Breast, cervical, and colorectal cancer screening prevalence in the US-Affiliated Pacific Islands

IF 2.4 3区医学 Q3 ONCOLOGY

Cancer Epidemiology Pub Date : 2025-06-06 DOI:10.1016/j.canep.2025.102851

Sameer V. Gopalani , Jin Qin , Lee Buenconsejo-Lum , Trevor D. Thompson , Jacqueline W. Miller , X.-ner Luther , Martina Reichhardt , Virginia Senkomago , Neal A. Palafox , Neiar Kabua , Edolem Ikerdeu , Haley L. Cash McGinley

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引用次数: 0

Abstract

Background

Breast, cervical, and colorectal cancer screening are recommended and can reduce mortality from these cancers, yet information on screening prevalence in the US-Affiliated Pacific Islands (USAPI) is limited.

Methods

We analyzed data from population-based cross-sectional surveys undertaken at different time points from 2016 to 2019 in American Samoa, the Commonwealth of the Northern Mariana Islands, the Republic of Palau, the Republic of the Marshall Islands, and the Federated States of Micronesia states of Pohnpei and Kosrae. We estimated the age-standardized percentage of never screened and up-to-date screening for breast, cervical, and colorectal cancer among eligible adults by select sociodemographic and health characteristics.

Results

In the USAPI overall, 20.6 % (95 % confidence interval [CI]: 18.6, 22.8) of participants were up-to-date with breast cancer screening, 38.6 % (95 % CI: 37.1, 40.2) with cervical cancer screening, and 15.1 % (95 % CI: 13.8, 16.4) with colorectal cancer screening. Screening in the USAPI overall was lower for all three cancers among participants who reported having a high school education or less compared to those with more than a high school education. Cervical cancer screening was lower among participants with diabetes compared to those without diabetes, and colorectal cancer screening was lower among participants who reported tobacco use than among those without tobacco use.

Conclusion

Cancer screening was suboptimal across all three cancer types in the USAPI. Developing, implementing, or expanding culturally tailored and effective cancer screening strategies may address barriers to screening and improve access and utilization.

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美国附属太平洋岛屿的乳腺癌、宫颈癌和结直肠癌筛查患病率

背景：乳腺癌、宫颈癌和结直肠癌筛查是推荐的，可以降低这些癌症的死亡率，但有关美国附属太平洋岛屿（USAPI）筛查流行率的信息有限。方法：我们分析了2016年至2019年在美属萨摩亚、北马里亚纳群岛联邦、帕劳共和国、马绍尔群岛共和国以及密克罗尼西亚联邦波纳佩州和科斯雷州不同时间点进行的基于人口的横断面调查数据。我们通过选定的社会人口学和健康特征估计了符合条件的成年人中未接受过乳腺癌、宫颈癌和结直肠癌筛查和最新筛查的年龄标准化百分比。结果在USAPI总体上，20.6% %（95 %可信区间[CI]: 18.6, 22.8）的参与者进行了最新的乳腺癌筛查，38.6% %（95 % CI: 37.1, 40.2）的参与者进行了宫颈癌筛查，15.1 %（95 % CI: 13.8, 16.4）的参与者进行了结直肠癌筛查。与高中以上学历的参与者相比，接受过高中以下教育的参与者的三种癌症筛查总体上都较低。与没有糖尿病的参与者相比，有糖尿病的参与者的宫颈癌筛查率较低，有吸烟的参与者的结直肠癌筛查率低于没有吸烟的参与者。结论在USAPI的所有三种癌症类型中，癌症筛查都是次优的。制定、实施或扩大适合文化的有效癌症筛查策略可以解决筛查障碍，提高获取和利用。

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

Cancer Epidemiology 医学-肿瘤学

CiteScore

4.50

自引率

3.80%

发文量

200

审稿时长

39 days

期刊介绍： Cancer Epidemiology is dedicated to increasing understanding about cancer causes, prevention and control. The scope of the journal embraces all aspects of cancer epidemiology including: • Descriptive epidemiology • Studies of risk factors for disease initiation, development and prognosis • Screening and early detection • Prevention and control • Methodological issues The journal publishes original research articles (full length and short reports), systematic reviews and meta-analyses, editorials, commentaries and letters to the editor commenting on previously published research.