Driving out cancer disparities

2012 ◽  
Author(s):  
Amy Novotney
Keyword(s):  
Cancer Disparities

Did Medicaid Expansion Mitigate Disparities in Post-mastectomy Reconstruction Rates?

2022 ◽  
pp. 000313482110604
Author(s):  
Alison R. Goldenberg ◽  
Lauren M. Willcox ◽  
Daria M. Abolghasemi ◽  
Renjian Jiang ◽  
Zheng Z. Wei ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Insurance Coverage ◽  
Complex Problem ◽  
Cancer Disparities ◽  
Multivariate Model ◽  
Medicaid Expansion ◽  
The Us ◽  
Caucasian Women ◽  
Breast Cancer Disparities ◽  
To Receive

Background Patient and socioeconomic factors both contribute to disparities in post-mastectomy reconstruction (PMR) rates. We sought to explore PMR patterns across the US and to determine if PMR rates were associated with Medicaid expansion. Methods The NCDB was used to identify women who underwent PMR between 2004-2016. The data was stratified by race, state Medicaid expansion status, and region. A multivariate model was fit to determine the association between Medicaid expansion and receipt of PMR. Results In comparison to Caucasian women receiving PMR in Medicaid expansion states, African American (AA) women in Medicaid expansion states were less likely to receive PMR (OR .96 [.92-1.00] P < .001). Patients in the Northeast (NE) had better PMR rates vs any other region in the US, for both Caucasian and AA women (Caucasian NE ref, Caucasian-South .80 [.77-.83] vs AA NE 1.11 [1.04-1.19], AA-South (.60 [.58-.63], P < .001). Interestingly, AA patients residing in the NE had the highest receipt of PMR 1.11 (1.04-1.19), even higher than their Caucasian counterparts residing in the same region (ref). Rural AA women had the lowest rates of PMR vs rural Caucasian women (.40 [.28-.58] vs .79 [.73-.85], P < .001]. Discussion Racial disparities in PMR rates persisted despite Medicaid expansion. When stratified by region, however, AA patients in the NE had higher rates of PMR than AA women in other regions. The largest disparities were seen in AA women in the rural US. Breast cancer disparities continue to be a complex problem that was not entirely mitigated by improved insurance coverage.

scholarly journals Should Measures of Health Care Availability Be Based on the Providers or the Procedures? A Case Study with Implications for Rural Colorectal Cancer Disparities

2018 ◽  
Vol 35 (2) ◽  
pp. 236-243 ◽  
Author(s):  
Michele J. Josey ◽  
Jan M. Eberth ◽  
Lee R. Mobley ◽  
Mario Schootman ◽  
Janice C. Probst ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Disparities ◽  
Health Care Availability ◽  
Care Availability

scholarly journals Penile Cancer Disparities in Puerto Rican Men as compared to the United States Population

2012 ◽  
Vol 38 (6) ◽  
pp. 728-738 ◽  
Author(s):  
Vivian Colón-López ◽  
Ana P. Ortiz ◽  
Marievelisse Soto-Salgado ◽  
Mariela Torres-Cintrón ◽  
Curtis A. Pettaway ◽  
...  
Keyword(s):  
United States ◽  
Puerto Rican ◽  
Penile Cancer ◽  
The United States ◽  
Cancer Disparities ◽  
United States Population
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