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- Title
Racial/Ethnic Disparities in Health Care Receipt Among Male Cancer Survivors.
- Authors
Palmer, Nynikka R. A.; Geiger, Ann M.; Felder, Tisha M.; Lu, Lingyi; Case, L. Douglas; Weaver, Kathryn E.
- 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.
- Subjects
TUMOR classification; AGE distribution; CANCER patients; CONFIDENCE intervals; EPIDEMIOLOGY; ETHNOLOGY; HEALTH care rationing; MEDICARE; MULTIVARIATE analysis; SURVEYS; LOGISTIC regression analysis; DATA analysis; DATA analysis software; DESCRIPTIVE statistics
- Publication
American Journal of Public Health, 2013, Vol 103, Issue 7, p1306
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2012.301096