FACTORS AFFECTING ACCESS TO HEAD AND NECK CANCER CARE AFTER A NATURAL DISASTER: A POST-HURRICANE KATRINA SURVEY
FACTORS AFFECTING ACCESS TO HEAD AND NECK CANCER CARE AFTER A NATURAL DISASTER: A POST-HURRICANE KATRINA SURVEY
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DOI：
10.1002/hed.21393
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发表时间：
2011-01-01
影响因子：
2.9
通讯作者：
Walvekar, Rohan R.
中科院分区：
文献类型：
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作者：
Loehn, Bridget;Pou, Anna M.;Walvekar, Rohan R.
背景我们的目的是调查卡特里娜飓风后影响头颈癌患者获得癌症护理的因素。在这项横断面调查中，207名头颈癌患者在卡特里娜飓风后被确定，但只有83名患者完成了问卷调查并进行了分析。记录临床、人口统计学和社会经济学数据。采用卡方检验和t检验进行比较。如果患者能够更好地获得癌症护理，那么他们会更早地寻求治疗（卡方[1] = 32; p < .0001）。认为缺乏癌症治疗的患者也难以接受治疗（卡方[1] = 48; p < .0001）。交通工具的可用性影响了早期癌症患者获得癌症护理的机会（卡方[1] = 4; p < .035）。在灾后环境中，那些在卡特里娜飓风后感到无法获得癌症护理的患者会更早地寻求治疗，更好地获得癌症护理。这些患者还报告难以获得癌症治疗，交通工具的可用性影响了早期癌症患者获得癌症护理的机会。临床、人口统计学和社会经济因素并不影响癌症护理的获得。(C)2010 Wiley Periodicals，Inc.头颈33：37-44，2011
Background. Our aim was to survey the factors affecting access to cancer care in patients with head and neck cancer after Hurricane Katrina.Methods. In this cross-sectional survey, 207 patients with head and neck cancer were identified post-Hurricane Katrina, but only 83 patients completed the questionnaires and were analyzed. Clinical, demographic, and socioeconomic data were recorded. Chi-square test and t test were used for comparisons.Results. Patients who felt that there was a lack of access to cancer care would have sought treatment earlier had they had better access to cancer care (chi-square[1] = 32; p < .0001). Patients who felt that there was a lack of access to cancer care also had difficulty receiving treatment (chi-square[1] = 48; p < .0001). Availability of transportation affected access to cancer care in patients with early-stage cancers (chi-square[1] = 4; p < .035).Conclusion. In the postdisaster environment, patients who felt the lack of access to cancer care post-Hurricane Katrina would have sought treatment earlier with better access to cancer care. These patients also reported difficulty obtaining cancer treatment, Availability of transportation affected access to cancer care in patients with early-stage cancers. Clinical, demographic, and socioeconomic factors did not influence access to cancer care. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 37-44, 2011