Decreased cancer mortality-to-incidence ratios with increased accessibility of federally qualified health centers

제목
Decreased cancer mortality-to-incidence ratios with increased accessibility of federally qualified health centers
저자

Swann Arp Adams; Seul Ki Choi; Leepao Khang; Dayna A. Campbell; Daniela B. Friedman; Jan M. Eberth; Russell E. Glasgow; Reginald Tucker-Seeley; Sudha Xirasagar; Mei Po Yip; Vicki M. Young; James R. Hébert

키워드
Cancer; Community health centers; Medically underserved areas; African Americans; Health care disparity
발행연도
2015-08-01
발행기관
Springer
Series
Journal of community health, vol. 40, no. 4, pp. 633 - 641
Journal Title
Journal of community health
초록
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.
ISSN
0094-5145
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