Abstract A74: The impact of health-related legal issues on timely care among women with abnormal cancer screening
| Autor: | Karen M. Freund, Samantha Morton, Timothy Heeren, Sharon Bak, Sarah W. Primeau, Tracy A. Battaglia |
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| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Cancer Epidemiology, Biomarkers & Prevention. 21:A74-A74 |
| ISSN: | 1538-7755 1055-9965 |
| DOI: | 10.1158/1055-9965.disp12-a74 |
| Popis: | Introduction: The presence of health-related legal issues, defined as adverse social circumstances with legal remedies that reside in laws, regulation or polices, may contribute to cancer disparities. For example, the denial of adequate food, housing or insurance may impact one's ability to engage in recommended care. Methods: The Boston Patient Navigation Research Program collected data (2007-2008) for women with a breast or cervical cancer screening abnormality at 6 community health centers. This secondary analysis assesses the impact of health-related legal issues on timeliness to diagnostic care, defined as resolution within 365 days from the abnormal screen. Legal issues were captured in 5 categories: income supports, housing and utilities, education and employment, legal status, and personal or family stability and safety. Results: 1,493 women received navigation; mean age 39 years; 31% Hispanic, 27% Black, 32% White; 37% non-English speakers and 28% had private health insurance. Overall, 88 women (6%) had legal issues identified by the navigator. Compared to those without legal issues, those with were more likely to be younger (p=.001) and have public or no health insurance (p=.03). The association between the presence of legal issues and time to resolution was found to be time-dependent. When controlling for age, race, insurance, language and care site, women with legal issues were less likely to resolve early on (60 day HR=.51 (0.39, 0.66)), though the effect diminished with follow-up time (180 day HR=0.81 (0.57, 1.14)). Conclusion: The presence of health-related legal issues negatively impacts timely resolution of screening abnormalities, suggesting unmet needs despite navigation. Citation Format: Tracy A. Battaglia, Sarah W. Primeau, Sharon M. Bak, Timothy Heeren, Samantha Morton, Karen M. Freund. The impact of health-related legal issues on timely care among women with abnormal cancer screening. [abstract]. In: Proceedings of the Fifth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2012 Oct 27-30; San Diego, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2012;21(10 Suppl):Abstract nr A74. |
| Databáze: | OpenAIRE |
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