TY - JOUR
T1 - Colorectal cancer screening among American Indians in a Pacific Northwest tribe
T2 - Cowlitz tribal BRFSS project, 2009-2010
AU - Maly, Annika G.
AU - Steel, Tessa L.
AU - Fu, Rongwei
AU - Lieberman, David A.
AU - Becker, Thomas M.
PY - 2014
Y1 - 2014
N2 - Objectives. Colorectal cancer (CRC) screening is low among American Indians (AIs). We describe the demographics, health status, prevalence of modifiable CRC risk factors, and use of CRC screening modalities in a Pacific Northwest AI tribe. Methods. We conducted a survey among Cowlitz tribal members using a Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. We analyzed demographic, health status, behavioral risk factor, and CRC screening variables. Using the Washington State 2010 BRFSS, we compared tribal members with non-Hispanic white (NHW) people. We used logistic regression to examine factors associated with CRC screening for tribal members. Results. A greater proportion of tribal members than NHW people reported living below the federal poverty level (12% vs. 7%, p50.013). A greater proportion of tribal members than NHW people aged ≥50 years had poor self-reported health (27% vs. 16%, p50.006) and were without health insurance (12% vs. 6%, p50.004). A greater proportion of tribal members than NHW people had a fecal occult blood test within the past year (20% vs. 13%, p50.006). Being 60-69 years of age (odds ratio [OR] 5 2.6, 95% confidence interval [CI] 1.4, 4.9), ≥70 years of age (OR52.2, 95% CI 1.1, 4.5), and having a personal health-care provider (OR53.7, 95% CI 1.4, 9.6) were associated with increased screening adherence in tribal members. Conclusion. Data from the Cowlitz Tribal BRFSS demonstrate that members are receiving CRC screening in the same proportions as NHW people despite lower sociodemographic and health status indicators among members. Unique characteristics of the tribe likely contribute to this finding.
AB - Objectives. Colorectal cancer (CRC) screening is low among American Indians (AIs). We describe the demographics, health status, prevalence of modifiable CRC risk factors, and use of CRC screening modalities in a Pacific Northwest AI tribe. Methods. We conducted a survey among Cowlitz tribal members using a Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. We analyzed demographic, health status, behavioral risk factor, and CRC screening variables. Using the Washington State 2010 BRFSS, we compared tribal members with non-Hispanic white (NHW) people. We used logistic regression to examine factors associated with CRC screening for tribal members. Results. A greater proportion of tribal members than NHW people reported living below the federal poverty level (12% vs. 7%, p50.013). A greater proportion of tribal members than NHW people aged ≥50 years had poor self-reported health (27% vs. 16%, p50.006) and were without health insurance (12% vs. 6%, p50.004). A greater proportion of tribal members than NHW people had a fecal occult blood test within the past year (20% vs. 13%, p50.006). Being 60-69 years of age (odds ratio [OR] 5 2.6, 95% confidence interval [CI] 1.4, 4.9), ≥70 years of age (OR52.2, 95% CI 1.1, 4.5), and having a personal health-care provider (OR53.7, 95% CI 1.4, 9.6) were associated with increased screening adherence in tribal members. Conclusion. Data from the Cowlitz Tribal BRFSS demonstrate that members are receiving CRC screening in the same proportions as NHW people despite lower sociodemographic and health status indicators among members. Unique characteristics of the tribe likely contribute to this finding.
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U2 - 10.1177/003335491412900310
DO - 10.1177/003335491412900310
M3 - Article
C2 - 24791026
AN - SCOPUS:84899755859
SN - 0033-3549
VL - 129
SP - 280
EP - 288
JO - Public health reports
JF - Public health reports
IS - 3
ER -