Racial/Ethnic disparities in health care receipt among male cancer survivors.
Racial/Ethnic disparities in health care receipt among male cancer survivors.
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DOI：
10.2105/ajph.2012.301096
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发表时间：
2013-07
影响因子：
12.7
通讯作者：
Weaver KE
中科院分区：
文献类型：
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作者：
Palmer NR;Geiger AM;Felder TM;Lu L;Case LD;Weaver KE
我们调查了具有全国代表性的男性癌症幸存者在医疗保健方面的种族/民族差异。我们从2006-2010年国家健康访谈调查中确定了报告癌症病史的成年男性(年龄18岁以上)。评估医疗保健接受情况的四项自我报告指标：初级保健就诊、专科就诊、流感疫苗接种和肺炎球菌疫苗接种。我们使用分层Logistic回归模型，按年龄分层(年轻人：65岁，老年人：65岁以上)来检查医疗保健收据中的种族/民族差异。在调整后的模型中，年长的非洲裔和西班牙裔幸存者没有看专家(OR 1.78，CI 1.19-2.68和OR 2.09，CI 1.18-3.70)、没有接种流感疫苗(OR 2.21，CI 1.45-3.37和OR 2.20，CI 1.21-4.01)和没有接种肺炎球菌疫苗(OR 2.24，CI 1.54-3.24和OR 3.10，CI 1.75-5.51)的可能性大约是非拉美裔白人的两倍。尽管可以获得医疗保险，但在年长的幸存者中，获得医疗保健的种族/民族差异很明显，但年轻的幸存者没有。如果这些幸存者不太可能去看包括肿瘤学家在内的专家，并得到基本的预防护理，这可能会对他们的健康和后续护理的接受产生影响。
We examined racial/ethnic disparities in healthcare receipt among a nationally representative sample of male cancer survivors. We identified adult men (age 18+) from the 2006–2010 National Health Interview Survey who reported a history of cancer. Four self-reported measures assessed healthcare receipt: primary care visit, specialist visit, flu vaccination, and pneumococcal vaccination. We used hierarchical logistic regression modeling, stratified by age (younger: <65, older: 65+), to examine racial/ethnic disparities in healthcare receipt. In adjusted models, older African American and Hispanic survivors were approximately twice as likely as non-Hispanic Whites to not see a specialist (OR 1.78, CI 1.19–2.68 and OR 2.09, CI 1.18–3.70, respectively), not receive the flu vaccine (OR 2.21, CI 1.45–3.37 and OR 2.20, CI 1.21–4.01, respectively) and not receive the pneumococcal vaccine (OR 2.24, CI 1.54–3.24 and OR 3.10, CI 1.75–5.51, respectively). Racial/ethnic disparities in healthcare receipt were evident among older, but not younger survivors, despite access to Medicare. This may have implications for their health and receipt of follow-up care if these survivors are less likely to see specialists, including oncologists, and get basic preventive care.