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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