期刊
PREVENTIVE MEDICINE
卷 105, 期 -, 页码 311-318出版社
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ypmed.2017.10.012
关键词
Breast cancer; Cervical cancer; Colorectal cancer; Cancer prevention; Cancer screening; Race/ethnicity
资金
- American Cancer Society's Intramural Research Department
Cancer screening patterns according to occupation characteristics in the United States are not well known, but could be used to help inform cancer control efforts. We examined cervical (CC), breast (BC) and colorectal cancer (CRC) screening prevalence and prevalence ratios (PR) by occupational characteristics in 2010, 2013 and 2015 National Health Interview Surveys (NHIS) among eligible US workers (CC women 21-65 years; n = 20,997), (BC women >= 40 years; n = 14,258) and (CRC men and women = 50 years; n = 17,333). Cervical, breast and colorectal cancer screening prevalence among US workers was 84.0%, 68.9%, and 56.8%, respectively. Unadjusted prevalence ratios for cervical (PR = 0.92, 95% CI 0.90, 0.94), breast (PR = 0.86, 95% CI 0.83, 0.90) and colorectal cancer screening (PR = 0.83, 95% CI 0.80, 0.87) were lower among workers in small (<25 employees) compared to large organizations (>= 500 employees). People in food service, construction, production, and sales occupations were 13-26%, 17-28% and 9-30% less likely to be up to date with cervical, breast, and colorectal cancer screening, respectively, compared to healthcare professionals. Adjustment for socioeconomic factors and insurance status eliminated most associations. Disparities in cancer screening by occupational characteristics were mostly attributed to lower socioeconomic status and lack of insurance. These findings underscore the need for innovative public health strategies to improve cancer screening in vulnerable populations.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据