Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers

Adams, Swann Arp; Choi, Seul Ki; Khang, Leepao; Campbell, Dayna A.; Friedman, Daniela B.; Eberth, Jan M.; Glasgow, Russell E.; Tucker-Seeley, Reginald; Xirasagar, Sudha; Yip, Mei Po; Young, Vicki; Hébert, James R.

doi:10.1007/s10900-014-9978-8

Cited by 43 publications

(34 citation statements)

References 22 publications

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“…These federally qualified health centers serve approximately 20 million patients annually in the US, and nearly two-thirds of patients seen are ethnic minorities, low-income, and uninsured [38], indicating that these facilities have the potential to reduce health disparities in ethnic minorities and other underserved populations.…”

Section: Resultsmentioning

confidence: 99%

Racial Differences in the Diagnosis and Treatment of Prostate Cancer

et al. 2016

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Disparities between African American and Caucasian men in prostate cancer (PCa) diagnosis and treatment in the United States have been well established, with significant racial disparities documented at all stages of PCa management, from differences in the type of treatment offered to progression-free survival or death. These disparities appear to be complex in nature, involving biological determinants as well as socioeconomic and cultural aspects. We present a review of the literature on racial disparities in the diagnosis of PCa, treatment, survival, and genetic susceptibility. Significant differences were found among African Americans and whites in the incidence and mortality rates; namely, African Americans are diagnosed with PCa at younger ages than whites and usually with more advanced stages of the disease, and also undergo prostate-specific antigen testing less frequently. However, the determinants of the high rate of incidence and aggressiveness of PCa in African Americans remain unresolved. This pattern can be attributed to socioeconomic status, detection occurring at advanced stages of the disease, biological aggressiveness, family history, and differences in genetic susceptibility. Another risk factor for PCa is obesity. We found many discrepancies regarding treatment, including a tendency for more African American patients to be in watchful waiting than whites. Many factors are responsible for the higher incidence and mortality rates in African Americans. Better screening, improved access to health insurance and clinics, and more homogeneous forms of treatment will contribute to the reduction of disparities between African Americans and white men in PCa incidence and mortality.

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Section: Resultsmentioning

confidence: 99%

Racial Differences in the Diagnosis and Treatment of Prostate Cancer

et al. 2016

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“…5,6 Because FQHCs are the medical home of choice (if not necessity) for diverse and vulnerable populations, we believe that they provide a useful example of the potential of Medicaid expansion. 5,6 Because FQHCs are the medical home of choice (if not necessity) for diverse and vulnerable populations, we believe that they provide a useful example of the potential of Medicaid expansion.…”

Section: Adams Et Al Respondmentioning

confidence: 99%

Adams et al. Respond

et al. 2016

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“…Additional research is needed to identify best practices for effective colorectal cancer screening and treatment at community clinics including federally qualified health centers [67]. These centers offer primary and preventive care, including colorectal cancer screening, for the nation’s most vulnerable populations [68]. Organized approaches to increase screening and to reduce disparities in screening participation, such as the Centers for Disease Control and Prevention Colorectal Cancer Prevention and Control Program, which currently funds programs in 25 states and four tribal organizations [69], are effective ways to increase screening at the population level through provision of financial resources, evidence-based interventions, and quality assurance measures.…”

Section: Discussionmentioning

confidence: 99%

Toward the Elimination of Colorectal Cancer Disparities Among African Americans

Coughlin

Blumenthal

Seay

et al. 2015

J. Racial and Ethnic Health Disparities

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Background In the USA, race and socioeconomic status are well-known factors associated with colorectal cancer incidence and mortality rates. These are higher among blacks than whites and other racial/ethnic groups. Methods In this article, we review opportunities to address disparities in colorectal cancer incidence, mortality, and survivorship among African Americans. Results First, we summarize the primary prevention of colorectal cancer and recent advances in the early detection of the disease and disparities in screening. Then, we consider black-white disparities in colorectal cancer treatment and survival including factors that may contribute to such disparities and the important roles played by cultural competency, patient trust in one’s physician, and health literacy in addressing colorectal cancer disparities, including the need for studies involving the use of colorectal cancer patient navigators who are culturally competent. Conclusion To reduce these disparities, intervention efforts should focus on providing high-quality screening and treatment for colorectal cancer and on educating African Americans about the value of diet, weight control, screening, and treatment. Organized approaches for delivering colorectal cancer screening should be accompanied by programs and policies that provide access to diagnostic follow-up and treatment for underserved populations.

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Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers

Cited by 43 publications

References 22 publications

Racial Differences in the Diagnosis and Treatment of Prostate Cancer

Racial Differences in the Diagnosis and Treatment of Prostate Cancer

Adams et al. Respond

Toward the Elimination of Colorectal Cancer Disparities Among African Americans

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