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Cervical cancer screening outcomes among First Nations and non-First Nations women in Alberta, Canada.
Yang, Huiming; Letendre, Angeline; Shea-Budgell, Melissa; Bill, Lea; Healy, Bonnie A; Shewchuk, Brittany; Nelson, Gregg; Newsome, James; Chiang, Bonnie; Rahul, Chinmoy Roy; Kopciuk, Karen A.
Afiliación
  • Yang H; Screening Programs, Provincial Population and Public Health, Alberta Health Services, 2210 2nd Street SW, Calgary, AB T2S 3C3, Canada; Department of Community Health Sciences, University of Calgary, 3D10, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada.
  • Letendre A; Public Health Evidence & Innovation, Provincial, Population and Public Health, Alberta Health Services, 11634-122 Street, Edmonton, AB T5M 0C2, Canada.
  • Shea-Budgell M; Charbonneau Cancer Institute, University of Calgary, 3280 Hospital Dr NW, Calgary, AB T2N 4Z6, Canada; Department of Oncology, University of Calgary, 1331 29 St NW, Calgary, AB T2N 4N2, Canada.
  • Bill L; Alberta First Nations Information Governance Centre, P.O. Box 410, 9911 Chiila Blvd., Tsuu T'ina, AB T3T 0E1, Canada.
  • Healy BA; Siksikaitsitapi - Blackfoot Confederacy Tribal Council, P.O. Box 916, Standoff, AB T0L 1Y0, Canada.
  • Shewchuk B; Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, 2210 2nd Street SW, Calgary, AB T2S 3C3, Canada.
  • Nelson G; Department of Obstetrics and Gynecology, University of Calgary, 1403 29 Street NW, Calgary, AB T2N 2T9, Canada.
  • Newsome J; Screening Programs, Provincial Population and Public Health, Alberta Health Services, 2210 2nd Street SW, Calgary, AB T2S 3C3, Canada.
  • Chiang B; Screening Programs, Provincial Population and Public Health, Alberta Health Services, 2210 2nd Street SW, Calgary, AB T2S 3C3, Canada.
  • Rahul CR; Department of Mathematics and Statistics, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada.
  • Kopciuk KA; Department of Community Health Sciences, University of Calgary, 3D10, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada; Cancer Epidemiology and Prevention Research, Cancer Care Alberta, Alberta Health Services, 2210 2nd Street SW, Calgary, AB T2S 3C3, Canada; Department of Mathematics and Statist
Cancer Epidemiol ; 93: 102672, 2024 Sep 13.
Article en En | MEDLINE | ID: mdl-39276728
ABSTRACT

BACKGROUND:

Cervical cancer disproportionately affects First Nations women in Canada but there is limited information on their participation in organized cervical cancer screening programs.

METHODS:

This co-led retrospective cohort study linked population-based Alberta Cervical Cancer Screening Program point of care data with First Nations identifiers. This Screening Program database includes cervical cancer screening history, screen test results, colposcopy procedure findings, and pathology results for all women in Alberta. First Nations identifiers were obtained from Alberta Health who steward these data on their behalf. Data were available from 2012 to 2018 for women 25 - 69 years of age who were age eligible to participate in cervical cancer screening. Screening participation and retention rates, and screening outcomes were compared between First Nations and non- First Nations women using descriptive statistics with trends estimated using joinpoint models.

RESULTS:

Age standardized screening participation and retention rates of First Nations women were lower than those for the non-First Nations women, with an average difference of 13.9 % lower for participation rates (95 % confidence interval = 12.9-14.8 %; P <.0001) and 7.2 % for retention rates (95 % confidence interval = 2.2 % to 12.72; P = 0.013). First Nations women consistently had higher percentages of high risk (high-grade squamous intraepithelial lesion, atypical glandular cells, atypical squamous cells where HSIL cannot be excluded, Carcinoma in situ) abnormal cytology tests than non-First Nations women.

CONCLUSION:

Identifying where inequities were found in cervical cancer screening participation and retention in this study is the first step to reduce the disproportionate burden of cervical cancer for First Nations women in Canada.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cancer Epidemiol Asunto de la revista: EPIDEMIOLOGIA / NEOPLASIAS Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cancer Epidemiol Asunto de la revista: EPIDEMIOLOGIA / NEOPLASIAS Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos