Breast cancer diagnosis from screening in Trinidad and Tobago: Opportunities for cancer prevention

Marlon D. Joseph, Lorna Thorpe, Carey Annandsingh, George Laquis, Joycelyn Lee Young, Jamie Kwasniewski, Roy Lee, Emanuela Taioli

Research output: Contribution to journalArticle

Abstract

Trinidad and Tobago (TT) experiences the highest breast cancer mortality in the Caribbean; the distribution of traditional breast cancer risk factors in this population has not been analyzed. Data onwomen who underwent breast cancer screening at the TT Cancer Society between January 2009-December 2011(N = 2,689) were retrospectively collected. The screening detected 131 incident breast cancers; variables significantly associated with breast cancer diagnosis were, a positive family history of breast cancer (adjusted odds ratio [OR adj]: 1.55; 95 % CI 1.00-2.41), presence of symptoms (OR adj: 1.91; 95 % CI 1.25-2.92), and previous breast surgery (OR adj: 1.67; 95 % CI 0.97-2.88). Breast cancer was significantly associated with increased breast density. Among healthy women, breast density was positively associated with nulliparity (ORadj: 1.46, 1.37, 2.52 respectively for density level 2, 3 and 4 vs. 1) and previous breast surgeries (ORadj: 2.27, 3.09 and 4.13 respectively for density level 2, 3 and 4 vs. 1). This analysis confirms that breast density is an important predictor of newly diagnosed breast cancer in this Caribbean population. Screening is still a diagnostic tool rather than a preventive measure in TT.

Original languageEnglish (US)
Pages (from-to)409-415
Number of pages7
JournalJournal of Immigrant and Minority Health
Volume16
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Trinidad and Tobago
Early Detection of Cancer
Breast Neoplasms
Neoplasms
Breast
Parity
Population
Odds Ratio
Mortality

Keywords

  • Breast density
  • Caribbean populations
  • Epidemiology
  • Mammography
  • Trinidad

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Breast cancer diagnosis from screening in Trinidad and Tobago : Opportunities for cancer prevention. / Joseph, Marlon D.; Thorpe, Lorna; Annandsingh, Carey; Laquis, George; Lee Young, Joycelyn; Kwasniewski, Jamie; Lee, Roy; Taioli, Emanuela.

In: Journal of Immigrant and Minority Health, Vol. 16, No. 3, 2014, p. 409-415.

Research output: Contribution to journalArticle

Joseph, MD, Thorpe, L, Annandsingh, C, Laquis, G, Lee Young, J, Kwasniewski, J, Lee, R & Taioli, E 2014, 'Breast cancer diagnosis from screening in Trinidad and Tobago: Opportunities for cancer prevention', Journal of Immigrant and Minority Health, vol. 16, no. 3, pp. 409-415. https://doi.org/10.1007/s10903-012-9767-3
Joseph, Marlon D. ; Thorpe, Lorna ; Annandsingh, Carey ; Laquis, George ; Lee Young, Joycelyn ; Kwasniewski, Jamie ; Lee, Roy ; Taioli, Emanuela. / Breast cancer diagnosis from screening in Trinidad and Tobago : Opportunities for cancer prevention. In: Journal of Immigrant and Minority Health. 2014 ; Vol. 16, No. 3. pp. 409-415.
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