Factors Associated with Cancer Screening Among Hopi Men
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Factors Associated with Cancer Screening Among Hopi Men Ken Batai 1,2 & Priscilla R. Sanderson 3 & Chiu-Hsieh Hsu 4 & Lori Joshweseoma 5 & Dana Russell 6 & Lloyd Joshweseoma 5 & Jordan Ojeda 3 & Linda Burhansstipanov 7 & Sylvia R. Brown 4 & Delores Ami 6 & Kathylynn Saboda 2 & Robin B. Harris 2,4 Accepted: 11 October 2020 # American Association for Cancer Education 2020
Abstract Cancer screening rates remain low among American Indian men, and cancer screening behaviors and barriers to cancer screening among American Indian men are not well understood. This study evaluated cancer screening behaviors in 102 Hopi men who were 50 years of age or older from the Hopi Survey of Cancer and Chronic Disease. Reported cancer screening frequencies were 15.7%, 45.1%, and 35.3% for fecal occult blood test (FOBT), colonoscopy, and prostate-specific antigen (PSA) test, respectively. Among men who reported having had a FOBT, 81.2% had the test more than 1 year ago. Among men who reported a colonoscopy, 60.8% had colonoscopy within the past 3 years. Similarly, among men who reported having had PSA, 72.3% had PSA within the past 3 years. “No one told me” was the most common answer for not undergoing FOBT (33.7%), colonoscopy (48.2%), and PSA (39.4%). Men who reported having had a PSA or digital rectal exam were three times as likely to also report having a FOBT or colonoscopy (odds ratio [OR] 3.19, 95% confidence interval [CI]: 1.21–8.46). Younger age (< 65) was associated with reduced odds of ever having prostate cancer screening (OR 0.28, 95% CI: 0.10–0.77). Ever having colorectal cancer screening and previous diagnosis of cancer increased odds of ever having prostate cancer screening (OR 3.15, 95% CI: 1.13–8.81 and OR 5.28, 95% CI: 1.15–24.18 respectively). This study illustrates the importance of community cancer education for men to improve cancer screening participation. Keywords Hopi . Native Americans . American Indians . Men . Cancer screening
Background * Ken Batai [email protected] * Priscilla R. Sanderson [email protected] 1
Department of Urology, University of Arizona, Tucson, AZ, USA
2
University of Arizona Cancer Center, 1515 N. Campbell Ave., PO Box 245024, Tucson, AZ 85724, USA
3
Health Sciences Department, Student & Academic Services Center, College of Health and Human Services, Northern Arizona University, 1100 South Beaver Street, PO Box #15095, Flagstaff, AZ 86011, USA
4
Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA
5
Hopi Tribe, Kykotsmovi, AZ, USA
6
HOPI Cancer Support Services, Department of Health and Human Services, Hopi Tribe, Kykotsmovi, AZ, USA
7
Native American Cancer Research Corporation, Pine, CO, USA
Historically, improvement of cancer screening behaviors among women is promoted by activities and advocacy of national programs, such as Centers for Disease Control and Prevention (CDC) for breast and cervical cancer screenings [1], AVON Foundation for Women, and Susan G. Komen for the
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