PURPOSE: The Amish, a unique community living in Ohio Appalachia, have lower cancer incidence rates than non-Amish living in Ohio Appalachia. The purpose of this study was to examine cancer screening rates among Amish compared to non-Amish adults living in Ohio Appalachia and a national sample of adults of the same race and ethnicity in an effort to explain cancer patterns. METHODS: Face-to-face interviews focusing on perception of risk, cancer screening behaviors, and screening barriers were conducted among Amish (n = 134) and non-Amish (n = 154) adults living in Ohio Appalachia. Cancer screening rates were calculated and then compared to a national sample of adults. FINDINGS: More Ohio Appalachia non-Amish males (35.9% vs 14.5%; P= .022) and females (33.3% vs 12.5%; P= .008) reported that they would probably develop cancer in the future compared to Amish males and females. Amish adults had significantly lower prostate (13.5% vs 63.1% vs 44.6%; P < .001), colorectal (males: 10.3% vs 40.0% vs 37.2%, females: 8.6% vs 31.6% vs 42.9%; P < .001), cervical (48.0% vs 84.0% vs 80.0%; P < .001), and female breast (24.8% vs 53.7% vs 56.9%; P < .05) cancer screening rates compared to Ohio Appalachia non-Amish participants and a national sample of adults, respectively. Barriers to cancer screening were similar among the 2 Ohio groups; however, Amish males reported that prostate cancer screening was not necessary more often than did Ohio Appalachia non-Amish males (78.6% vs 16.7%; P= .003). CONCLUSIONS: Lower rates of cancer screening were documented among the Amish and may be a contributing factor to the reduced cancer incidence rates reported among this population.
PURPOSE: The Amish, a unique community living in Ohio Appalachia, have lower cancer incidence rates than non-Amish living in Ohio Appalachia. The purpose of this study was to examine cancer screening rates among Amish compared to non-Amish adults living in Ohio Appalachia and a national sample of adults of the same race and ethnicity in an effort to explain cancer patterns. METHODS: Face-to-face interviews focusing on perception of risk, cancer screening behaviors, and screening barriers were conducted among Amish (n = 134) and non-Amish (n = 154) adults living in Ohio Appalachia. Cancer screening rates were calculated and then compared to a national sample of adults. FINDINGS: More Ohio Appalachia non-Amish males (35.9% vs 14.5%; P= .022) and females (33.3% vs 12.5%; P= .008) reported that they would probably develop cancer in the future compared to Amish males and females. Amish adults had significantly lower prostate (13.5% vs 63.1% vs 44.6%; P < .001), colorectal (males: 10.3% vs 40.0% vs 37.2%, females: 8.6% vs 31.6% vs 42.9%; P < .001), cervical (48.0% vs 84.0% vs 80.0%; P < .001), and female breast (24.8% vs 53.7% vs 56.9%; P < .05) cancer screening rates compared to Ohio Appalachia non-Amish participants and a national sample of adults, respectively. Barriers to cancer screening were similar among the 2 Ohio groups; however, Amish males reported that prostate cancer screening was not necessary more often than did Ohio Appalachia non-Amish males (78.6% vs 16.7%; P= .003). CONCLUSIONS: Lower rates of cancer screening were documented among the Amish and may be a contributing factor to the reduced cancer incidence rates reported among this population.
Authors: Judith A Westman; Amy K Ferketich; Ross M Kauffman; Steven N MacEachern; J R Wilkins; Patricia P Wilcox; Robert T Pilarski; Rebecca Nagy; Stanley Lemeshow; Albert de la Chapelle; Clara D Bloomfield Journal: Cancer Causes Control Date: 2009-09-25 Impact factor: 2.506
Authors: Amy K Ferketich; Mira L Katz; Ross M Kauffman; Electra D Paskett; Stanley Lemeshow; Judith A Westman; Steven K Clinton; Clara D Bloomfield; Mary Ellen Wewers Journal: J Rural Health Date: 2008 Impact factor: 4.333
Authors: Paul L Reiter; Mira L Katz; Jill M Oliveri; Gregory S Young; Adana A Llanos; Electra D Paskett Journal: Public Health Nurs Date: 2013-04-05 Impact factor: 1.462
Authors: Mira L Katz; Gregory S Young; Paul L Reiter; Michael L Pennell; Jesse J Plascak; Barret J Zimmermann; Janice L Krieger; Michael D Slater; Cathy M Tatum; Electra D Paskett Journal: Health Promot Pract Date: 2016-07-09
Authors: Gebra B Cuyun Carter; Mira L Katz; Amy K Ferketich; Steven K Clinton; Elizabeth M Grainger; Electra D Paskett; Clara D Bloomfield Journal: Nutr Cancer Date: 2011-10-25 Impact factor: 2.900