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Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults.

Publication ,  Journal Article
Akinyemiju, T; Waterbor, JW; Pisu, M; Moore, JX; Altekruse, SF
Published in: J Community Health
April 2016

This study aims to examine if access to healthcare, measured through the availability of medical resources at the neighborhood level, influences colorectal cancer (CRC) stage, treatment and survival using the Surveillance Epidemiology and Ends Result (SEER) dataset (November 2012), linked with the 2004 Area Resource File. A cross-sectional study was conducted to determine the association between availability of healthcare resources and CRC outcomes among non-Hispanic Black (n = 9162) and non-Hispanic White patients (n = 97,264). CRC patients were identified using the SEER*Stat program, and individual socio-demographic, clinical, and county-level healthcare access variables were obtained for each patient. Among NH-W patients, residence in counties with lower number of oncology hospitals was associated with increased odds of late stage diagnosis (OR 1.09, 95 % CI 1.04-1.14), reduced odds of receiving surgery (OR 0.83, 95 % CI 0.74-0.92) and higher hazard rates (HR 1.09, 95 % CI 1.06-1.12). There were no significant associations among NH-B patients. Increased availability of healthcare resources improves CRC outcomes among NH-W patients. However, future studies are required to better understand healthcare utilization patterns in NH-B neighborhoods, and identify other important dimensions of healthcare access such as affordability, acceptability and accommodation.

Duke Scholars

Published In

J Community Health

DOI

EISSN

1573-3610

Publication Date

April 2016

Volume

41

Issue

2

Start / End Page

296 / 304

Location

Netherlands

Related Subject Headings

  • White People
  • SEER Program
  • Public Health
  • Outcome Assessment, Health Care
  • Male
  • Humans
  • Health Services Accessibility
  • Female
  • Cross-Sectional Studies
  • Colorectal Neoplasms
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Akinyemiju, T., Waterbor, J. W., Pisu, M., Moore, J. X., & Altekruse, S. F. (2016). Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults. J Community Health, 41(2), 296–304. https://doi.org/10.1007/s10900-015-0096-z
Akinyemiju, Tomi, John W. Waterbor, Maria Pisu, Justin Xavier Moore, and Sean F. Altekruse. “Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults.J Community Health 41, no. 2 (April 2016): 296–304. https://doi.org/10.1007/s10900-015-0096-z.
Akinyemiju T, Waterbor JW, Pisu M, Moore JX, Altekruse SF. Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults. J Community Health. 2016 Apr;41(2):296–304.
Akinyemiju, Tomi, et al. “Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults.J Community Health, vol. 41, no. 2, Apr. 2016, pp. 296–304. Pubmed, doi:10.1007/s10900-015-0096-z.
Akinyemiju T, Waterbor JW, Pisu M, Moore JX, Altekruse SF. Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults. J Community Health. 2016 Apr;41(2):296–304.
Journal cover image

Published In

J Community Health

DOI

EISSN

1573-3610

Publication Date

April 2016

Volume

41

Issue

2

Start / End Page

296 / 304

Location

Netherlands

Related Subject Headings

  • White People
  • SEER Program
  • Public Health
  • Outcome Assessment, Health Care
  • Male
  • Humans
  • Health Services Accessibility
  • Female
  • Cross-Sectional Studies
  • Colorectal Neoplasms