Physical activity and cervical cancer testing among American Indian women

Kyle J Muus; Twyla B Baker-Demaray; T Andy Bogart; Glen E Duncan; Clemma Jacobsen; Dedra S Buchwald; Jeffrey A Henderson

doi:10.1111/j.1748-0361.2011.00394.x

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Physical activity and cervical cancer testing among American Indian women

Journal article

Open access

Peer reviewed

Physical activity and cervical cancer testing among American Indian women

Kyle J Muus, Twyla B Baker-Demaray, T Andy Bogart, Glen E Duncan, Clemma Jacobsen, Dedra S Buchwald and Jeffrey A Henderson

The Journal of rural health, Vol.28(3), pp.320-326

2012

DOI: https://doi.org/10.1111/j.1748-0361.2011.00394.x

Handle:

https://hdl.handle.net/2376/110711

PMCID: PMC5590817

PMID: 22757957

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https://doi.org/10.1111/j.1748-0361.2011.00394.xView

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Abstract

Prevalence

Cross-Sectional Studies

United States

Humans

Middle Aged

Uterine Cervical Neoplasms - prevention & control

Vaginal Smears - statistics & numerical data

Young Adult

Health Surveys

Adolescent

Aged, 80 and over

Adult

Female

Aged

Exercise - physiology

Indians, North American

Early Detection of Cancer - statistics & numerical data

Cohort Studies

Studies have shown that women who engage in high levels of physical activity have higher rates of cancer screening, including Papanicalaou (Pap) tests. Because American Indian (AI) women are at high risk for cervical cancer morbidity and mortality, we examined Pap screening prevalence and assessed whether physical activity was associated with screening adherence among AI women from 2 culturally distinct regions in the Northern Plains and the Southwest. A total of 1,979 AI women at least 18 years of age participating in a cross-sectional cohort study reported whether they received a Pap test within the previous 3 years. Physical activity level was expressed as total metabolic equivalent (MET) scores and grouped into quartiles. We used binary logistic regression to model the association of Pap testing and MET quartile, adjusting for demographic and health factors. Overall, 60% of women received a Pap test within the previous 3 years. After controlling for covariates, increased physical activity was associated with higher odds of Pap screening (OR = 1.1 per increase in MET quartile; 95% CI = 1.1, 1.2). This is the first study to examine physical activity patterns and receipt of cancer screening in AIs. While recent Pap testing was more common among physically active AI women, prevalence was still quite low in all subgroups. Efforts are needed to increase awareness of the importance of cervical cancer screening among AI women.

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Title: Physical activity and cervical cancer testing among American Indian women
Creators: Kyle J Muus - Center for Rural Health, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, USA
Twyla B Baker-Demaray
T Andy Bogart
Glen E Duncan
Clemma Jacobsen
Dedra S Buchwald
Jeffrey A Henderson
Publication Details: The Journal of rural health, Vol.28(3), pp.320-326
Academic Unit: Community Health; Nutrition and Exercise Physiology, Department of
Publisher: England
Grant note: R01 CA089139 / NCI NIH HHS 1R01CA89139 / NCI NIH HHS U01 CA114642-01 / NCI NIH HHS U01 CA114642 / NCI NIH HHS U54 CA153498 / NCI NIH HHS R01 CA089139-01 / NCI NIH HHS 1U01CA114642 / NCI NIH HHS
Identifiers: 99900547270201842
Language: English
Resource Type: Journal article