Patterns and Trends in Cancer Screening in the United States

Hall, Ingrid J.; Tangka, Florence; Sabatino, Susan A.; Thompson, Trevor; Graubard, Barry I.; Breen, Nancy

doi:10.5888/pcd15.170465

Cited by 228 publications

(195 citation statements)

References 22 publications

(21 reference statements)

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“…Both surveys provide nationally representative samples for examining the prevalence and temporal trends of mammography use, identifying risk factors associated with mammography use, and investigating disparities in use among population subgroups. [4][5][6][7] Four common domains of factors shared by NHIS and BRFSS are: sociodemographics, health status, health-care access and utilization, and health behaviors. 6 Overlap of available variables from both surveys provides a great opportunity to conduct a side-by-side comparison between NHIS and BRFSS data.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with mammography use: A side‐by‐side comparison of results from two national surveys

Besculides

et al. 2020

Cancer Medicine

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Background Mammography use is affected by multiple factors that may change as public health interventions are implemented. We examined two nationally representative, population‐based surveys to seek consensus and identify inconsistencies in factors associated with mammography use in the entirety of the US population, and by black and white subgroups. Methods Self‐reported mammography use in the past year was extracted for 12 639 and 169 116 women aged 40‐74 years from the 2016 National Health Interview Survey (NHIS) and the 2016 Behavioral Risk Factor Surveillance System (BRFSS), respectively. We applied a random forest algorithm to identify the risk factors of mammography use and used a subset of them in multivariable survey logistic regressions to examine their associations with mammography use, reporting predictive margins and effect sizes. Results The weighted prevalence of past year mammography use was comparable across surveys: 54.31% overall, 54.50% in white, and 61.57% in black in NHIS and 53.24% overall, 56.97% in white, and 62.11% in black in BRFSS. Overall, mammography use was positively associated with black race, older age, higher income, and having health insurance, while negatively associated with having three or more children at home and residing in the Western region of the US. Overweight and moderate obesity were significantly associated with increased mammography use among black women (NHIS), while severe obesity was significantly associated with decreased mammography use among white women (BRFSS). Conclusion We found higher mammography use among black women than white women, a change in the historical trend. We also identified high parity as a risk factor for mammography use, which suggests a potential subpopulation to target with interventions aimed at increasing mammography use.

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Section: Introductionmentioning

confidence: 99%

Factors associated with mammography use: A side‐by‐side comparison of results from two national surveys

Besculides

et al. 2020

Cancer Medicine

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“…In a large nationwide sample of family caregivers of cancer survivors, we examined how caregivers' fear of their survivor's cancer recurring was related to their cancer screening behaviors. Caregivers' screening behaviors were higher than those of the US population for colorectal (69% for caregivers vs 59% for the general population), breast (85% for caregivers vs 72% for the general population), and prostate (72% for caregivers vs 36% for the general population) cancers . However, approximately 5% of these screenings were completed prematurely according to clinical guidelines.…”

Section: Discussionmentioning

confidence: 93%

“…Caregivers' screening behaviors were higher than those of the US population for colorectal (69% for caregivers vs 59% for the general population), breast (85% for caregivers vs 72% for the general population), and prostate (72% for caregivers vs 36% for the general population) cancers. 35,36 However, approximately 5% of these screenings were completed prematurely according to clinical guidelines. Furthermore, fewer caregivers maintained cancer screening at recommended intervals, particularly for breast or prostate cancer screening (we were unable to adequately evaluate whether those statistics from caregivers are comparable to those of the US population with regard to cancer screening maintenance behaviors).…”

Section: Cancer Screening Behaviors Of Cancer Caregiversmentioning

confidence: 99%

Fear of cancer recurrence promotes cancer screening behaviors among family caregivers of cancer survivors

Takeuchi

Kim

Shaffer

et al. 2020

Cancer

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Background Fear of cancer recurrence (FCR) has been associated with cancer screening behaviors among cancer survivors, but to the authors' knowledge, the question of whether the same is true for caregivers is unknown. The current study investigated the extent to which FCR among caregivers predicted their cancer screening behaviors years after their relatives' cancer diagnosis. Methods A total of 813 caregivers (67% of whom were female, mean age of 56 years, and 92% non‐Hispanic white) completed surveys 2 years (T1) and 8 years (T2) after their patients' cancer diagnosis. FCR, anxiety (Profile of Mood States‐Short Form [POMS‐SF]), and general mental health (Medical Outcomes Study 36‐Item Short‐Form Health Survey [MOS SF‐36]) were reported at T1; caregivers' engagement in screening for colorectal, breast, and prostate cancers because of the patients' diagnoses were reported at T2. Results Caregivers were found to engage in cancer screening at rates similar to those of the national average. Controlling for covariates, hierarchical logistic regression modeling for each type of cancer screening demonstrated that greater FCR was linearly related to a higher likelihood of undergoing colorectal cancer screening (odds ratio [OR], 1.15) and maintaining prostate cancer screening (OR, 1.34), but a lower likelihood of maintaining breast cancer screening in an age‐appropriate manner (OR, 0.27). Examining curvilinear effects demonstrated that moderate levels of FCR were associated with a higher likelihood of maintaining age‐appropriate colorectal cancer screening (OR, 1.48). Conclusions The overall FCR among caregivers uniquely promotes their engagement in cancer screening behaviors. The role of caregivers' FCR in other types of cancer preventive behaviors and ways to channel FCR concerns into promoting healthy lifestyle behaviors should be investigated.

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“…[35] The low uptake of screening observed in our study are similar to findings from other studies reporting lower screening proportions among refugees and immigrants when compared to U. S. born populations. [19][20][21]36] Acceptance of screening was highest among the Myanmar and Bhutanese groups. The Building Bridges program was most effective in these two culture groups.…”

Section: Plos Onementioning

confidence: 99%

Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

Raines-Milenkov¹,

Felini²,

Baker³

et al. 2020

PLoS ONE

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Background Refugees are less likely than US born populations to receive cancer screenings. Building Bridges is a community health worker prevention program designed to increase refugee's cancer screening uptake. The purpose of this cross sectional analysis was to assess differences in uptake of cervical, breast, liver, and colorectal screens across six cultural groups. Methods Data was abstracted in 2018 for this analysis. Participants were categorized into six cultural groups (Myanmar, Central Africa, Bhutan, Somalia, Arabic Speaking Countries, and Other) to assess differences in sociodemographic measures and screening uptake. Uptake proportions were calculated for each cancer type (cervical, breast, liver, and colon) among eligible participants, by gender and cultural group. Differences in uptake across groups were assessed using stratified analysis and logistic regression. Prevalence odds ratios (POR) and 95% confidence intervals (CIs) were calculated for each group to assess the association between screening completion and cultural group. Findings 874 refugees were asked about cancer screening history. The majority of participants were either 'never had been screened' or 'not up-to-date' for every cancer screening. Among age eligible, 82% had no prior pap exam within the past 3 years, 81% had no prior mammogram within the past year, 69% didn't know their Hepatitis B status and 87% never had a colon cancer screening. Overall, higher uptake of all types of cancer screenings was observed in Myanmar and Bhutanese groups, except colon cancer screening which was higher among Central African Region and Arabic Speaking participants.

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Patterns and Trends in Cancer Screening in the United States

Cited by 228 publications

References 22 publications

Factors associated with mammography use: A side‐by‐side comparison of results from two national surveys

Factors associated with mammography use: A side‐by‐side comparison of results from two national surveys

Fear of cancer recurrence promotes cancer screening behaviors among family caregivers of cancer survivors

Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

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