Colorectal Cancer Screening Among the Homeless Population of New York City Shelter-Based Clinics

Colorectal Cancer Screening Among the Homeless Population of New York City Shelter-Based Clinics
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DOI:
10.2105/ajph.2013.301792
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发表时间:
2014-07-01
影响因子:
12.7
通讯作者:
Sckell, Blanca
Sckell, Blanca
中科院分区:
医学2区
文献类型:
--
作者:
Asgary, Ramin;Garland, Victoria;Sckell, Blanca

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目标.我们确定了纽约市两个主要的以庇护所为基础的诊所的结直肠癌(CRC)筛查率、预测因子和障碍。我们从2010年至2012年期间至少3次门诊就诊的50岁及以上无家可归和无家可归患者(n = 443)的病历中提取筛查率、社会人口学特征和与无家可归相关的因素。大多数患者为非洲裔美国人或西班牙裔,76%为男性,60.7%为无家可归者(平均= 2.4年; SD = 2.8年)。居家病人比无家可归的病人更容易接受筛查(41.3%比19.7%; P
Objectives. We determined colorectal cancer (CRC) screening rates, predictors, and barriers in 2 major New York City shelter-based clinics.Methods. We extracted screening rates, sociodemographic characteristics, and factors associated with homelessness from medical records of domiciled and homeless patients aged 50 years and older (n = 443) with at least 3 clinic visits between 2010 and 2012.Results. The majority of patients were African American or Hispanic, 76% were male, and 60.7% were homeless (mean = 2.4 years; SD = 2.8 years). Domiciled patients were more likely than homeless patients to be screened (41.3% vs 19.7%; P