| Title | Body mass index and cancer screening in older American Indian and Alaska Native men |
| Publication Type | Journal Article |
| Year of Publication | 2009 |
| Authors | Muus, KJ, Baker-Demaray, T, McDonald, LR, Ludtke, RL, Allery, AJ, Bogart, TA, Goldberg, J, Ramsey, SD, Buchwald, DS |
| Journal | J Rural HealthJ Rural Health |
| Volume | 25 |
| Pagination | 104-8 |
| Date Published | Winter |
| ISBN Number | 1748-0361 (Electronic)<br/>0890-765X (Linking) |
| Accession Number | 19166569 |
| Keywords | Age Factors, Aged, Alaska, Body Mass Index, Colorectal Neoplasms/ diagnosis/ ethnology/prevention & control, Cross-Sectional Studies, Health Services, Indigenous/ utilization, Humans, Indians, North American/ psychology, Inuits/ psychology, Male, Mass Screening/ methods/utilization, Middle Aged, Obesity, Occult Blood, Overweight/complications/ ethnology, Patient Acceptance of Health Care/ ethnology, Prevalence, Prostate-Specific Antigen/blood, Prostatic Neoplasms/ diagnosis/ ethnology/prevention & control, Rural Population/ statistics & numerical data, United States, Urban Population/ statistics & numerical data |
| Abstract | CONTEXT: Regular screenings are important for reducing cancer morbidity and mortality. There are several barriers to receiving timely cancer screening, including overweight/obesity. No study has examined the relationship between overweight/obesity and cancer screening among American Indian/Alaska Natives (AI/ANs). PURPOSE: To describe the prevalence of fecal occult blood testing (FOBT) and prostate-specific antigen (PSA) testing among AI/AN men within the past year by age and rurality, and determine if body mass index (BMI) is associated with screening. METHODS: A national cross-sectional survey was administered face-to-face to 2,447 AI/AN men at least 55 years of age in 2004-2005. Participants were asked when they last had FOBT and PSA testing. BMI was derived from self-reported height and weight, and rurality of residence was defined by rural-urban commuting area codes. We assessed the association of cancer screening and BMI with logistic regression models, adjusting for demographic and health factors. FINDINGS: Prevalence of up-to-date FOBT and PSA testing were 23% and 40%, respectively. Older men were more likely than younger men to have FOBT and PSA testing. BMI was not associated with receipt of FOBT or PSA testing. CONCLUSIONS: This is the first study to examine obesity and health care in AI/ANs. As in other populations, FOBT and PSA testing were suboptimal. Screening was not associated with BMI. Studies of AI/AN men are needed to understand the barriers to receiving timely screenings for prostate and colorectal cancer. |
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