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01-04-2016 | Original Paper

Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults

Authors: Tomi Akinyemiju, John W. Waterbor, Maria Pisu, Justin Xavier Moore, Sean F. Altekruse

Published in: Journal of Community Health | Issue 2/2016

Abstract

This study aims to examine if access to healthcare, measured through the availability of medical resources at the neighborhood level, influences colorectal cancer (CRC) stage, treatment and survival using the Surveillance Epidemiology and Ends Result (SEER) dataset (November 2012), linked with the 2004 Area Resource File. A cross-sectional study was conducted to determine the association between availability of healthcare resources and CRC outcomes among non-Hispanic Black (n = 9162) and non-Hispanic White patients (n = 97,264). CRC patients were identified using the SEER*Stat program, and individual socio-demographic, clinical, and county-level healthcare access variables were obtained for each patient. Among NH-W patients, residence in counties with lower number of oncology hospitals was associated with increased odds of late stage diagnosis (OR 1.09, 95 % CI 1.04–1.14), reduced odds of receiving surgery (OR 0.83, 95 % CI 0.74–0.92) and higher hazard rates (HR 1.09, 95 % CI 1.06–1.12). There were no significant associations among NH-B patients. Increased availability of healthcare resources improves CRC outcomes among NH-W patients. However, future studies are required to better understand healthcare utilization patterns in NH-B neighborhoods, and identify other important dimensions of healthcare access such as affordability, acceptability and accommodation.

Andaya, A. A., Enewold, L., Zahm, S. H., Shriver, C. D., Stojadinovic, A., McGlynn, K. A., & Zhu, K. (2013). Race and colon cancer survival in an equal-access health care system. Cancer Epidemiology Biomarkers & Prevention, 22(6), 1030–1036.CrossRef

Bromley, E. G., May, F. P., Federer, L., Spiegel, B. M., & van Oijen, M. G. (2015). Explaining persistent under-use of colonoscopic cancer screening in African Americans: A systematic review. Preventive Medicine, 71, 40–48.CrossRefPubMed

Diez Roux, A. V. (2002). A glossary for multilevel analysis. Journal of Epidemiology and Community Health, 56(8), 588–594.CrossRefPubMed

Dominitz, J. A., Samsa, G. P., Landsman, P., & Provenzale, D. (1998). Race, treatment, and survival among colorectal carcinoma patients in an equal-access medical system. Cancer, 82(12), 2312–2320.CrossRefPubMed

Fan, J. X., Hanson, H. A., Zick, C. D., Brown, B. B., Kowaleski-Jones, L., & Smith, K. R. (2014). Geographic scale matters in detecting the relationship between neighbourhood food environments and obesity risk: An analysis of driver license records in Salt Lake County, Utah. BMJ Open, 4(8), e005458.CrossRefPubMedPubMedCentral

Fitzgerald, T. L., Lea, C. S., Brinkley, J., & Zervos, E. E. (2014). Colorectal cancer outcome inequalities: Association between population density, race, and socioeconomic status. Rural and Remote Health, 14(3), 2668.PubMed

Gill, A. A., Enewold, L., Zahm, S. H., Shriver, C. D., Stojadinovic, A., McGlynn, K. A., & Zhu, K. (2014). Colon cancer treatment: Are there racial disparities in an equal-access healthcare system? Diseases of the Colon and Rectum, 57(9), 1059–1065.CrossRefPubMedPubMedCentral

Haas, J. S., Brawarsky, P., Iyer, A., Fitzmaurice, G. M., Neville, B. A., & Earle, C. (2011). Association of area sociodemographic characteristics and capacity for treatment with disparities in colorectal cancer care and mortality. Cancer, 117(18), 4267–4276.CrossRefPubMed

Haas, J. S., Brawarsky, P., Iyer, A., Fitzmaurice, G. M., Neville, B. A., Earle, C., & Kaplan, C. P. (2010). Association of local capacity for endoscopy with individual use of colorectal cancer screening and stage at diagnosis. Cancer, 116(12), 2922–2931.CrossRefPubMedPubMedCentral

10.

Hines, R., Markossian, T., Johnson, A., Dong, F., & Bayakly, R. (2014). Geographic residency status and census tract socioeconomic status as determinants of colorectal cancer outcomes. American Journal of Public Health, 104(3), e63–e71.CrossRefPubMedPubMedCentral

11.

Kirby, J. B., Taliaferro, G., & Zuvekas, S. H. (2006). Explaining racial and ethnic disparities in health care. Medical Care, 44(5 Suppl), I64–I72.PubMed

12.

Kish, J. K., Yu, M., Percy-Laurry, A., & Altekruse, S. F. (2014). Racial and ethnic disparities in cancer survival by neighborhood socioeconomic status in Surveillance, Epidemiology, and End Results (SEER) Registries. Journal of the National Cancer Institute Monographs, 2014(49), 236–243.CrossRefPubMed

13.

Krieger, N., Chen, J. T., Waterman, P. D., Rehkopf, D. H., & Subramanian, S. V. (2003). Race/ethnicity, gender, and monitoring socioeconomic gradients in health: A comparison of area-based socioeconomic measures—the public health disparities geocoding project. American Journal of Public Health, 93(10), 1655–1671.CrossRefPubMedPubMedCentral

14.

Laiyemo, A. O. (2014). Reducing racial disparity in colorectal cancer burden. Digestive Diseases and Sciences, 59(9), 2025–2027.CrossRefPubMed

15.

Modiri, A., Makipour, K., Gomez, J., & Friedenberg, F. (2013). Predictors of colorectal cancer testing using the California Health Inventory Survey. World Journal of Gastroenterology, 19(8), 1247–1255.CrossRefPubMedPubMedCentral

16.

Peipins, L. A., Graham, S., Young, R., Lewis, B., Foster, S., Flanagan, B., & Dent, A. (2011). Time and distance barriers to mammography facilities in the Atlanta metropolitan area. Journal of Community Health, 36(4), 675–683.CrossRefPubMed

17.

Penchansky, R., & Thomas, J. W. (1981). The concept of access: Definition and relationship to consumer satisfaction. Medical Care, 19(2), 127–140.CrossRefPubMed

18.

Polite, B. N., Dignam, J. J., & Olopade, O. I. (2006). Colorectal cancer model of health disparities: Understanding mortality differences in minority populations. Journal of Clinical Oncology, 24(14), 2179–2187.CrossRefPubMed

19.

Ponce, N. A., Huh, S., & Bastani, R. (2005). Do HMO market level factors lead to racial/ethnic disparities in colorectal cancer screening? A comparison between high-risk Asian and Pacific Islander Americans and high-risk whites. Medical Care, 43(11), 1101–1108.CrossRefPubMed

20.

Rubin, M. S., Clouston, S., & Link, B. G. (2014). A fundamental cause approach to the study of disparities in lung cancer and pancreatic cancer mortality in the United States. Social Science and Medicine, 100, 54–61.CrossRefPubMed

21.

Sabik, L. M. (2012). The effect of community uninsurance rates on access to health care. Health Services Research, 47(3 Pt 1), 897–918.CrossRefPubMedPubMedCentral

22.

Saunders, M. R., Lee, H., Maene, C., Schuble, T., & Cagney, K. A. (2014). Proximity does not equal access: Racial disparities in access to high quality dialysis facilities. Journal of Racial and Ethnic Health Disparities, 1(4), 291–299.CrossRefPubMedPubMedCentral

23.

Siegel, R., Desantis, C., & Jemal, A. (2014). Colorectal cancer statistics, 2014. CA: A Cancer Journal for Clinicians, 64(2), 104–117.

24.

Soneji, S., Armstrong, K., & Asch, D. A. (2012). Socioeconomic and physician supply determinants of racial disparities in colorectal cancer screening. Journal of Oncology Practice, 8(5), e125–e134.CrossRefPubMedPubMedCentral

25.

Stimpson, J. P., Pagan, J. A., & Chen, L. W. (2012). Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care. Health Affairs (Millwood), 31(12), 2747–2754.CrossRef

26.

Subramanian, S. V., Chen, J. T., Rehkopf, D. H., Waterman, P. D., & Krieger, N. (2006). Comparing individual- and area-based socioeconomic measures for the surveillance of health disparities: A multilevel analysis of Massachusetts births, 1989–1991. American Journal of Epidemiology, 164(9), 823–834.CrossRefPubMed

27.

Tao, L., Ladabaum, U., Gomez, S. L., & Cheng, I. (2014). Colorectal cancer mortality among Hispanics in California: Differences by neighborhood socioeconomic status and nativity. Cancer, 120(22), 3510–3518.CrossRefPubMed

28.

Thomas, J. W., & Penchansky, R. (1984). Relating satisfaction with access to utilization of services. Medical Care, 22(6), 553–568.CrossRefPubMed

29.

Towne, S. D, Jr, Smith, M. L., & Ory, M. G. (2014). Geographic variations in access and utilization of cancer screening services: examining disparities among American Indian and Alaska Native Elders. International Journal of Health Geographics, 13, 18.CrossRefPubMedPubMedCentral

30.

Zenk, S. N., Tarlov, E., & Sun, J. (2006). Spatial equity in facilities providing low- or no-fee screening mammography in Chicago neighborhoods. Journal of Urban Health, 83(2), 195–210.CrossRefPubMedPubMedCentral

31.

Zullig, L. L., Carpenter, W. R., Provenzale, D., Weinberger, M., Reeve, B. B., & Jackson, G. L. (2013). Examining potential colorectal cancer care disparities in the Veterans Affairs health care system. Journal of Clinical Oncology, 31(28), 3579–3584.CrossRefPubMedPubMedCentral

Title: Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults
Authors: Tomi Akinyemiju
John W. Waterbor
Maria Pisu
Justin Xavier Moore
Sean F. Altekruse
Publication date: 01-04-2016
Publisher: Springer US
Published in: Journal of Community Health / Issue 2/2016
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-015-0096-z

2024 ASCO Annual Meeting

Springer Medicine

Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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