Primary Care Attributes Associated with Receipt of Preventive Care Services: A National Study

VanGompel, Emily White; Jerant, Anthony F; Franks, Peter

doi:10.3122/jabfm.2015.06.150092

Cited by 21 publications

(18 citation statements)

References 26 publications

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“…Additionally, cancer survivors were more likely than people with no history of cancer to report having a usual source of care, which may also explain these findings. 40 Research generally finds that cancer survivors have poorer access to care than people with no history of cancer. 15,19,41 However, research suggests that among cancer survivors <65 years of age, those who are uninsured or publicly insured are more likely than the general population to have poorer access to preventive care, whereas privately insured cancer survivors generally have equivalent or better access to care than the general population.…”

Section: Discussionmentioning

confidence: 99%

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Access to Cancer Care and General Medical Care Services Among Cancer Survivors in the United States

Moor

Virgo

et al. 2016

Public Health Rep

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Section: Discussionmentioning

confidence: 99%

“…Additionally, cancer survivors were more likely than people with no history of cancer to report having a usual source of care, which may also explain these findings. 40…”

Section: Discussionmentioning

confidence: 99%

Access to Cancer Care and General Medical Care Services Among Cancer Survivors in the United States

Moor

Virgo

et al. 2016

Public Health Rep

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“…With nearly half of the study population being employed either full or part-time, these non-traditional timeslots are vital to encourage adherence. Moreover, enhanced access has been proven effective to increase receipt of preventative care, thus improving health outcomes [29][30].…”

Section: Discussionmentioning

confidence: 99%

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Hall¹,

Guidry²,

Jones³

2017

AJHR

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Among women globally, breast cancer is the most frequently diagnosed malignancy and the leading cause of cancer mortality. Moreover, for racial/ethnic minorities and those of low socioeconomic status (SES), these groups experience a poorer quality of life and diminished survival. This is due, in part, to underutilization of mammography screening and a lack of adherence to subsequent follow-up guidelines. The purpose of this study is to gain insight on perceptions of and interest in mobile mammography unit (MMU) utilization among African American (AA) women, primarily of low SES; as well as obtain strategies for effective information dissemination. Researchers partnered with local grocery stores, community centers, churches, shopping centers and hair salons to act as recruitment sites. Each establishment was within a 10 mile radius of the multi-service center being used to conduct the focus groups. Participant eligibility included: (a) the individual must be female, (b) between 35 and 65 years of age, (c) a current resident of Harris County, Texas, (d) self-identified as AA and (e) had no previous cancer history. Sixty-one AA women participated across six focus groups. The focus groups revealed that participants perceived the availability of MMUs as an effective strategy to increase guideline adherence. In addition, all participants stated MMUs would be of interest to women in their communities. Various suggestions to strengthen engagement were conveyed by participants as well. Specifically, offering services during non-traditional hours and in highly accessible locations; and partnering with community venues and incorporating principles of social support were conveyed.

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“…We included key variables to account for sociodemographic characteristics, health status, health behaviors, and health care utilization, all selected on the basis of prior work showing association with receipt of preventive care. [24][25][26] Sociodemographic covariates included age (years), self-reported race/ethnicity (white [non-Hispanic], Hispanic, black [non-Hispanic], other), US census region (Northeast, Midwest, South, West), education level (less than high school, some high school, high school graduate, some college, college graduate), household income (<100%, 100%-124%, 125%-199%, 200%-399%, or ≥400% of the federal poverty level), and health insurance status (uninsured, any private insurance, public insurance alone). Measures of health status included the 12-Item Short-Form Health Survey, both the Mental Component Summary and Physical Component Summary scores.…”

Section: Covariatesmentioning

confidence: 99%

Cancer Screening Among Women Prescribed Opioids: A National Study

2020

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PURPOSE Prior work suggests that there are competing demands between addressing pain and other issues in primary care, potentially lessening delivery of evidence-based cancer screening. We assessed the association between opioid therapy and cancer screening among women in a nationally representative US sample. METHODS We conducted an observational analysis of the 2005-2015 Medical Expenditure Panel Surveys. We included all women aged ≥18 years without cancer and with opioid prescription and preventive care services data. Logistic regression analyses examined associations between receipt of opioid prescription (any vs none) and receipt of breast, cervical, and colorectal cancer screenings. Analyses were adjusted for sociodemographic characteristics, health status, health conditions, and usual source of care, as well as health care utilization. RESULTS Of 53,982 participants, 15.8% reported ≥1 opioid prescription. Compared with women not prescribed opioids, those prescribed opioids were more likely to visit their doctor (median number of visits per year = 5, vs 1). Without adjustment for number of visits, women prescribed opioids were more likely to receive all 3 cancer screenings; the adjusted odds ratio for breast cancer screening was 1.26 (95% CI, 1.16-1.38), that for cervical cancer screening was 1.22 (95% CI, 1.13-1.33), and that for colorectal cancer screening was 1.22 (95% CI, 1.12-1.33). With adjustment for number of visits, adjusted odds ratios decreased (breast 1.07 [95% CI, 0.98-1.18]; cervical 1.01 [95% CI, 0.93-1.09]; colorectal 1.04 [95% CI, 0.95-1.14]). CONCLUSIONS In a nationally representative sample, receipt of opioid prescriptions was not associated with less recommended cancer screenings. Rather, women receiving opioids had greater adjusted odds of receiving breast, cervical, and colorectal cancer screening, although the associations were attenuated by adjusting for their more frequent office visits relative to women not receiving opioids.

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Primary Care Attributes Associated with Receipt of Preventive Care Services: A National Study

Cited by 21 publications

References 26 publications

Access to Cancer Care and General Medical Care Services Among Cancer Survivors in the United States

Access to Cancer Care and General Medical Care Services Among Cancer Survivors in the United States

Mobile Mammography Unit Utilization: Perceptions and Interests Among African American Women

Cancer Screening Among Women Prescribed Opioids: A National Study

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