Differences in Breast and Cervical Cancer Screening Among U.S. Women by Nativity and Family History

Donley, Tiffany; Tshiswaka, Daudet Ilunga; Blanc, Judite; Seixas, Azizi; Okafor, Anthony; Mbizo, Justice

doi:10.1016/j.amepre.2020.05.018

Cited by 7 publications

(4 citation statements)

References 20 publications

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“…After adjusting for age, ethnicity, and place of birth, as well as mutually adjusting for each other, both HPV infection (AOR 57.5; 95% CI 41.8-79.2) and multiple fullterm pregnancies (n = 2; AOR 4.1; 95% CI 2.2-7.8) (n = 3; AOR 7.0; 95% CI 3.3-14.7) (n > 3; AOR 4.1; 95% CI 1.8-9.3) were associated with an increased risk of cervical cancer when comparing the patients with cervical cancer to the benign disease controls (Table 2). Other factors previously reported to increase the risk of cervical cancer, including smoking [5], family history of cancer [30], alcohol drinking [29], and BMI [31], appeared to have no relationship with the risk of cervical cancer in the present study (Table 2).…”

Section: The Associations Of Hepatitis Virus With Cervical Cancer In ...contrasting

confidence: 59%

“…A chi-squared test was used to compare the differences in baseline characteristics between the cases and controls. Binary logistic regression analysis was used to analyze the associations between cervical cancer and the characteristics of HCV infection, HBV antibodies and antigens, HPV infection, family history of cancer, smoking, alcohol drinking, BMI [underweight (< 18.5), normal (18.5-25), overweight (25)(26)(27)(28)(29)(30), obese (> 30)], number of full-term pregnancies (0, 1, 2, 3, > 4)). Variables significant in the univariate analyses and baseline characteristics including age, ethnicity, and place of birth, were included for multivariate analyses.…”

Section: Discussionmentioning

confidence: 99%

“…However, other studies did not observe associations between HBV infection and cervical cancer [ 25 – 28 ]. To the best of our knowledge, none of these studies made any adjustment for known risk factors, including HPV infection, multiple full-term pregnancies, smoking; or potential risk factors, including alcohol consumption [ 29 ], family history of cancer [ 30 ],and body mass index (BMI) [ 31 ] in the analyses. Interactions between HBV and HPV have never been investigated.…”

Section: Introductionmentioning

confidence: 99%

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Hepatitis B or C viral infection and the risk of cervical cancer

Luo

Zhang

et al. 2022

Infect Agents Cancer

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Background The present study aimed to evaluate the effects of hepatitis B virus (HBV) or hepatitis C virus (HCV) infection on the risk of cervical cancer. Methods We conducted a case–control study including 838 cervical cancer cases and 838 benign disease controls matched for age, ethnicity, and place of birth. Venous blood was tested for HBV and HCV serological markers. Multiple odds ratios (OR) and corresponding 95% confidence intervals (CI) for cervical cancer were estimated using logistic regression. HBV antigens were examined using immunohistochemical staining. Results Anti-HCV was positive in 10 cases (1.2%) and 0 controls (0%). Cases had higher percentage of chronic HBV infection (HBsAg-positive/anti-HBc-positive) and prior HBV infection (HBsAg-negative/anti-HBc-positive) than controls (6.3% vs 4.4%; 11.6% vs 7.3%). Both chronic HBV infection (OR 1.6; 95% CI 1.0–2.4) and prior HBV infection (OR 1.7; 95% CI 1.2–2.4) were associated with cervical cancer in univariate logistic regression analyses. In subgroup analysis among HPV-positive patients, the association between chronic HBV infection and cervical cancer disappeared (OR 1.2; 95% CI 0.4–3.4); while in subgroup among patients younger than 50 years, the association remained significant with adjustment for HPV infection and parity (adjusted OR 2.1; 95% CI 1.0–4.4). HBsAg and HBcAg were detected in 8% and 12% of cervical cancer cases who had seropositive HBsAg, respectively. Compared with the benign controls, individuals with both HBsAg and HPV positive had an increased risk of cervical cancer (adjusted OR 67.1; 95% CI 23.4–192.7). Conclusions HBV infection was associated with cervical cancer in patients with age younger than 50 years. Further prospective studies are needed to confirm this relationship.

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Section: The Associations Of Hepatitis Virus With Cervical Cancer In ...contrasting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hepatitis B or C viral infection and the risk of cervical cancer

Luo

Zhang

et al. 2022

Infect Agents Cancer

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“…[ 6 7 ] A US study showed that CC screening showed college-educated women, women with a regular source of care, women who frequently consulted a physician, women who had health insurance, and women had a higher level of monthly income had more cervical cancer screening compared to their counterparts. [ 8 ] A high rate of Pap screening coverage drop was observed in many countries (30% in Brazil, 18.17% in Ethiopia, 10% in the USA, and between 5 and 59.7% in many Asian countries) and many women were out of date for regular screening. [ 9 10 11 12 ] Many women still do not participate in cervical cancer screening in many countries.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices toward cervical cancer and screening among sexually active Saudi females visiting a primary care center in Saudi Arabia

Algabr¹,

AlSaud²,

Ismail³

2022

Journal of Family Medicine and Primary Care

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Background/Aim: Women’s knowledge of cervical cancer (CC) and awareness of screening procedures are important to improve adherence and reduce mortality. This study was conducted to determine the knowledge, attitudes, and practices toward cervical cancer and screening among sexually active Saudi females visiting a primary care center in Riyadh, Saudi Arabia. Methods: We conducted a cross-sectional study among sexually active Saudi females who visited the primary care center of our institution using a self-administered survey questionnaire between July and December 2020. Results: Six hundred and one Saudi women participated in the survey with a mean age of 34.0 ± 10.8 years. Three in four women (75.7%) were aware of cervical cancer and 325 (54.1%) believed that doing a Paps smear helped them diagnose and prevent CC. However, 479 participants (79.7%) do not see the need to go for CC screening (n = 199, 41.5%) and 113 (23.6%) had not heard of Paps smear screening. There were 109 women (18.1%) who has good knowledge of cervical cancer and screening and 492 women (81.9%) had poor knowledge. Conclusion: There was a high proportion of women with poor knowledge and awareness about cervical cancer and screening. Most women do not feel the need to undergo screening. Primary care physicians and healthcare providers should revisit the implementation of policies or information dissemination of programs and materials to increase awareness and knowledge for cervical cancer screening and vaccination throughout primary healthcare centers.

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Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study

Pandit

2022

J Cancer Surviv

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Purpose To assess associations between usual source of care (USC) type and health status, healthcare access, utilization, and expenses among adult cancer survivors. Methods This retrospective cross-sectional analysis using 2013–2018 Medical Expenditure Panel Survey included 2690 observations representing 31,953,477 adult cancer survivors who were currently experiencing cancer and reporting one of five USC types: solo practicing physician (SPP), a specific person in a non-hospital facility, a specific person in a hospital-based facility, a non-hospital facility, and a hospital-based facility. We used logistic regressions and generalized linear models to determine associations of USC type with health status, healthcare access, utilization, and expenses, adjusting for patient demographic and clinical characteristics. Results All non-SPP USC types were associated with reporting more difficulties contacting USC by telephone during business hours (p < 0.05). Compared to SPP, non-hospital facility was associated with more difficulty getting needed prescriptions (OR: 1.81, p = 0.036) and higher annual expenses ($5225, p = 0.028), and hospital-based facility was associated with longer travel time (OR: 1.61, p = 048), more ED visits (0.13, p = 0.049), higher expenses ($6028, p = 0.014), and worse self-reported health status (OR: 1.93, p = 0.001), although both were more likely to open on nights/weekends (p < 0.05). Cancer survivors with a specific person in a hospital-based facility (vs. SPP) as USC were > twofold as likely (p < 0.05) to report difficulty getting needed prescriptions and contacting USC afterhours. Conclusions Among adult cancer survivors who were currently experiencing cancer, having a non-SPP type of UCS was associated with reporting more difficulties accessing care, worse health, more ED visits, and higher total expenses. Implications for Cancer Survivors Transitioning to SPP type of USC may result in better healthcare outcomes.

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Differences in Breast and Cervical Cancer Screening Among U.S. Women by Nativity and Family History

Cited by 7 publications

References 20 publications

Hepatitis B or C viral infection and the risk of cervical cancer

Hepatitis B or C viral infection and the risk of cervical cancer

Knowledge, attitudes and practices toward cervical cancer and screening among sexually active Saudi females visiting a primary care center in Saudi Arabia

Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study

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