Journal of Cancer Epidemiology最新文献_第7页

The Role of Neighborhood Characteristics in Late Stage Melanoma Diagnosis among Hispanic Men in California, Texas, and Florida, 1996-2012. 1996-2012年加利福尼亚州、德克萨斯州和佛罗里达州西班牙裔男性晚期黑色素瘤诊断中邻里特征的作用

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2017-01-01 Epub Date: 2017-06-18 DOI: 10.1155/2017/8418904

Valerie M Harvey, Clinton W Enos, Jarvis T Chen, Hadiza Galadima, Karl Eschbach

{"title":"The Role of Neighborhood Characteristics in Late Stage Melanoma Diagnosis among Hispanic Men in California, Texas, and Florida, 1996-2012.","authors":"Valerie M Harvey, Clinton W Enos, Jarvis T Chen, Hadiza Galadima, Karl Eschbach","doi":"10.1155/2017/8418904","DOIUrl":"https://doi.org/10.1155/2017/8418904","url":null,"abstract":"Background: Hispanics diagnosed with cutaneous melanoma are more likely to present at advanced stages but the reasons for this are unknown. We identify census tracts at high risk for late stage melanoma diagnosis (LSMD) and examine the contextual predictors of LSMD in California, Texas, and Florida.Methods: We conducted a cross-sectional study using geocoded state cancer registry data. Using hierarchical multilevel logistic regression models we estimated ORs and 95% confidence intervals for the impact of socioeconomic, Hispanic ethnic concentration, index of dissimilarity, and health resource availability measures on LSMD.Results: We identified 12,493 cases. In California, late stage cases were significantly more likely to reside within census tracts composed mostly of Hispanics and immigrants. In Texas, LSMD was associated with residence in areas of socioeconomic deprivation and a higher proportion of immigrants. In Florida, living in areas of low education attainment, high levels of poverty, and a high percentage of Hispanic residents was significantly associated with LSMD. Residential segregation did not independently affect LSMD.Conclusion: The influence of contextual predictors on LSMD varied in magnitude and strength by state, highlighting both the cosegregation of social adversity and poverty and the complexity of their interactions.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2017 ","pages":"8418904"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8418904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35163688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17

Endocrine Therapy Initiation among Older Women with Ductal Carcinoma In Situ. 老年导管原位癌妇女的内分泌治疗开始。

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2017-01-01 Epub Date: 2017-09-13 DOI: 10.1155/2017/6091709

Chelsea Anderson, Aaron N Winn, Stacie B Dusetzina, Hazel B Nichols

{"title":"Endocrine Therapy Initiation among Older Women with Ductal Carcinoma In Situ.","authors":"Chelsea Anderson, Aaron N Winn, Stacie B Dusetzina, Hazel B Nichols","doi":"10.1155/2017/6091709","DOIUrl":"10.1155/2017/6091709","url":null,"abstract":"Background: Although treatment of ductal carcinoma in situ (DCIS) is controversial, national guidelines recommend considering endocrine therapy for women with estrogen receptor- (ER-) positive DCIS or those undergoing breast conserving surgery (BCS) without radiation. We evaluated uptake and predictors of endocrine therapy use among older women with DCIS.Methods: In the SEER-Medicare database, we identified women aged 65+ years diagnosed with DCIS during 2007-2011. We evaluated demographic, tumor, and treatment characteristics associated with endocrine therapy initiation.Results: Among 2,945 women with DCIS, 41% initiated endocrine therapy (66% tamoxifen, 34% aromatase inhibitors). Initiation was more common among women with ER-positive than ER-negative DCIS (48% versus 16%; HR = 3.75, 95% CI: 2.91-4.83); 28% of women with unknown ER status initiated endocrine therapy. Initiation was less common after BCS alone compared to BCS with radiation (32% versus 50%; HR = 0.69, 95% CI: 0.59-0.80).Conclusions: Less than half of older women with DCIS initiate endocrine therapy to prevent second breast cancers. Our findings suggest use was more common, but not exclusive, among women with ER-positive DCIS, but not among women who underwent BCS alone. Endocrine therapy should be targeted toward patients most likely to benefit from its use.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2017 ","pages":"6091709"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5615957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35472858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patterns of Sociodemographic and Clinicopathologic Characteristics of Stages II and III Colorectal Cancer Patients by Age: Examining Potential Mechanisms of Young-Onset Disease. 结直肠癌II期和III期患者的社会人口学和临床病理特征模式:探讨年轻发病的潜在机制

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2017-01-01 Epub Date: 2017-01-23 DOI: 10.1155/2017/4024580

Caitlin C Murphy, Hanna K Sanoff, Karyn B Stitzenberg, John A Baron, Jennifer L Lund, Robert S Sandler

{"title":"Patterns of Sociodemographic and Clinicopathologic Characteristics of Stages II and III Colorectal Cancer Patients by Age: Examining Potential Mechanisms of Young-Onset Disease.","authors":"Caitlin C Murphy, Hanna K Sanoff, Karyn B Stitzenberg, John A Baron, Jennifer L Lund, Robert S Sandler","doi":"10.1155/2017/4024580","DOIUrl":"https://doi.org/10.1155/2017/4024580","url":null,"abstract":"Background and Aims. As a first step toward understanding the increasing incidence of colorectal cancer (CRC) in younger (age < 50) populations, we examined demographic, clinicopathologic, and socioeconomic characteristics and treatment receipt in a population-based sample of patients newly diagnosed with stages II and III CRC. Methods. Patients were sampled from the National Cancer Institute's Patterns of Care studies in 1990/91, 1995, 2000, 2005, and 2010 (n = 6, 862). Tumor characteristics and treatment data were obtained through medical record review and physician verification. We compared sociodemographic and clinicopathologic characteristics and treatment patterns of younger (age < 50) and older (age 50-69, age ≥ 70) CRC patients. Results. Younger patients were more likely to be black (13%) and Hispanic (15%) than patients aged 50-69 years (11% and 10%, resp.) and ≥70 years (7% each). A larger proportion of young white (41%) and Hispanic (33%) patients had rectal tumors, whereas tumors in the right colon were the most common in young black patients (39%). The majority of younger patients received chemotherapy and radiation therapy, although receipt of microsatellite instability testing was suboptimal (27%). Conclusion. Characteristics of patients diagnosed with young-onset CRC differ considerably by race/ethnicity, with a higher proportion of black and Hispanic patients diagnosed at the age of < 50 years.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2017 ","pages":"4024580"},"PeriodicalIF":1.8,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/4024580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34765710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Role of Private Enterprise in Cancer Control in Low to Middle Income Countries 私营企业在中低收入国家癌症控制中的作用

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-12-13 DOI: 10.1155/2016/7121527

C. Nwogu, M. Mahoney, I. Okoye, Kenneth Ejiogu, S. George, G. Dy, M. Jimoh, O. Salako, Oge Ilegbune, Bindiya Chugani, E. Ezeome, A. Popoola, A. Michalek

{"title":"Role of Private Enterprise in Cancer Control in Low to Middle Income Countries","authors":"C. Nwogu, M. Mahoney, I. Okoye, Kenneth Ejiogu, S. George, G. Dy, M. Jimoh, O. Salako, Oge Ilegbune, Bindiya Chugani, E. Ezeome, A. Popoola, A. Michalek","doi":"10.1155/2016/7121527","DOIUrl":"https://doi.org/10.1155/2016/7121527","url":null,"abstract":"Background. About 65% of cancer deaths globally occur in low to middle income countries (LMICs) where prioritization and allocation of resources to cancer care are often quite poor. In the absence of governmental focus on this problem, public-private partnerships may be an avenue to provide effective cancer control. Methods. This manuscript highlights the establishment of a nongovernmental organization (NGO) to stimulate the development of partnerships between oncology professionals, private enterprise, and academic institutions, both locally and internationally. Examples of capacity building, grant support, establishment of collaborative networks, and the development of a facility to provide clinical care are highlighted. Results. Collaborations were established between oncology professionals at academic institutions in the US and Nigeria. Cancer control workshops were conducted in Nigeria with grant support from the Union for International Cancer Control (UICC). A monthly tumor board conference was established at LASUTH in Lagos, and further capacity building is underway with grant support from the United States NCI. An outpatient, privately funded oncology clinic in Lagos has been launched. Conclusion. In LMICs, effective partnership between public and private institutions can lead to tangible strides in cancer control. The use of creative healthcare financing models can also support positive change.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/7121527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64506396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Genetic and Clinical Features of Medullary Thyroid Carcinoma: The Experience of a Single Center in Costa Rica 甲状腺髓样癌的遗传和临床特征:哥斯达黎加单一中心的经验

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-11-27 DOI: 10.1155/2016/9637173

J. Calvo, Gabriel Torrealba, A. Sáenz, C. Santamaria, E. Morera, Silvia Alvarado, Yolanda Roa, M. González

{"title":"Genetic and Clinical Features of Medullary Thyroid Carcinoma: The Experience of a Single Center in Costa Rica","authors":"J. Calvo, Gabriel Torrealba, A. Sáenz, C. Santamaria, E. Morera, Silvia Alvarado, Yolanda Roa, M. González","doi":"10.1155/2016/9637173","DOIUrl":"https://doi.org/10.1155/2016/9637173","url":null,"abstract":"Background. Activating mutations in the RET gene leads to medullary thyroid carcinoma (MTC). Guidelines encourage performing RET analysis in subjects with hereditary and sporadic disease. Materials and Methods. Design. Observational, case series report study. Patients. Subjects diagnosed with MTC, with a thyroidectomy performed in a single center in Costa Rica between the years 2006 and 2015. Diagnosis and Follow-Up. Pre- and postoperative calcitonin, RET mutation, and neck ultrasound and tomography were obtained. Results. 21 subjects with histological diagnosis of MTC were followed up. The average age at diagnosis was 52.0 ± 15.7 years. The preoperative mean value of calcitonin was 1340 ± 665 pg/mL. Evidence of RET mutation was found in 26.3% of the patients, with only 2 of them grouped in the same kindred. We found statistically significant differences in mean ages between mutated (38.4 ± 20.2 y) versus nonmutated RET gene (54.6 ± 11.8 y, p = 0.04). There were no significant differences regarding tumor size, metastases, and surgical reintervention. Conclusions. We report the results of RET mutation analysis in subjects with MTC in a single center of Costa Rica. The availability of this tool increases the probability of identifying familial MTC, with the benefit of detecting affected subjects and their relatives at an earlier age.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/9637173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64628322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Pattern and Distribution of Colorectal Cancer in Tanzania: A Retrospective Chart Audit at Two National Hospitals 坦桑尼亚结直肠癌的模式和分布:两家国家医院的回顾性图表审计

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-11-14 DOI: 10.1155/2016/3769829

L. Katalambula, J. Ntwenya, T. Ngoma, J. Buza, E. Mpolya, A. H. Mtumwa, P. Petrucka

{"title":"Pattern and Distribution of Colorectal Cancer in Tanzania: A Retrospective Chart Audit at Two National Hospitals","authors":"L. Katalambula, J. Ntwenya, T. Ngoma, J. Buza, E. Mpolya, A. H. Mtumwa, P. Petrucka","doi":"10.1155/2016/3769829","DOIUrl":"https://doi.org/10.1155/2016/3769829","url":null,"abstract":"Background. Colorectal cancer (CRC) is a growing public health concern with increasing rates in countries with previously known low incidence. This study determined pattern and distribution of CRC in Tanzania and identified hot spots in case distribution. Methods. A retrospective chart audit reviewed hospital registers and patient files from two national institutions. Descriptive statistics, Chi square (χ 2) tests, and regression analyses were employed and augmented by data visualization to display risk variable differences. Results. CRC cases increased sixfold in the last decade in Tanzania. There was a 1.5% decrease in incidences levels of rectal cancer and 2% increase for colon cancer every year from 2005 to 2015. Nearly half of patients listed Dar es Salaam as their primary residence. CRC was equally distributed between males (50.06%) and females (49.94%), although gender likelihood of diagnosis type (i.e., rectal or colon) was significantly different (P = 0.027). More than 60% of patients were between 40 and 69 years. Conclusions. Age (P = 0.0183) and time (P = 0.004) but not gender (P = 0.0864) were significantly associated with rectal cancer in a retrospective study in Tanzania. Gender (P = 0.0405), age (P = 0.0015), and time (P = 0.0075) were all significantly associated with colon cancer in this study. This retrospective study found that colon cancer is more prevalent among males at a relatively younger age than rectal cancer. Further, our study showed that although more patients were diagnosed with rectal cancer, the trend has shown that colon cancer is increasing at a faster rate.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/3769829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64348320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Risk of Cancer among Commercially Insured HIV-Infected Adults on Antiretroviral Therapy 商业保险艾滋病毒感染成人接受抗逆转录病毒治疗的癌症风险

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-11-02 DOI: 10.1155/2016/2138259

Jeannette Y Lee, I. Dhakal, C. Casper, A. Noy, J. Palefsky, M. Haigentz, S. Krown, R. Ambinder, R. Mitsuyasu

{"title":"Risk of Cancer among Commercially Insured HIV-Infected Adults on Antiretroviral Therapy","authors":"Jeannette Y Lee, I. Dhakal, C. Casper, A. Noy, J. Palefsky, M. Haigentz, S. Krown, R. Ambinder, R. Mitsuyasu","doi":"10.1155/2016/2138259","DOIUrl":"https://doi.org/10.1155/2016/2138259","url":null,"abstract":"The objective of this study was to explore the cancer incidence rates among HIV-infected persons with commercial insurance who were on antiretroviral therapy and compare them with those rates in the general population. Paid health insurance claims for 63,221 individuals 18 years or older, with at least one claim with a diagnostic code for HIV and at least one filled prescription for an antiretroviral medication between January 1, 2006, and September 30, 2012, were obtained from the LifeLink® Health Plan Claims Database. The expected number of cancer cases in the general population for each gender-age group (<30, 30–39, 40–49, 50–59, and >60 years) was estimated using incidence rates from the Surveillance Epidemiology and End Results (SEER) program. Standardized incidence ratios (SIRs) were estimated using their 95% confidence intervals (CIs). Compared to the general population, incidence rates for HIV-infected adults were elevated (SIR, 95% CI) for Kaposi sarcoma (46.08; 38.74–48.94), non-Hodgkin lymphoma (4.22; 3.63–4.45), Hodgkin lymphoma (9.83; 7.45–10.84), and anal cancer (30.54; 25.62–32.46) and lower for colorectal cancer (0.69; 0.52–0.76), lung cancer (0.70; 0.54, 0.77), and prostate cancer (0.54; 0.45–0.58). Commercially insured, treated HIV-infected adults had elevated rates for infection-related cancers, but not for common non-AIDS defining cancers.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2138259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64262656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Screening of Oral Potentially Malignant Disorders Using Exfoliative Cytology: A Diagnostic Modality 使用剥脱细胞学筛查口腔潜在恶性疾病:一种诊断方式

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-09-18 DOI: 10.1155/2016/8134832

Arpita Kabiraj, Tanya Khaitan, D. Bhowmick, Uday Ginjupally, Aritri Bir, K. Chatterjee

{"title":"Screening of Oral Potentially Malignant Disorders Using Exfoliative Cytology: A Diagnostic Modality","authors":"Arpita Kabiraj, Tanya Khaitan, D. Bhowmick, Uday Ginjupally, Aritri Bir, K. Chatterjee","doi":"10.1155/2016/8134832","DOIUrl":"https://doi.org/10.1155/2016/8134832","url":null,"abstract":"Objective. Oral exfoliative cytology (OEC) has been implemented in the diagnosis of pathologic lesions for ages. The present study was undertaken to evaluate the cytomorphological features of some of the commonest potentially malignant disorders (leukoplakia, lichen planus, and oral submucous fibrosis) through a simple procedure and illustrate its importance in mass screening. Materials and Method. A total of 160 subjects with 25–50 years of age were included in the study. Among them, 40 were clinically diagnosed with oral leukoplakia, 40 were diagnosed with oral lichen planus, 40 were diagnosed with oral submucous fibrosis, and 40 were in the control group. The prepared smears were subjected to Papanicolaou stain and analyzed microscopically for the evaluation of the cytomorphological features. Results and Discussion. When analyzed microscopically, 36 (90%) out of the 40 oral leukoplakic lesions showed Class II cytological features whereas 4 (10%) revealed Class I features. Among 40 patients with oral lichen planus, 26 (65%) showed Class II features while the remaining 14 (35%) revealed Class I features. In 40 subjects with oral submucous fibrosis, 32 (80%) showed Class II features while the other 8 (20%) showed Class I features. All the 40 control subjects showed Class I features. Thus, OEC can be widely advocated as an addition to clinical conclusion and an adjunct to biopsy.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/8134832","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64551985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Breast Cancer Prevalence and Mortality among Hispanic Subgroups in the United States, 2009–2013 2009-2013年美国西班牙裔人群乳腺癌患病率和死亡率

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-09-08 DOI: 10.1155/2016/8784040

B. Hunt

{"title":"Breast Cancer Prevalence and Mortality among Hispanic Subgroups in the United States, 2009–2013","authors":"B. Hunt","doi":"10.1155/2016/8784040","DOIUrl":"https://doi.org/10.1155/2016/8784040","url":null,"abstract":"Background. This paper presents data on breast cancer prevalence and mortality among US Hispanics and Hispanic subgroups, including Cuban, Mexican, Puerto Rican, Central American, and South American. Methods. Five-year average annual female breast cancer prevalence and mortality rates for 2009–2013 were examined using data from the National Health Interview Survey (prevalence) and the National Center for Health Statistics and the American Community Survey (mortality rates). Results. Overall breast cancer prevalence among US Hispanic women was 1.03%. Although the estimates varied slightly by Hispanic subgroup, these differences were not statistically significant. The breast cancer mortality rate for Hispanics overall was 17.71 per 100,000 women. Higher rates were observed among Cubans (17.89), Mexicans (18.78), and Puerto Ricans (19.04), and a lower rate was observed among Central and South Americans (10.15). With the exception of the rate for Cubans, all Hispanic subgroup rates were statistically significantly different from the overall Hispanic rate. Additionally, all Hispanic subgroups rates were statistically significantly higher than the Central and South American rate. Conclusion. The data reveal significant differences in mortality across Hispanic subgroups. These data enable public health officials to develop targeted interventions to help lower breast cancer mortality among the highest risk populations.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/8784040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64587275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic 多米尼加共和国健康保险和信息获取对男性前列腺癌筛查的影响

IF 1.8

Journal of Cancer Epidemiology Pub Date : 2016-03-10 DOI: 10.1155/2016/7284303

Joseph Kangmennaang, I. Luginaah

{"title":"The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic","authors":"Joseph Kangmennaang, I. Luginaah","doi":"10.1155/2016/7284303","DOIUrl":"https://doi.org/10.1155/2016/7284303","url":null,"abstract":"Objectives. Although research demonstrates the public health burden of prostate cancer among men in the Caribbean, relatively little is known about the factors that underlie the low levels of testing for the disease among this population. Study Design. A cross-sectional study of prostate cancer testing behaviours among men aged 40–60 years in Dominican Republic using the Demographic and Health Survey (2013). Methods. We use hierarchical binary logit regression models and average treatment effects combined with propensity score matching to explore the determinants of prostate screening as well as the average effect of health insurance coverage on screening. The use of hierarchical binary logit regression enabled us to control for the effect of unobserved heterogeneity at the cluster level that may affect prostate cancer testing behaviours. Results. Screening varied significantly with health insurance coverage, knowledge of cholesterol level, education, and wealth. Insured men were more likely to test for prostate cancer (OR = 1.65, p = 0.01) compared to the uninsured. Conclusions. The expansion and restructuring of Dominican Republic universal health insurance scheme to ensure equity in access may improve health access that would potentially impact positively on prostate cancer screening among men.","PeriodicalId":15366,"journal":{"name":"Journal of Cancer Epidemiology","volume":"2016 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2016-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/7284303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64513482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8