Avoidance of medical care among American Indians with a history of cancer during the coronavirus pandemic.

Autor:	Chen S; Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States., James SA; Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States., Hall S; Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States., Dang JH; UC Davis Comprehensive Cancer Center, University of California, Davis, Sacramento, CA, United States., Campbell JE; Department of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States., Chen MS Jr; UC Davis Comprehensive Cancer Center, University of California, Davis, Sacramento, CA, United States., Doescher MP; Stephenson Cancer Center, College of Medicine, University of Oklahoma, Oklahoma City, OK, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2023 Nov 03; Vol. 11, pp. 1265071. Date of Electronic Publication: 2023 Nov 03 (Print Publication: 2023).
DOI:	10.3389/fpubh.2023.1265071
Abstrakt:	Objectives: Assess the percentage of cancer-related appointment delays, cancelations, and the unavailability of medications experienced by American Indian participants during the COVID-19 pandemic. Methods: This cross-sectional survey study was completed between October 2020 and July 2021 by 360 individuals with cancer who lived in California and Oklahoma. Binary and multivariate logistic regression analysis was completed in SAS 9.4. Results: During the initial Covid-19 pandemic, almost one-third (30%) of respondents delayed cancer-related appointments, 42% canceled cancer-related appointments, and one-quarter (24%) were unable to access prescription medications or over-the-counter medications (27%) due to COVID-19. People who underwent testing for COVID-19 were five times more likely to delay a medical appointment [adjusted odds ratio (aOR) = 5.3, 95% CI:2.4, 11.7] and people who followed three or more social distancing measures were more than six times more likely to cancel medical appointments (aOR:6.3, 95% CI:2.9, 13.9). Conclusion: This study identifies delays, cancelations, and medication inaccessibility people identifying as American Indian faced during the coronavirus pandemic. Disparities in healthcare delivery could contribute to increased morbidity and mortality rates of cancer. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Chen, James, Hall, Dang, Campbell, Chen and Doescher.)
Databáze:	MEDLINE
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