registry were linked to the Alberta Breast and Cervical Cancer Screening Programs, and the Alberta Cancer Registry for the years 2006 to 2022. Relative and absolute differences in rates, percentages, and means/medians were calculated between Métis and non-Métis people, including age-eligible females, people with a cervix, and people who have taken gender-affirming hormones for five or more years. Trends were assessed using suitable Joinpoint models.

Results: Métis and non-Métis people had similar breast and cervical cancer screening participation and retention rates. However, the time between abnormal cancer screening results and follow-up tests was longer for Métis people compared to non-Métis people. Métis people had higher proportions of abnormal cytology test results, and more were diagnosed with advanced-stage cervical cancer (p = 0.06) than non-Métis people. There were no differences in breast cancer stage at diagnosis.

Conclusion: Ongoing collaboration between the MNA and Screening Programs will build on evidence from the current study to support cancer screening programs and services for all Métis people in Alberta.

加拿大艾伯塔省msamims人群的宫颈癌和乳腺癌筛查结果
背景:加拿大土著妇女的乳腺癌和宫颈癌发病率高于非土著妇女,但癌症筛查的影响尚不确定。本研究调查了2006年至2022年期间居住在艾伯塔省符合年龄条件的msamims人群与非msamims人群的乳腺癌和宫颈癌筛查参与、保留和随访护理情况。方法:数据来自阿尔伯塔省(MNA)识别登记处的Otipemisiwak msamtis政府,与阿尔伯塔省乳腺癌和宫颈癌筛查项目以及2006年至2022年的阿尔伯塔省癌症登记处。计算了mims患者和非mims患者的比率、百分比和平均值/中位数的相对和绝对差异,包括符合年龄的女性、有子宫颈的人以及服用性别确认激素5年或更长时间的人。使用合适的Joinpoint模型评估趋势。结果:患有mims和非mims的人乳腺癌和宫颈癌筛查的参与率和保留率相似。然而,与非msamims患者相比,msamims患者的异常癌症筛查结果和后续检查之间的时间间隔更长。与非msamims患者相比,msamims患者细胞学检查结果异常的比例更高,并且更多的人被诊断为晚期宫颈癌(p = 0.06)。在诊断时,乳腺癌的分期没有差异。结论:MNA和筛查方案之间的持续合作将建立在当前研究的证据基础上,以支持阿尔伯塔省所有msamims患者的癌症筛查方案和服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Women's Health
BMC Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
4.00%
发文量
444
审稿时长
>12 weeks
期刊介绍: BMC Women''s Health is an open access, peer-reviewed journal that considers articles on all aspects of the health and wellbeing of adolescent girls and women, with a particular focus on the physical, mental, and emotional health of women in developed and developing nations. The journal welcomes submissions on women''s public health issues, health behaviours, breast cancer, gynecological diseases, mental health and health promotion.
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