What factors influence minority use of National Cancer Institute‐designated cancer centers?

Lyen Camille Huang · Yifei Ma · Justine V. Ngo · Kim Felder Rhoads

66 citations0/0 files storedCancer

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Health disparities and outcomes Healthcare Policy and Management Global Cancer Incidence and Screening

Abstract

BACKGROUND: National Cancer Institute (NCI) cancer centers provide high-quality care and are associated with better outcomes. However, racial and ethnic minority populations tend not to use these settings. The current study sought to understand what factors influence minority use of NCI cancer centers. METHODS: A data set containing California Cancer Registry (CCR) data linked to patient discharge abstracts identified all patients with colorectal cancer (CRC) who were treated from 1996 through 2006. Multivariable models were generated to predict the use of NCI settings by race. Geographic proximity to an NCI center and patient sociodemographic and clinical characteristics were assessed. RESULTS: Approximately 5% of all identified patients with CRC (n = 79,231) were treated in NCI settings. The median travel distance for treatment for all patients in all hospitals was ≤ 5 miles. A higher percentage of minorities lived near an NCI cancer center compared with whites. A baseline multivariable model predicting use showed a negative association between Hispanic ethnicity and NCI center use (odds ratio, 0.71; 95% confidence interval, 0.64-0.79). Asian/Pacific Islander patients were more likely to use NCI centers (odds ratio, 1.41; 95% confidence interval, 1.28-1.54). There was no difference in use noted among black patients. Increasing living distance from an NCI cancer center was found to be predictive of lower odds of use for all populations. Medicare and Medicaid insurance statuses were positively associated with NCI center use. Neighborhood-level education was found to be a more powerful predictor of NCI use than poverty or unemployment. CONCLUSIONS: Select minority groups underuse NCI cancer centers for CRC treatment. Sociodemographic factors and proximity to NCI centers are important predictors of use. Interventions to address these factors may improve minority attendance to NCI cancer centers for care.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 66 citations exist upstream.

References

1997Measuring Social Class in US Public Health Research: Concepts, Methodologies, and Guidelines 1992Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology.2002Geocoding and Monitoring of US Socioeconomic Inequalities in Mortality and Cancer Incidence: Does the Choice of Area-based Measure and Geographic Level Matter?: The Public Health Disparities Geocoding Project 2004Primary Care Physicians Who Treat Blacks and Whites 2006Disparities in the Utilization of High-Volume Hospitals for Complex Surgery 1999Patient Preferences for Location of Care 2009Centralization of Cancer Surgery: Implications for Patient Access to Optimal Care 2013Black Patients More Likely Than Whites To Undergo Surgery At Low-Quality Hospitals In Segregated Regions

Cited by

2021Evidence of the Feasibility and Preliminary Efficacy of Oncology Financial Navigation: A Scoping Review 2015Factors That Influence Minority Use of High-Volume Hospitals for Colorectal Cancer Care 2014Escalation of Socioeconomic Disparities Among Patients with Colorectal Cancer Receiving Advanced Surgical Treatment 2015Cancer Center Website Rankings in the USA: Expanding Benchmarks and Standards for Effective Public Outreach and Education

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.