Adams et al. Respond
Autor: | James R. Hébert, Heather M. Brandt, Swann Arp Adams, Daniela B. Friedman, Suel Ki Choi, Jan M. Eberth |
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Jazyk: | angličtina |
Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Letter to the editor MEDLINE Uterine Cervical Neoplasms Breast Neoplasms Health Services Accessibility 03 medical and health sciences Behavioral Risk Factor Surveillance System 0302 clinical medicine medicine Humans 030212 general & internal medicine Healthcare Disparities Early Detection of Cancer Quality of Health Care Extramural AJPH Errata Medicaid Patient Protection and Affordable Care Act Public Health Environmental and Occupational Health Middle Aged United States 030220 oncology & carcinogenesis Family medicine Cancer disparities Medicaid coverage Female Psychology Colorectal Neoplasms AJPH Letters and Responses |
Popis: | We estimated the impact on cancer disparities in US states that have chosen or not chosen to expand Medicaid since passage of the Patient Protection and Affordable Care Act.Data came from the 2013 Uniform Data System for colorectal and cervical cancer screening rates among patients of federally qualified health centers (FQHCs); the 2012 Behavioral Risk Factor Surveillance System for colorectal, cervical, and breast cancer screening rates; and the US Cancer Statistics (2007-2011) for colorectal, cervical, and breast cancer mortality-to-incidence ratios (MIRs). Dyads of Medicaid expansion decisions with cancer screening rates and MIRs were mapped using ArcMap.States that had not expanded Medicaid as of September 2014 had lower cancer screening rates, especially among FQHC patients. Overall, cancer MIRs were not significantly different by Medicaid expansion status. However, Southeastern states without Medicaid expansion tended to have higher cancer MIRs and lower screening rates.Disparities in cancer screening that already disfavor states with high cancer rates may widen in states that have not chosen to expand Medicaid unless significant efforts are mounted to ensure their residents obtain preventive health care. |
Databáze: | OpenAIRE |
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