Perceived Financial Barriers to Cervical Cancer Screening and Associated Cost Burden Among Low-Income, Under-Screened Women
| Autor: | Lynn Barclay, Caitlin B. Biddell, Noel T. Brewer, Sarah Jackson, Jennifer S. Smith, Andrea C. Des Marais, Lisa P. Spees, Busola Sanusi, Michael G. Hudgens, Stephanie B. Wheeler, Erin E. Kent |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Low income
Adult medicine.medical_specialty Uterine Cervical Neoplasms Cervical cancer screening Cost burden 03 medical and health sciences 0302 clinical medicine Cancer screening medicine North Carolina Humans 030212 general & internal medicine Human papillomavirus Poverty Early Detection of Cancer Cervical cancer 030505 public health Obstetrics business.industry General Medicine Original Articles Middle Aged medicine.disease Health equity Female 0305 other medical science business Cervical cancer incidence |
| Zdroj: | J Womens Health (Larchmt) |
| Popis: | Background: Despite screening's effectiveness in reducing cervical cancer incidence and mortality, disparities in cervical cancer screening uptake remain, with lower rates documented among uninsured and low-income individuals. We examined perceived financial barriers to, and the perceived cost burden of, cervical cancer screening. Materials and Methods: We surveyed 702 low-income, uninsured or publicly insured women ages 25–64 years in North Carolina, U.S., who were not up to date on cervical cancer screening according to national guidelines. Participants were asked about perceived financial barriers to screening and how much they perceived screening would cost. We used multivariable logistic regression to assess the sociodemographic predictors of perceived financial barriers. Results: Seventy-two percent of participants perceived financial barriers to screening. Screening appointment costs (71%) and follow-up/future treatment costs (44%) were most commonly reported, followed by lost pay due to time missed from work (6%) and transportation costs (5%). In multivariable analysis, being uninsured (vs. publicly insured), younger (25–34 vs. 50–64 years), White (vs. Black), and not reporting income data were associated with perceiving screening costs and future treatment costs as barriers to screening. Participants reported wide-ranging estimates of the perceived out-of-pocket cost of screening ($0–$1300), with a median expected cost of $245. Conclusions: The majority of our sample of low-income women perceived substantial financial barriers to screening, particularly related to screening appointment costs and potential follow-up/future treatment costs. Providing greater cost transparency and access to financial assistance may reduce perceived financial barriers to screening, potentially increasing screening uptake among this underserved population. Clinicaltrials.gov registration number NCT02651883. |
| Databáze: | OpenAIRE |
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