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Racial-Ethnic Disparities in Late-Stage Colorectal Cancer Among Hispanics and Non-Hispanic Whites of New Mexico.
Gonzales, Melissa; Qeadan, Fares; Mishra, Shiraz I; Rajput, Ashwani; Hoffman, Richard M.
Afiliação
  • Gonzales M; 1 University of New Mexico, Albuquerque, NM, USA.
  • Qeadan F; 1 University of New Mexico, Albuquerque, NM, USA.
  • Mishra SI; 1 University of New Mexico, Albuquerque, NM, USA.
  • Rajput A; 1 University of New Mexico, Albuquerque, NM, USA.
  • Hoffman RM; 2 University of Iowa, Iowa City, IA, USA.
Hisp Health Care Int ; 15(4): 180-188, 2017 12.
Article em En | MEDLINE | ID: mdl-29237342
INTRODUCTION: Hispanics in New Mexico are diagnosed with more later-stage colorectal cancer (CRC) than non-Hispanic Whites (NHW). Our study evaluated the interaction of race/ethnicity and risk factors for later-stage III and IV CRC among patients in New Mexico. METHOD: CRC patients ages 30 to 75 years ( n = 163, 46% Hispanic) completed a survey on key explanatory clinical, lifestyle, preventive health, and demographic variables for CRC risk. Adjusted logistic regression models examined whether these variables differentially contributed to later-stage CRC among NHW versus Hispanics. RESULTS: Compared with NHW, Hispanics had a higher prevalence of later-stage CRC ( p = .007), diabetes ( p = .006), high alcohol consumption ( p = .002), low education ( p = .003), and CRC diagnosis due to symptoms ( p = .06). Compared with NHW, Hispanics reporting high alcohol consumption (odds ratio [OR] = 7.59; 95% confidence interval [CI] = 1.31-43.92), lower education (OR = 3.5; 95% CI = 1.28-9.65), being nondiabetic (OR = 3.23; 95% CI = 1.46-7.15), or ever smokers (OR = 2.4; 95% CI = 1.03-5.89) were at higher risk for late-stage CRC. Adjusting for CRC screening did not change the direction or intensity of the odds ratios. CONCLUSION: The ethnicity-risk factor interactions, identified for late-stage CRC, highlight significant factors for targeted intervention strategies aimed at reducing the burden of later-stage CRC among Hispanics in New Mexico with broad applicability to other Hispanic populations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Hispânico ou Latino / População Branca / Disparidades nos Níveis de Saúde Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte / Mexico Idioma: En Revista: Hisp Health Care Int Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Hispânico ou Latino / População Branca / Disparidades nos Níveis de Saúde Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality / Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do norte / Mexico Idioma: En Revista: Hisp Health Care Int Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos