Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs
Background: Perceptions of disease risk play an important role in adopting healthy behaviors. The main objective of this study is to examine factors associated with high perceived cancer risk among Zuni Adults in New Mexico, USA. Methods: We used data from a survey conducted in Zuni Pueblo from Octo...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335524003656 |
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| author | Deborah Kanda Kate Cartwright V. Shane Pankratz Judith Sheche Mikaela Kosich Nicholas Edwardson Samantha Leekity Shiraz I. Mishra |
| author_facet | Deborah Kanda Kate Cartwright V. Shane Pankratz Judith Sheche Mikaela Kosich Nicholas Edwardson Samantha Leekity Shiraz I. Mishra |
| author_sort | Deborah Kanda |
| collection | DOAJ |
| description | Background: Perceptions of disease risk play an important role in adopting healthy behaviors. The main objective of this study is to examine factors associated with high perceived cancer risk among Zuni Adults in New Mexico, USA. Methods: We used data from a survey conducted in Zuni Pueblo from October 2020 to April 2021. Our analysis included 254 adults ages 21–75 years without a reported personal cancer history. Perceived cancer risk was determined from the question: “Compared to other people your age, how likely do you think it is that you could get cancer?” and ordinal logistic regression analyses were used to identify factors associated with high perceptions of cancer risk. Results: Overall, 35 %, 27 %, and 38 % of respondents reported perceived cancer risks that were lower than, about the same as, and higher than those of other people their age, respectively. From bivariate analysis, factors associated with high perceived cancer risk included: positive family cancer history (odds ratio [OR] = 1.95; 95 % confidence interval [CI]: 1.23–3.11), higher knowledge of cancer risk factors (OR = 1.45; CI: 1.09–1.93), higher education (OR = 1.46; CI: 1.16–1.84), and higher body mass index (OR = 1.44; CI: 1.07–1.94). In multivariable analysis, family cancer history (OR = 1.81; CI: 1.10–2.99), knowledge of risk factors (OR = 1.38; CI: 1.03–1.86), and education (OR = 1.81; CI: 1.10–2.96) remained statistically significant. Conclusion: Our findings provide important insights on perceptions of cancer risk in this community, and have important implications for developing effective, culturally relevant interventions in this community. |
| format | Article |
| id | doaj-art-af8f1d34ef114bbca2c5caaad63103be |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-af8f1d34ef114bbca2c5caaad63103be2025-01-11T06:41:17ZengElsevierPreventive Medicine Reports2211-33552025-01-0149102950Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programsDeborah Kanda0Kate Cartwright1V. Shane Pankratz2Judith Sheche3Mikaela Kosich4Nicholas Edwardson5Samantha Leekity6Shiraz I. Mishra7University of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, USA; Corresponding author at: University of New Mexico Comprehensive Cancer Center, Albuquerque, New Mexico, USA.University of New Mexico, School of Public Administration, USAUniversity of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, USA; Department of Internal Medicine and University of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, USAUniversity of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, USAUniversity of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, USAUniversity of New Mexico, School of Public Administration, USAUniversity of New Mexico Comprehensive Cancer Center, University of New Mexico Health Sciences Center, USAwas affiliated with the University of New Mexico Health Sciences Center and its Comprehensive Cancer Center at the time of this research, USABackground: Perceptions of disease risk play an important role in adopting healthy behaviors. The main objective of this study is to examine factors associated with high perceived cancer risk among Zuni Adults in New Mexico, USA. Methods: We used data from a survey conducted in Zuni Pueblo from October 2020 to April 2021. Our analysis included 254 adults ages 21–75 years without a reported personal cancer history. Perceived cancer risk was determined from the question: “Compared to other people your age, how likely do you think it is that you could get cancer?” and ordinal logistic regression analyses were used to identify factors associated with high perceptions of cancer risk. Results: Overall, 35 %, 27 %, and 38 % of respondents reported perceived cancer risks that were lower than, about the same as, and higher than those of other people their age, respectively. From bivariate analysis, factors associated with high perceived cancer risk included: positive family cancer history (odds ratio [OR] = 1.95; 95 % confidence interval [CI]: 1.23–3.11), higher knowledge of cancer risk factors (OR = 1.45; CI: 1.09–1.93), higher education (OR = 1.46; CI: 1.16–1.84), and higher body mass index (OR = 1.44; CI: 1.07–1.94). In multivariable analysis, family cancer history (OR = 1.81; CI: 1.10–2.99), knowledge of risk factors (OR = 1.38; CI: 1.03–1.86), and education (OR = 1.81; CI: 1.10–2.96) remained statistically significant. Conclusion: Our findings provide important insights on perceptions of cancer risk in this community, and have important implications for developing effective, culturally relevant interventions in this community.http://www.sciencedirect.com/science/article/pii/S2211335524003656Perceived cancer riskAmerican IndiansHealth equityCommunity-partnered participatory researchRural |
| spellingShingle | Deborah Kanda Kate Cartwright V. Shane Pankratz Judith Sheche Mikaela Kosich Nicholas Edwardson Samantha Leekity Shiraz I. Mishra Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs Preventive Medicine Reports Perceived cancer risk American Indians Health equity Community-partnered participatory research Rural |
| title | Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs |
| title_full | Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs |
| title_fullStr | Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs |
| title_full_unstemmed | Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs |
| title_short | Perceived risk for screen-detectable cancers among american indian adults in the zuni pueblo, USA: Insights and implications for intervention programs |
| title_sort | perceived risk for screen detectable cancers among american indian adults in the zuni pueblo usa insights and implications for intervention programs |
| topic | Perceived cancer risk American Indians Health equity Community-partnered participatory research Rural |
| url | http://www.sciencedirect.com/science/article/pii/S2211335524003656 |
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