Mammographic densities of Aboriginal and non-Aboriginal women living in Australia's Northern Territory.
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Date
2019-04-23
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(Tapia, Garvey, Rickard) Faculty of Health Sciences, The University of Sydney, Room M504, M Block, 75 East Street, Lidcombe, NSW 2141, Australia
(Garvey) Menzies School of Health Research, Level 1, 147 Wharf Street, Spring Hill, QLD 4000, Australia
(McEntee) Department of Medicine, University College Cork, Brookfield Health Sciences Complex, College Road, Cork T12 AK54, Ireland
(Rickard) BreastScreen Australia, Sydney, NSW, Australia
(Lydiard) BreastScreen Northern Territory, Level 1, 9 Scaturchio St., Casuarina, NT 0810, Australia
(Brennan) Faculty of Health Sciences, The University of Sydney, Room M221, M Block, 75 East Street, Lidcombe, NSW 2141, Australia
(Garvey) Menzies School of Health Research, Level 1, 147 Wharf Street, Spring Hill, QLD 4000, Australia
(McEntee) Department of Medicine, University College Cork, Brookfield Health Sciences Complex, College Road, Cork T12 AK54, Ireland
(Rickard) BreastScreen Australia, Sydney, NSW, Australia
(Lydiard) BreastScreen Northern Territory, Level 1, 9 Scaturchio St., Casuarina, NT 0810, Australia
(Brennan) Faculty of Health Sciences, The University of Sydney, Room M221, M Block, 75 East Street, Lidcombe, NSW 2141, Australia
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2019
Citation
International Journal of Public Health. Vol.64(7), 2019, pp. 1085-1095.
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International Journal of Public Health
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The authors acknowledge the ongoing support of the Lowitja Institute, Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research.
Abstract
Objectives: To compare the mammographic densities and other characteristics of Aboriginal and non-Aboriginal women screened in Australia. Method(s): Population screening programme data of Aboriginal (n = 857) and non-Aboriginal women (n = 3236) were used. Mann-Whitney U test compared ages at screening and Chi-square tests compared personal and clinical information. Logistic regression analysis was used for density groupings. OR and 95% CI were calculated for multivariate association for density. Result(s): Mammographic density was lower amongst Aboriginal women (P < 0.001). For non-Aboriginal women, higher density was associated with younger age (OR 2.4, 95% CI 2.1-2.8), recall to assessment (OR 2.2, 95% CI 1.6-3.0), family history of breast cancer (OR 1.4, 95% CI 1.2-1.6), English-speaking background (OR 1.4, 95% CI 1.2-1.6), and residence in remote areas (OR 1.2, 95% CI 1.1-1.4). For Aboriginal women, density was associated with younger age (OR 2.7, 95% CI 2.0-3.5; P < 0.001), and recall to assessment (OR 2.3, 95% CI 1.4-3.9; P < 0.05). Conclusion(s): Significant differences between Aboriginal and non-Aboriginal women were found. There were more significant associations for dense breasts for non-Aboriginal women than for Aboriginal women. Copyright © 2019, Swiss School of Public Health (SSPH+).
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Cancer