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Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.

Publication ,  Journal Article
Wang, KH; Thompson, TA; Galusha, D; Friedman, H; Nazario, CM; Nunez, M; Maharaj, RG; Adams, OP; Nunez-Smith, M; ECHORN Writing Group,
Published in: Cancer Causes Control
March 2018

PURPOSE: The Caribbean population faces a growing burden of multiple non-communicable chronic diseases (NCDs). Breast cancer is the leading cause of cancer death for women in the Caribbean. Given the substantial burden of NCDs across the region, cancer prevention and control strategies may need to be specifically tailored for people with multiple co-morbidities. Preventive screening, such as timely mammography, is essential but may be either facilitated or hampered by chronic disease control. The main objective of this study is to examine the relationship between a chronic disease and timely breast cancer screening. METHODS: We conducted a cross-sectional data analysis using baseline data from the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study-ECS. Our independent variables were presence of chronic diseases (hypertension or diabetes), defined as having been told by a clinical provider. Our dependent variable was timely screening mammography, as defined by receipt of mammography within the past 2 years. We examined bivariate and multivariate associations of covariates and timely screening mammography. RESULTS: In our sample (n = 841), 52% reported timely screening mammography. Among those with timely screening, 50.8% reported having hypertension, and 22.3% reported having diabetes. In our bivariate analyses, both diabetes and hypertension were associated with timely screening mammography. In partially adjusted models, we found that women with diabetes were significantly more likely to report timely screening mammography than women without diabetes. In our fully adjusted models, the association was no longer significant. Having a usual source of healthcare and a woman's island of residence were significantly associated with timely screening mammography (p < 0.05). CONCLUSIONS: We found that half of eligible women received timely screening mammography. Diabetes and hypertension, though common, are not associated with timely screening mammography. Usual source of care remains an important factor to timely breast cancer screening.

Duke Scholars

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Published In

Cancer Causes Control

DOI

EISSN

1573-7225

Publication Date

March 2018

Volume

29

Issue

3

Start / End Page

315 / 324

Location

Netherlands

Related Subject Headings

  • Outcome Assessment, Health Care
  • Noncommunicable Diseases
  • Middle Aged
  • Mammography
  • Hypertension
  • Humans
  • Female
  • Epidemiology
  • Early Detection of Cancer
  • Diabetes Mellitus
 

Citation

APA
Chicago
ICMJE
MLA
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Wang, K. H., Thompson, T. A., Galusha, D., Friedman, H., Nazario, C. M., Nunez, M., … ECHORN Writing Group, . (2018). Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Cancer Causes Control, 29(3), 315–324. https://doi.org/10.1007/s10552-018-1005-4
Wang, K. H., T. A. Thompson, D. Galusha, H. Friedman, C. M. Nazario, M. Nunez, R. G. Maharaj, O. P. Adams, M. Nunez-Smith, and M. ECHORN Writing Group. “Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.Cancer Causes Control 29, no. 3 (March 2018): 315–24. https://doi.org/10.1007/s10552-018-1005-4.
Wang KH, Thompson TA, Galusha D, Friedman H, Nazario CM, Nunez M, et al. Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Cancer Causes Control. 2018 Mar;29(3):315–24.
Wang, K. H., et al. “Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study.Cancer Causes Control, vol. 29, no. 3, Mar. 2018, pp. 315–24. Pubmed, doi:10.1007/s10552-018-1005-4.
Wang KH, Thompson TA, Galusha D, Friedman H, Nazario CM, Nunez M, Maharaj RG, Adams OP, Nunez-Smith M, ECHORN Writing Group. Non-communicable chronic diseases and timely breast cancer screening among women of the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Cancer Causes Control. 2018 Mar;29(3):315–324.
Journal cover image

Published In

Cancer Causes Control

DOI

EISSN

1573-7225

Publication Date

March 2018

Volume

29

Issue

3

Start / End Page

315 / 324

Location

Netherlands

Related Subject Headings

  • Outcome Assessment, Health Care
  • Noncommunicable Diseases
  • Middle Aged
  • Mammography
  • Hypertension
  • Humans
  • Female
  • Epidemiology
  • Early Detection of Cancer
  • Diabetes Mellitus