Transportation as a barrier to colorectal cancer care.
Transportation as a barrier to colorectal cancer care.
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DOI：
10.1186/s12913-021-06339-x
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发表时间：
2021-04-13
影响因子：
2.8
通讯作者：
Zullig LL
中科院分区：
文献类型：
--
作者：
Jazowski SA;Sico IP;Lindquist JH;Smith VA;Bosworth HB;Danus S;Provenzale D;Kelley MJ;Zullig LL
交通障碍限制了获得癌症护理服务的机会，并导致了不太理想的临床结果。我们的目标是描述退伍军人报告的频率以及与前往或远离结直肠癌(CRC)护理就诊的交通障碍相关的因素。在2015年11月至2016年9月期间，事件I、II或III期CRC的退伍军人完成了一项邮寄调查，以评估推荐护理的感知障碍。报告往返CRC护理预约的交通困难的参与者被归类为遇到交通障碍。我们评估了交通障碍、交通相关因素(例如，旅行方式)和混乱的生活方式(例如，时间表的可预测性)之间的成对相关性，并使用Logistic回归分析了报告交通困难、前往最近的退伍军人事务部(VA)设施的距离和生活混乱之间的关联。在这项分析中包括的115名退伍军人中，18%的人报告遇到了交通障碍。与VA的距离与交通障碍的报告没有很强的相关性(Spearman‘sρ = 0.12，p = 0.19)，但混乱的生活方式与经历交通障碍均呈显著正相关(Spearman’sρ = 0.22，p = 0.02)。Logistic回归模型的结果温和地支持了两两相关的结果，但没有统计学意义。交通是往返CRC护理访问的重要障碍，特别是在经历了更大生活混乱的退伍军人中。确定生活方式混乱的退伍军人将使他们能够及时参与行为干预(例如，组织技能培训)和支持服务(例如，患者导航)。
Transportation barriers limit access to cancer care services and contribute to suboptimal clinical outcomes. Our objectives were to describe the frequency of Veterans reporting and the factors associated with transportation barriers to or from colorectal cancer (CRC) care visits. Between November 2015 and September 2016, Veterans with incident stage I, II, or III CRC completed a mailed survey to assess perceived barriers to recommended care. Participants who reported difficulty with transportation to or from CRC care appointments were categorized as experiencing transportation barriers. We assessed pairwise correlations between transportation barriers, transportation-related factors (e.g., mode of travel), and chaotic lifestyle (e.g., predictability of schedules), and used logistic regression to examine the association between the reporting of transportation difficulties, distance traveled to the nearest Veterans Affairs (VA) facility, and life chaos. Of the 115 Veterans included in this analysis, 18% reported experiencing transportation barriers. Distance to the VA was not strongly correlated with the reporting of transportation barriers (Spearman’s ρ = 0.12, p = 0.19), but chaotic lifestyle was both positively and significantly correlated with experiencing transportation barriers (Spearman’s ρ = 0.22, p = 0.02). Results from the logistic regression model modestly supported the findings from the pairwise correlations, but were not statistically significant. Transportation is an important barrier to or from CRC care visits, especially among Veterans who experience greater life chaos. Identifying Veterans who experience chaotic lifestyles would allow for timely engagement in behavioral interventions (e.g., organizational skills training) and with support services (e.g., patient navigation).
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影响因子：
4.5
作者：
Sacerdote C;Baldi I;Bertetto O;Dicuonzo D;Farina E;Pagano E;Rosato R;Senore C;Merletti F;Ciccone G
通讯作者：
Ciccone G
影响因子：
9.8
作者：
Fazio, L;Cotterchio, M;Gallinger, S
通讯作者：
Gallinger, S
影响因子：
4.9
作者：
Goins, RT;Williams, KA;Solovieva, T
通讯作者：
Solovieva, T
DOI：
10.6004/jnccn.2016.0147
发表时间：
2016-11-01
影响因子：
13.4
作者：
Rohan, Elizabeth A.;Slotman, Beth;Schroy, Paul
通讯作者：
Schroy, Paul
影响因子：
4.4
作者：
Li, Chien-Ching;Matthews, Alicia K.;Fullam, Francis
通讯作者：
Fullam, Francis