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Am J Public Health. 2013 Jul;103(7):1306-13. doi: 10.2105/AJPH.2012.301096. Epub 2013 May 16.

Racial/Ethnic disparities in health care receipt among male cancer survivors.

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1
Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.

Abstract

OBJECTIVES:

We examined racial/ethnic disparities in health care receipt among a nationally representative sample of male cancer survivors.

METHODS:

We identified men aged 18 years and older from the 2006-2010 National Health Interview Survey who reported a history of cancer. We assessed health care receipt in 4 self-reported measures: primary care visit, specialist visit, flu vaccination, and pneumococcal vaccination. We used hierarchical logistic regression modeling, stratified by age (< 65 years vs ≥ 65 years).

RESULTS:

In adjusted models, older African American and Hispanic survivors were approximately twice as likely as were non-Hispanic Whites to not see a specialist (odds ratio [OR] = 1.78; 95% confidence interval [CI] = 1.19, 2.68 and OR = 2.09; 95% CI = 1.18, 3.70, respectively), not receive the flu vaccine (OR = 2.21; 95% CI = 1.45, 3.37 and OR = 2.20; 95% CI = 1.21, 4.01, respectively), and not receive the pneumococcal vaccine (OR = 2.24; 95% CI = 1.54, 3.24 and OR = 3.10; 95% CI = 1.75, 5.51, respectively).

CONCLUSIONS:

Racial/ethnic disparities in health care receipt are evident among older, but not younger, cancer survivors, despite access to Medicare. These survivors may be less likely to see specialists, including oncologists, and receive basic preventive care.

PMID:
23678936
PMCID:
PMC3682605
DOI:
10.2105/AJPH.2012.301096
[Indexed for MEDLINE]
Free PMC Article
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