Determinants of Abnormal Cervical Cancer Screening Follow-Up And Invasive Cervical Cancer Among Uninsured and Underinsured Women in New Jersey

Details

• Alternative Title:
  J Health Care Poor Underserved
• Personal Author:
  Tsui, Jennifer ; Llanos, Adana A.M. ; Doose, Michelle ; Rotter, David ; Stroup, Antoinette
• Description:
  Objectives.
  
  To identify determinants of follow-up care and diagnosis of invasive cervical cancer among uninsured/underinsured women screened for cervical cancer.
  
  Methods.
  
  We examined the associations between health care facility, area-level, and individual-level factors on the outcomes of interest in retrospective cohort of women from the New Jersey Cancer Education and Early Detection Program (2000–2015).
  
  Results.
  
  Women screened at department of health clinics (aOR:3.11, 95% CI: 2.30–4.20) and health care system-affiliated clinics (aOR:1.71, 95% CI: 1.11–2.64) had higher odds of lacking follow-up care compared with women in private physician practices. Similarly, women residing in areas with the highest unemployment had higher odds of lacking follow-up (aOR:1.48, 95% CI: 1.07–2.06). Delays in follow-up care were higher for women born in Central/South American countries compared with U.S.-born women (aOR: 1.46, 95% CI: 1.12–1.92).
  
  Conclusions.
  
  Improved outreach efforts and multilevel strategies are needed to address the persistent barriers to appropriate follow-up care for underserved women.
  
  
• Subjects:
  Article Cervical Cancer Screening Disparities Follow-up Care Medically Underserved Minority Populations Uninsured
• Source:
  J Health Care Poor Underserved. 30(2):680-701
• Pubmed ID:
  31130545
• Pubmed Central ID:
  PMC6612267
• Document Type:
  Journal Article
• Funding:
  HHSN261201300021C/CA/NCI NIH HHS/United States ; P30 CA072720/CA/NCI NIH HHS/United States ; U58 DP003931/DP/NCCDPHP CDC HHS/United States
• Volume:
  30
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0a89e0f78a553f645cd45590691ceca20d1f6cf827370d3d9ad2975ab03389c4
• Download URL:
  https://stacks.cdc.gov/view/cdc/79702/cdc_79702_DS1.pdf
• File Type:
  [PDF - 321.26 KB ]