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Online Program

317422
Cancer Screening Behaviors in Systemic Lupus Erythematosus Patients in the Metropolitan Atlanta Area, Georgia


Monday, November 2, 2015 : 12:30 p.m. - 12:50 p.m.

Kelli Williams, MPH, Master of Public Health Program, Morehouse School of Medicine, Smryna, GA
Lee Caplan, MD, PhD, MPH, Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA
Fengxia Yan, MD, MS, Morehouse School of Medicine- CLINICAL RSCH CTR CRC, Morehouse School of Medicine, Atlanta, GA
Cristina Drenkard, MD, PhD, Division of Rheumatology, Emory University School of Medicine, Atlanta, GA
S. Sam Lim, MD, MPH, School of Medicine, Emory University, Atlanta, GA
Audio (mp3) recording Recorded Presentation (mp4)
Objectives. To examine whether patients with systemic lupus erythematosus (SLE) undergo cancer screening according to recommended guidelines in metropolitan Atlanta, Georgia and to determine if socio-economic factors influence compliance with these guidelines.

Methods. A cross-sectional analysis was performed using 2011-2012 data from the Georgians Organized Against Lupus (GOAL) cohort to determine the percentage of cancer screenings received by 673 SLE patients from Atlanta, GA.  A logistic regression model was also used to determine potential socio-economic predictors of obtaining cancer screening.

Results. Participants with a high school diploma were 0.197 (CI 0.041-0.943) times as likely to have had a pap smear compared to those with a college/graduate school level education.  Women aged 30-65 were about 4.5 (0.757-26.957) times more likely to have had a pap smear compared to women aged 66-90 years, but the result was not statistically significant.  Participants with a high school diploma were 0.281 (CI 0.087-0.904) times as likely to have had a CBE compared to those with a college/graduate school level education.  Women aged 20-30 and 31-40 were 0.037 (CI 0.010-0.128) and 0.211 (0.064-0.7) times as likely, respectively to have had a CBE compared to women aged 41-90 years.  

Conclusion. These data suggest that disparities exist for cancer screenings amongt SLE patients based on age and education.  Cancer is a major health problem in SLE patients.  Early detection of cancer or a cancer precursor through screening is essential for decreasing comorbidities in SLE patients.

Learning Areas:

Chronic disease management and prevention
Epidemiology
Public health or related research

Learning Objectives:
Assess whether patients with systemic lupus erythematosus (SLE) undergo cancer screenings in metropolitan Atlanta, Georgia. Identify if socio-economic factors influence SLE patient’s compliance with getting cancer screenings.

Keyword(s): Cancer Prevention and Screening, Chronic Disease Management and Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have educational knowledge in biology and will graduate with a MPH degree May 2015. I have worked with public health professionals in the field of cancer prevention and screening and systemic lupus erythematosus (SLE). Among my scientific interest has been the development of strategies for decreasing comorbidities in SLE patients. In addition, I have worked closely with current research on SLE, including the largest lupus cohort in Georgia, the Georgians Organized Against Lupus (GOAL).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3249.0: Social/Behavior Epidemiology and Epidemiology of Health Disparities