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

Details

• Alternative Title:
  J Community Health
• Personal Author:
  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 M. ; Hébert, James R.
• Description:
  Federally qualified health centers (FQHCs) offer primary and preventive healthcare, including cancer screening, for the nation's most vulnerable population. The purpose of this study was to explore the relationship between access to FQHCs and cancer mortality-to-incidence ratios (MIRs). One-way analysis of variance was conducted to compare the mean MIRs for breast, cervical, prostate, and colorectal cancers for each U.S. county for 2006-2010 by access to FQHCs (direct access, in-county FQHC; indirect access, adjacent-county FQHC; no access, no FQHC either in the county or in adjacent counties). ArcMap 10.1 software was used to map cancer MIRs and FQHC access levels. The mean MIRs for breast, cervical, and prostate cancer differed significantly across FQHC access levels (p < 0.05). In urban and healthcare professional shortage areas, mean MIRs decreased as FQHC access increased. A trend of lower breast and prostate cancer MIRs in direct access to FQHCs was found for all racial groups, but this trend was significant for whites only. States with a large proportion of rural and medically underserved areas had high mean MIRs, with correspondingly more direct FQHC access. Expanding FQHCs to more underserved areas and concentrations of disparity populations may have an important role in reducing cancer morbidity and mortality, as well as racial-ethnic disparities, in the United States.
• Subjects:
  Black Or African American Breast Neoplasms Colorectal Neoplasms Early Detection Of Cancer Female Health Services Accessibility Humans Incidence Male Medically Underserved Area Neoplasms Prostatic Neoplasms Rural Population Safety-net Providers Socioeconomic Factors Urban Population Uterine Cervical Neoplasms Vulnerable Populations

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• Source:
  J Community Health. 2015; 40(4):633-641.
• Pubmed ID:
  25634545
• Pubmed Central ID:
  PMC4490935
• Document Type:
  Journal Article
• Funding:
  K01 CA169041/CA/NCI NIH HHS/United States ; K05 CA136975/CA/NCI NIH HHS/United States ; R01 CA 124397/CA/NCI NIH HHS/United States ; R01 CA124397/CA/NCI NIH HHS/United States ; R15 CA156098/CA/NCI NIH HHS/United States ; U48/DP001936/DP/NCCDPHP CDC HHS/United States ; U54 CA153461/CA/NCI NIH HHS/United States ; U54 CA153461-01/CA/NCI NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  40
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d3b18baaa49af048cc4445bac68bd4da981bde73627921a55f04d532adac35fd
• Download URL:
  https://stacks.cdc.gov/view/cdc/33980/cdc_33980_DS1.pdf
• File Type:
  [PDF - 2.72 MB ]