Authors: Yabroff KR, Short PF, Machlin S, Dowling E, Rozjabek H, Li C, McNeel T, Ekwueme DU, Virgo KS
Title: Access to Preventive Health Care for Cancer Survivors
Journal: Am J Prev Med 45(3):304-12
Date: 2013 Aug 06
Abstract: Background: Access to health care, particularly effective primary and secondary preventive care, iscritical for cancer survivors, in order to minimize the adverse sequelae of cancer and its treatment.Purpose: The goal of the study was to evaluate the association between cancer survivorship andaccess to primary and preventive health care.Methods: Cancer survivors (n=4960) and individuals without a cancer history (n=64,431) aged≥18 years, from the 2008-2010 Medical Expenditure Panel Survey (MEPS), were evaluated. Multiplemeasures of access and preventive services use were compared. The association between cancersurvivorship and access and preventive services was evaluated with multivariate logistic regressionmodels, stratified by age group (18-64 years and ≥65 years), controlling for the effects of age, gender,race/ethnicity, education, marital status, and comorbidities. Data were analyzed in 2013.Results: Cancer survivors aged ≥65 years had equivalent or greater access and preventive servicesuse than individuals without a cancer history, in adjusted analyses. However, among those aged18-64 years with private health insurance, cancer survivors were more likely than other individualsto have a usual source of care and to use preventive services, whereas uninsured or publicly insuredcancer survivors were generally less likely to have a usual source of care and to use preventive servicesthan were uninsured or publicly insured adults without a cancer history.Conclusions: Although access and preventive care use in cancer survivors is generally equivalent orgreater compared to that of other individuals, disparities for uninsured and publicly insured cancersurvivors aged 18-64 years suggest that improvements in survivor care are needed.
Last Modified: 03 Sep 2013