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Cancer Prevention in Indigenous Communities from Guatemala: A Needs Assessment Study
Guatemala lacks cancer prevention strategies and has low screening rates. To assess the history of chronic conditions, risk factors, and cancer screening uptake among three Indigenous populations of Southwestern Guatemala. We conducted a health needs assessment. The assessment was completed by 247 a...
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Published in: | Journal of health care for the poor and underserved 2020-11, Vol.31 (4), p.1595-1611 |
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container_title | Journal of health care for the poor and underserved |
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creator | Arana-Chicas, Evelyn Gómez-Trillos, Sara Cartujano-Barrera, Francisco Xinico-Aju, Silvia Angélica Alvarez, Christian S Adsul, Prajakta Rosenthal, Marc S Braithwaite, Dejana Hurtado-de-Mendoza, Alejandra Cupertino, Ana Paula |
description | Guatemala lacks cancer prevention strategies and has low screening rates.
To assess the history of chronic conditions, risk factors, and cancer screening uptake among three Indigenous populations of Southwestern Guatemala.
We conducted a health needs assessment.
The assessment was completed by 247 adults. Median age was 40 years old (IR: 28-59). Most participants were female (94.3%), of Mayan descent (95.8%), and did not have a primary health care provider (84.2%). Most have never been screened for colorectal (men=100.0%; women=98.8%), prostate (75.0%), breast (90.9%), or cervical (76.9%) cancer, and all have severe tooth decay. However, most participants reported healthy behaviors including being physically active (women=59.7%; men=92.9%), being nonsmokers (women=99.6%; men=78.6%), and not consuming alcohol (women=82.3%; men=46.7%).
Although most participants reported healthy behaviors, there is a remarkable lack of access to cancer screening. An increase in cancer incidence is expected unless cancer prevention efforts are undertaken. |
doi_str_mv | 10.1353/hpu.2020.0121 |
format | article |
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To assess the history of chronic conditions, risk factors, and cancer screening uptake among three Indigenous populations of Southwestern Guatemala.
We conducted a health needs assessment.
The assessment was completed by 247 adults. Median age was 40 years old (IR: 28-59). Most participants were female (94.3%), of Mayan descent (95.8%), and did not have a primary health care provider (84.2%). Most have never been screened for colorectal (men=100.0%; women=98.8%), prostate (75.0%), breast (90.9%), or cervical (76.9%) cancer, and all have severe tooth decay. However, most participants reported healthy behaviors including being physically active (women=59.7%; men=92.9%), being nonsmokers (women=99.6%; men=78.6%), and not consuming alcohol (women=82.3%; men=46.7%).
Although most participants reported healthy behaviors, there is a remarkable lack of access to cancer screening. An increase in cancer incidence is expected unless cancer prevention efforts are undertaken.</description><identifier>ISSN: 1049-2089</identifier><identifier>ISSN: 1548-6869</identifier><identifier>EISSN: 1548-6869</identifier><identifier>DOI: 10.1353/hpu.2020.0121</identifier><identifier>PMID: 33416741</identifier><language>eng</language><publisher>United States: Johns Hopkins University Press</publisher><subject>Alcohol use ; Breast ; Breast cancer ; Cancer ; Cancer screening ; Cardiovascular disease ; Cervical cancer ; Cervix ; Cholesterol ; Chronic conditions ; Chronic illnesses ; Chronic obstructive pulmonary disease ; Diabetes ; Disease prevention ; Family medical history ; Health care ; Health needs ; Healthy habits ; Hyperglycemia ; Hypertension ; Indigenous peoples ; Infectious diseases ; Mammography ; Medical personnel ; Medical screening ; Men ; Minority & ethnic groups ; Mortality ; Needs analysis ; Needs assessment ; Nonsmokers ; Oral hygiene ; Population ; Poverty ; Prevention ; Prevention programs ; Primary care ; Prostate ; Questionnaires ; Risk analysis ; Risk factors ; Tobacco ; Uptake ; Women ; Womens health</subject><ispartof>Journal of health care for the poor and underserved, 2020-11, Vol.31 (4), p.1595-1611</ispartof><rights>Copyright © Meharry Medical College.</rights><rights>Copyright Johns Hopkins University Press Nov 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-acd1423963c659aaf5e36a5fca5db7483be58ca0866d451247b56f958f19b89a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2700768073?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,12825,21373,21374,27901,27902,30976,33588,33589,34507,34508,43709,44091</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33416741$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arana-Chicas, Evelyn</creatorcontrib><creatorcontrib>Gómez-Trillos, Sara</creatorcontrib><creatorcontrib>Cartujano-Barrera, Francisco</creatorcontrib><creatorcontrib>Xinico-Aju, Silvia Angélica</creatorcontrib><creatorcontrib>Alvarez, Christian S</creatorcontrib><creatorcontrib>Adsul, Prajakta</creatorcontrib><creatorcontrib>Rosenthal, Marc S</creatorcontrib><creatorcontrib>Braithwaite, Dejana</creatorcontrib><creatorcontrib>Hurtado-de-Mendoza, Alejandra</creatorcontrib><creatorcontrib>Cupertino, Ana Paula</creatorcontrib><title>Cancer Prevention in Indigenous Communities from Guatemala: A Needs Assessment Study</title><title>Journal of health care for the poor and underserved</title><addtitle>J Health Care Poor Underserved</addtitle><description>Guatemala lacks cancer prevention strategies and has low screening rates.
To assess the history of chronic conditions, risk factors, and cancer screening uptake among three Indigenous populations of Southwestern Guatemala.
We conducted a health needs assessment.
The assessment was completed by 247 adults. Median age was 40 years old (IR: 28-59). Most participants were female (94.3%), of Mayan descent (95.8%), and did not have a primary health care provider (84.2%). Most have never been screened for colorectal (men=100.0%; women=98.8%), prostate (75.0%), breast (90.9%), or cervical (76.9%) cancer, and all have severe tooth decay. However, most participants reported healthy behaviors including being physically active (women=59.7%; men=92.9%), being nonsmokers (women=99.6%; men=78.6%), and not consuming alcohol (women=82.3%; men=46.7%).
Although most participants reported healthy behaviors, there is a remarkable lack of access to cancer screening. An increase in cancer incidence is expected unless cancer prevention efforts are undertaken.</description><subject>Alcohol use</subject><subject>Breast</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Cardiovascular disease</subject><subject>Cervical cancer</subject><subject>Cervix</subject><subject>Cholesterol</subject><subject>Chronic conditions</subject><subject>Chronic illnesses</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Diabetes</subject><subject>Disease prevention</subject><subject>Family medical history</subject><subject>Health care</subject><subject>Health needs</subject><subject>Healthy habits</subject><subject>Hyperglycemia</subject><subject>Hypertension</subject><subject>Indigenous peoples</subject><subject>Infectious diseases</subject><subject>Mammography</subject><subject>Medical personnel</subject><subject>Medical screening</subject><subject>Men</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Needs analysis</subject><subject>Needs assessment</subject><subject>Nonsmokers</subject><subject>Oral hygiene</subject><subject>Population</subject><subject>Poverty</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Primary care</subject><subject>Prostate</subject><subject>Questionnaires</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Tobacco</subject><subject>Uptake</subject><subject>Women</subject><subject>Womens 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Communities from Guatemala: A Needs Assessment Study</title><author>Arana-Chicas, Evelyn ; Gómez-Trillos, Sara ; Cartujano-Barrera, Francisco ; Xinico-Aju, Silvia Angélica ; Alvarez, Christian S ; Adsul, Prajakta ; Rosenthal, Marc S ; Braithwaite, Dejana ; Hurtado-de-Mendoza, Alejandra ; Cupertino, Ana Paula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-acd1423963c659aaf5e36a5fca5db7483be58ca0866d451247b56f958f19b89a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alcohol use</topic><topic>Breast</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Cardiovascular disease</topic><topic>Cervical cancer</topic><topic>Cervix</topic><topic>Cholesterol</topic><topic>Chronic conditions</topic><topic>Chronic illnesses</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Diabetes</topic><topic>Disease 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Studies</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of health care for the poor and underserved</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arana-Chicas, Evelyn</au><au>Gómez-Trillos, Sara</au><au>Cartujano-Barrera, Francisco</au><au>Xinico-Aju, Silvia Angélica</au><au>Alvarez, Christian S</au><au>Adsul, Prajakta</au><au>Rosenthal, Marc S</au><au>Braithwaite, Dejana</au><au>Hurtado-de-Mendoza, Alejandra</au><au>Cupertino, Ana Paula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cancer Prevention in Indigenous Communities from Guatemala: A Needs Assessment Study</atitle><jtitle>Journal of health care for the poor and underserved</jtitle><addtitle>J Health Care Poor Underserved</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>31</volume><issue>4</issue><spage>1595</spage><epage>1611</epage><pages>1595-1611</pages><issn>1049-2089</issn><issn>1548-6869</issn><eissn>1548-6869</eissn><abstract>Guatemala lacks cancer prevention strategies and has low screening rates.
To assess the history of chronic conditions, risk factors, and cancer screening uptake among three Indigenous populations of Southwestern Guatemala.
We conducted a health needs assessment.
The assessment was completed by 247 adults. Median age was 40 years old (IR: 28-59). Most participants were female (94.3%), of Mayan descent (95.8%), and did not have a primary health care provider (84.2%). Most have never been screened for colorectal (men=100.0%; women=98.8%), prostate (75.0%), breast (90.9%), or cervical (76.9%) cancer, and all have severe tooth decay. However, most participants reported healthy behaviors including being physically active (women=59.7%; men=92.9%), being nonsmokers (women=99.6%; men=78.6%), and not consuming alcohol (women=82.3%; men=46.7%).
Although most participants reported healthy behaviors, there is a remarkable lack of access to cancer screening. An increase in cancer incidence is expected unless cancer prevention efforts are undertaken.</abstract><cop>United States</cop><pub>Johns Hopkins University Press</pub><pmid>33416741</pmid><doi>10.1353/hpu.2020.0121</doi><tpages>17</tpages></addata></record> |
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subjects | Alcohol use Breast Breast cancer Cancer Cancer screening Cardiovascular disease Cervical cancer Cervix Cholesterol Chronic conditions Chronic illnesses Chronic obstructive pulmonary disease Diabetes Disease prevention Family medical history Health care Health needs Healthy habits Hyperglycemia Hypertension Indigenous peoples Infectious diseases Mammography Medical personnel Medical screening Men Minority & ethnic groups Mortality Needs analysis Needs assessment Nonsmokers Oral hygiene Population Poverty Prevention Prevention programs Primary care Prostate Questionnaires Risk analysis Risk factors Tobacco Uptake Women Womens health |
title | Cancer Prevention in Indigenous Communities from Guatemala: A Needs Assessment Study |
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