A5028299088- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Gastric Cancer Management and Outcomes
- Indigenous Studies and Ecology
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Genetic factors in colorectal cancer
- Obesity, Physical Activity, Diet
- Health Policy Implementation Science
- Pancreatic and Hepatic Oncology Research
- Public Health Policies and Education
- Diet and metabolism studies
- Helicobacter pylori-related gastroenterology studies
- Evaluation and Performance Assessment
- Indigenous Health, Education, and Rights
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Cancer Risks and Factors
- Smoking Behavior and Cessation
- Racial and Ethnic Identity Research
- Mental Health and Patient Involvement
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Environmental Justice and Health Disparities
- Probiotics and Fermented Foods
- Survey Methodology and Nonresponse
- Amoebic Infections and Treatments
Alaska Native Tribal Health Consortium
2015-2025
McGuireWoods
2019
Petersfield Community Hospital
2019
Redwood Scientific (United States)
2019
Southcentral Foundation
2009
University of Utah
2009
Edwards (United Kingdom)
2009
To assess the accuracy of a multitarget stool DNA test (MT-sDNA) compared with fecal immunochemical testing for hemoglobin (FIT) detection screening-relevant colorectal neoplasia (SRN) in Alaska Native people, who have among world's highest rates cancer (CRC) and limited access to conventional screening approaches.We performed prospective, cross-sectional study asymptomatic adults aged 40-85 years older undergoing or surveillance colonoscopy between February 6, 2012, August 7, 2014.Among 868...
The Alaska Tribal Health System is increasing colorectal cancer (CRC) screening among Native (AN) peoples, who experience the highest CRC rate in world. Through a clinical trial (NCT04336397), AN people living rural/remote were offered either previously unavailable multi-target stool DNA test (mt-sDNA; Cologuard®) or colonoscopy. From April 2022 to August 2024, 113 (59%) completed mt-sDNA testing and 51 (39%) colonoscopy procedure participated survey on factors influencing their choice....
Objectives. To determine the prevalence of traditional food and physical activity use associations with cultural factors among 3,830 Alaska Native American Indian (AN/AI) people enrolled in Education Research Towards Health (EARTH) Study 3 regions Alaska.Study design. Cross-sectional analysis baseline data from a cohort study.Methods Participants (2,323 women 1,507 men) completed computer-assisted self-administered questionnaire that included information on diet, activity, life-style...
Colorectal cancer (CRC) is the second leading cause of death among cancers that affect both men and women. Despite strong evidence their effectiveness, CRC screening tests are underused. Racial/ethnic minority groups, persons without insurance, those with lower educational attainment, household income levels have rates screening. Since 2009, CDC's Cancer Control Program (CRCCP) has supported state health departments tribal organizations in implementing evidence-based interventions (EBIs) to...
This study analyzed self-reported tobacco use among American Indian and Alaska Native (AI/AN) people enrolled in the Education Research Towards Health Study (n = 3,821) Southwest United States 7,505) from 2004 to 2006.Participants (7,060 women 4,266 men) completed a computer-assisted self-administered questionnaire on cigarette smokeless (ST) use.Current of cigarettes was considerably higher than (32% vs. 8%). Current ST also more common (18% Additionally, smoking men, younger age, those who...
Tuberculosis continues to disproportionately affect many Indigenous populations in the USA, Canada, and Greenland. We aimed investigate whether population-based tuberculosis-specific interventions or changes general health socioeconomic indicators, a combination of these factors, were associated with tuberculosis incidence populations.
Colorectal cancer (CRC) is the second-leading cause of deaths from in United States. Screening decreases CRC through early detection and removal precancerous lesions. We investigated whether a health exhibit consisting giant inflatable colon was an effective educational tool to increase community members' knowledge, intention, social support for screening prevention.Alaska adults (N = 880) attending events statewide March 2011 2012 completed short survey assess knowledge about CRC, intention...
To estimate the cost-effectiveness of multitarget stool DNA testing (MT-sDNA) compared with colonoscopy and fecal immunochemical (FIT) for Alaska Native adults.
Purpose. Assessment of self-reported physical activity (PA) and effects on health measures. Design. Cross-sectional analysis baseline data from a cohort study. Setting. Education Research Towards Health study participants Alaska the Southwestern United States enrolled 2004 to 2007. Subjects. Total 10,372 American Indian Alaskan Native people (AI/AN) at least 18 years. Measures. Participants completed computer-assisted, self-administered questionnaires, anthropometric measurements were taken...
This study evaluated the construct validity of 12-Item Short Form Survey Instrument (SF-12) in a cohort American Indian and Alaska Native (AIAN) people. We two scoring methods to determine their utility this population.Participants (N = 11,127) were aged 18 older, self-identified as AIAN, had complete SF-12 interview data. Physical mental health summary scores calculated using traditional (PCS12 MCS12) RAND-12 (PHC MHC) methods.Women scored lower than men on PHC, PCS12, MHC, MCS12, did those...
Alaska Native colorectal cancer (CRC) incidence and mortality rates are the highest of any ethnic/racial group in United States. CRC screening using guaiac-based fecal occult blood tests (gFOBT) not recommended for people because false-positive results associated with a high prevalence Helicobacter pylori-associated hemorrhagic gastritis. This study evaluated whether newer immunochemical FOBT (iFOBT) resulted lower rate higher specificity detecting advanced neoplasia than gFOBT population...
Alaska Native (AN) traditional foods and associated harvesting activities are beneficial to human health. This study assessed longitudinal self-reported food use among American Indian (AN/AI) participants in the Education Research Towards Health (EARTH) study. In 2004–2006, southcentral EARTH (n = 1320) completed diet activity questionnaires which were repeated 2015–2017; results compared between who both 388). follow-up questionnaire, >93% of reported eating ≥1 past year. The top 3 fish...
Objective: Alaska Native (AN) people have among the world’s highest rate of colorectal cancer (CRC). We assessed perceptions AN and their health care providers a new take-home multitarget stool DNA test (MT-sDNA; Cologuard) relative to colonoscopy. Methods: Cross-sectional surveys aged 40 75 years (mailed) (online). Results: Participants included 1616 patients (19% response rate) 87 (26% rate; 57% people). Over half (58%) preferred colonoscopy for CRC screening, while 36% MT-sDNA. Unscreened...
At the Alaska Native Medical Center in Anchorage, colorectal cancer screening rates improved dramatically with initiation of a dedicated flexible sigmoidoscopy program staffed by mid-level providers. We describe development and implementation to train rural nurse practitioners physician assistants sigmoidoscopy.
In 2001, the National Cancer Institute (NCI) funded a project to develop methods recruit American Indian and Alaska Native (AI/AN) adults for prospective cohort study of chronic disease risk protective factors.We describe how use community-based participatory research (CBPR) principles led more effective design implementation in Alaska.CBPR elements included collaboration between researchers tribes at all stages project, capacity building through training AI/AN staff methods, knowledge...
Background: In 2001, the National Cancer Institute (NCI) funded a project to develop methods recruit American Indian and Alaska Native (AI/AN) adults for prospective cohort study of chronic disease risk protective factors.