Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health
BackgroundBeliefs about cancer influence breast and colorectal cancer (CRC) screening behavior. Screening rates for these cancers differ in the contiguous neighborhoods of East Harlem (EH), Central Harlem (CH), and the Upper East Side (UES), which have distinct socio-demographic compositions. We ass...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2023.1072259/full |
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| author | Tracy M. Layne Parul Agarwal Parul Agarwal Bruce D. Rapkin Bruce D. Rapkin Lina H. Jandorf Lina H. Jandorf Nina A. Bickell Nina A. Bickell |
| author_facet | Tracy M. Layne Parul Agarwal Parul Agarwal Bruce D. Rapkin Bruce D. Rapkin Lina H. Jandorf Lina H. Jandorf Nina A. Bickell Nina A. Bickell |
| author_sort | Tracy M. Layne |
| collection | DOAJ |
| description | BackgroundBeliefs about cancer influence breast and colorectal cancer (CRC) screening behavior. Screening rates for these cancers differ in the contiguous neighborhoods of East Harlem (EH), Central Harlem (CH), and the Upper East Side (UES), which have distinct socio-demographic compositions. We assessed the belief-screening behavior relationship in these neighborhoods.MethodsThe 2019 Community Cancer Needs Survey included adults eligible for breast and/or colorectal cancer screening. Raking was used to generate neighborhood-specific distribution estimates. Categorical variables were compared using Chi-square tests. Stepwise logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for the association between cancer beliefs and screening.ResultsOur weighted sample included 147,726 respondents. Screening was 75% in CH, 81% in EH, and 90% in the UES for breast cancer, and 71%, 76%, and 92% for CRC, respectively. The fatalistic belief “There’s not much you can do to lower your chances of getting cancer” differed by neighborhood with screening more likely in CH respondents (breast OR =1.45 and colorectal OR =1.11), but less likely in EH (OR= 0.77 and 0.37, respectively). UES ORs were not generated due to too few unscreened respondents.ConclusionsCancer beliefs were inconsistently associated with breast and CRC screening across three NYC neighborhoods. This suggests that a given belief may either motivate or deter screening, depending upon context or interpretation. Once access is addressed, efforts seeking to enhance screening rates should consider implications of communities’ varying beliefs. |
| first_indexed | 2024-04-10T20:00:47Z |
| format | Article |
| id | doaj.art-c970d8ca76f145dea02abc53ff24612e |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-10T20:00:47Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-c970d8ca76f145dea02abc53ff24612e2023-01-27T06:37:42ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-01-011310.3389/fonc.2023.10722591072259Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of healthTracy M. Layne0Parul Agarwal1Parul Agarwal2Bruce D. Rapkin3Bruce D. Rapkin4Lina H. Jandorf5Lina H. Jandorf6Nina A. Bickell7Nina A. Bickell8Departments of Population Health Science and Policy, and Obstetrics, Gynecology, and Reproductive Science, the Blavatnik Family Women’s Health Research Institute and the Center for Scientific Diversity at the Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesThe Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, United StatesDepartment of Family and Social Medicine, Albert Einstein College of Medicine, New York, NY, United StatesDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesThe Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesThe Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United StatesBackgroundBeliefs about cancer influence breast and colorectal cancer (CRC) screening behavior. Screening rates for these cancers differ in the contiguous neighborhoods of East Harlem (EH), Central Harlem (CH), and the Upper East Side (UES), which have distinct socio-demographic compositions. We assessed the belief-screening behavior relationship in these neighborhoods.MethodsThe 2019 Community Cancer Needs Survey included adults eligible for breast and/or colorectal cancer screening. Raking was used to generate neighborhood-specific distribution estimates. Categorical variables were compared using Chi-square tests. Stepwise logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for the association between cancer beliefs and screening.ResultsOur weighted sample included 147,726 respondents. Screening was 75% in CH, 81% in EH, and 90% in the UES for breast cancer, and 71%, 76%, and 92% for CRC, respectively. The fatalistic belief “There’s not much you can do to lower your chances of getting cancer” differed by neighborhood with screening more likely in CH respondents (breast OR =1.45 and colorectal OR =1.11), but less likely in EH (OR= 0.77 and 0.37, respectively). UES ORs were not generated due to too few unscreened respondents.ConclusionsCancer beliefs were inconsistently associated with breast and CRC screening across three NYC neighborhoods. This suggests that a given belief may either motivate or deter screening, depending upon context or interpretation. Once access is addressed, efforts seeking to enhance screening rates should consider implications of communities’ varying beliefs.https://www.frontiersin.org/articles/10.3389/fonc.2023.1072259/fullcancer screeningbreast cancercolorectal cancercommunity outreachsocial determinansts of health |
| spellingShingle | Tracy M. Layne Parul Agarwal Parul Agarwal Bruce D. Rapkin Bruce D. Rapkin Lina H. Jandorf Lina H. Jandorf Nina A. Bickell Nina A. Bickell Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health Frontiers in Oncology cancer screening breast cancer colorectal cancer community outreach social determinansts of health |
| title | Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health |
| title_full | Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health |
| title_fullStr | Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health |
| title_full_unstemmed | Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health |
| title_short | Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health |
| title_sort | cancer beliefs and screening behaviors the impact of neighborhood and other social determinants of health |
| topic | cancer screening breast cancer colorectal cancer community outreach social determinansts of health |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2023.1072259/full |
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