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

Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE

Publication: Amsterdam : Springer
Original Publication: New York, Human Sciences Press.

Black or African American* ; Colorectal Neoplasms* ; Health Services Accessibility* ; Outcome Assessment, Health Care*; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Female ; Humans ; Male ; SEER Program ; White People

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.

Cancer. 2014 Nov 15;120(22):3510-8. (PMID: 25042119)
BMJ Open. 2014 Aug 19;4(8):e005458. (PMID: 25138805)
Cancer. 2011 Sep 15;117(18):4267-76. (PMID: 21413000)
Am J Public Health. 2003 Oct;93(10):1655-71. (PMID: 14534218)
World J Gastroenterol. 2013 Feb 28;19(8):1247-55. (PMID: 23482920)
CA Cancer J Clin. 2014 Mar-Apr;64(2):104-17. (PMID: 24639052)
J Oncol Pract. 2012 Sep;8(5):e125-34. (PMID: 23277775)
J Natl Cancer Inst Monogr. 2014 Nov;2014(49):236-43. (PMID: 25417237)
Am J Public Health. 2014 Mar;104(3):e63-71. (PMID: 24432920)
Med Care. 2005 Nov;43(11):1101-8. (PMID: 16224303)
J Urban Health. 2006 Mar;83(2):195-210. (PMID: 16736369)
J Clin Oncol. 2013 Oct 1;31(28):3579-84. (PMID: 24002515)
Soc Sci Med. 2014 Jan;100:54-61. (PMID: 24444839)
Prev Med. 2015 Feb;71:40-8. (PMID: 25481094)
Cancer Epidemiol Biomarkers Prev. 2013 Jun;22(6):1030-6. (PMID: 23576691)
Cancer. 2010 Jun 15;116(12):2922-31. (PMID: 20564398)
Am J Epidemiol. 2006 Nov 1;164(9):823-34. (PMID: 16968866)
Med Care. 1984 Jun;22(6):553-68. (PMID: 6738145)
J Clin Oncol. 2006 May 10;24(14):2179-87. (PMID: 16682737)
Med Care. 1981 Feb;19(2):127-40. (PMID: 7206846)
Dis Colon Rectum. 2014 Sep;57(9):1059-65. (PMID: 25101601)
Rural Remote Health. 2014;14(3):2668. (PMID: 25048148)
J Racial Ethn Health Disparities. 2014 Dec 1;1(4):291-299. (PMID: 25419509)
J Community Health. 2011 Aug;36(4):675-83. (PMID: 21267639)
Health Serv Res. 2012 Jun;47(3 Pt 1):897-918. (PMID: 22172046)
Med Care. 2006 May;44(5 Suppl):I64-72. (PMID: 16625066)
Cancer. 1998 Jun 15;82(12):2312-20. (PMID: 9635522)
Health Aff (Millwood). 2012 Dec;31(12):2747-54. (PMID: 23213159)
Int J Health Geogr. 2014 Jun 09;13:18. (PMID: 24913150)
Dig Dis Sci. 2014 Sep;59(9):2025-7. (PMID: 25056764)
J Epidemiol Community Health. 2002 Aug;56(8):588-94. (PMID: 12118049)

Keywords: Cancer; Colorectal cancer; Disparities; Healthcare access; Residential area

Date Created: 20151009 Date Completed: 20170109 Latest Revision: 20221207

20221213

10.1007/s10900-015-0096-z

26446012