Role of Race/Ethnicity, Language, and Insurance in Use of Cervical Cancer Prevention Services Among Low-Income Hispanic Women, 2009-2013.
Role of Race/Ethnicity, Language, and Insurance in Use of Cervical Cancer Prevention Services Among Low-Income Hispanic Women, 2009-2013.
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DOI：
10.5888/pcd15.170267
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发表时间：
2018-02-22
影响因子：
5.5
通讯作者：
Marino M
中科院分区：
文献类型：
--
作者：
Heintzman J;Hatch B;Coronado G;Ezekiel D;Cowburn S;Escamilla-Sanchez O;Marino M
Hispanic women in the United States have an elevated risk of cervical cancer, but the existing literature does not reveal why this disparity persists. We performed a retrospective cohort analysis of 17,828 low-income women aged 21 to 64 years seeking care at Oregon community health centers served by a hosted, linked electronic health record during 2009 through 2013. We assessed the odds of having had Papanicolaou (Pap) tests and receiving human papillomavirus (HPV) vaccine, by race/ethnicity, insurance status, and language. Hispanic women, regardless of pregnancy status or insurance, had greater odds of having had Pap tests than non-Hispanic white women during the study period. English-preferring Hispanic women had higher odds of having had Pap tests than Spanish-preferring Hispanic women (OR, 2.08; 95% confidence interval [CI], 1.63–2.66) but lower odds of having received HPV vaccination (OR, 0.21; 95% CI, 0.12–0.38). Uninsured patients, regardless of race/ethnicity, had lower odds of HPV vaccine initiation than insured patients did. Once a single dose was received, there were no significant racial/ethnic differences in vaccine series completion. In this sample of low-income women seeking care at Oregon community health centers, we found minimal racial/ethnic disparities in the receipt of cervical cancer prevention services. Inequities by insurance status, especially in the receipt of HPV vaccine, persist. Community health center–based care may be a useful model to address racial/ethnic disparities in prevention, but this model would need further population-wide study.
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影响因子：
1.8
作者：
Freedman, David A.
通讯作者：
Freedman, David A.
影响因子：
5.5
作者：
Heintzman, John D.;Bailey, Steffani R.;Marino, Miguel
通讯作者：
Marino, Miguel
影响因子：
2.3
作者：
Nuno, Tomas;Gerald, Joe K.;Garcia, Francisco
通讯作者：
Garcia, Francisco
DOI：
10.3122/jabfm.2013.03.120234
发表时间：
2013-05
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
--
作者：
Devoe JE;Sears A
通讯作者：
Sears A
影响因子：
6.2
作者：
Adams, E. Kathleen;Breen, Nancy;Joski, Peter J.
通讯作者：
Joski, Peter J.