Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

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dc.creatorRaines-Milenkov, Amy
dc.creatorFelini, Martha
dc.creatorBaker, Eva
dc.creatorAcharya, Rushil
dc.creatorLonganga Diese, Elvis
dc.creatorOnsa, Sara
dc.creatorFernando, Shane I.
dc.creatorChor, Holy
dc.creator.orcid0000-0002-8178-0779 (Raines-Milenkov, Amy)
dc.date.accessioned2022-11-09T19:21:36Z
dc.date.available2022-11-09T19:21:36Z
dc.date.issued2020-03-30
dc.description.abstractBACKGROUND: Refugees are less likely than US born populations to receive cancer screenings. Building Bridges is a community health worker prevention program designed to increase refugee's cancer screening uptake. The purpose of this cross sectional analysis was to assess differences in uptake of cervical, breast, liver, and colorectal screens across six cultural groups. METHODS: Data was abstracted in 2018 for this analysis. Participants were categorized into six cultural groups (Myanmar, Central Africa, Bhutan, Somalia, Arabic Speaking Countries, and Other) to assess differences in sociodemographic measures and screening uptake. Uptake proportions were calculated for each cancer type (cervical, breast, liver, and colon) among eligible participants, by gender and cultural group. Differences in uptake across groups were assessed using stratified analysis and logistic regression. Prevalence odds ratios (POR) and 95% confidence intervals (CIs) were calculated for each group to assess the association between screening completion and cultural group. FINDINGS: 874 refugees were asked about cancer screening history. The majority of participants were either 'never had been screened' or 'not up-to-date' for every cancer screening. Among age eligible, 82% had no prior pap exam within the past 3 years, 81% had no prior mammogram within the past year, 69% didn't know their Hepatitis B status and 87% never had a colon cancer screening. Overall, higher uptake of all types of cancer screenings was observed in Myanmar and Bhutanese groups, except colon cancer screening which was higher among Central African Region and Arabic Speaking participants. CONCLUSION: Screening uptake varied by ethnic group and screening type. The program reached an under and never screened population, however, the proportion of refugees who received a cancer screening remained low compared to the US population. Diversity within refugee communities requires adaptation to specific cultural and linguistic needs to include new Americans in cancer elimination efforts.
dc.description.sponsorshipThis research was supported by the Cancer Prevention and Research Institute of Texas (CPRIT), Evidence-Based Cancer Prevention Services, PP170012 and PP130074 (ARM). https://www.cprit.state.tx.us/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
dc.identifier.citationRaines Milenkov, A., Felini, M., Baker, E., Acharya, R., Longanga Diese, E., Onsa, S., Fernando, S., & Chor, H. (2020). Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018. PloS one, 15(3), e0230675.
dc.identifier.issn1932-6203
dc.identifier.issue3
dc.identifier.urihttps://hdl.handle.net/20.500.12503/31903
dc.identifier.volume15
dc.publisherPLOS
dc.relation.urihttps://doi.org/10.1371/journal.pone.0230675
dc.rights.holder© 2020 Raines Milenkov et al.
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourcePLoS One
dc.subject.meshAdult
dc.subject.meshBhutan
dc.subject.meshBreast Neoplasms / diagnosis
dc.subject.meshColonic Neoplasms / diagnosis
dc.subject.meshCross-Sectional Studies
dc.subject.meshEarly Detection of Cancer
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshLiver Neoplasms / diagnosis
dc.subject.meshLogistic Models
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshMyanmar
dc.subject.meshNeoplasms / diagnosis
dc.subject.meshNeoplasms / ethnology
dc.subject.meshOdds Ratio
dc.subject.meshRefugees / statistics & numerical data
dc.subject.meshTexas
dc.subject.meshUterine Cervical Neoplasms / diagnosis
dc.titleUptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018
dc.typeArticle
dc.type.materialtext

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