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Journal article
Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers
Journal of community health, v 40(4), pp 633-641
01 Aug 2015
PMID: 25634545
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Federally qualified health centers (FQHCs) offer primary and preventive healthcare, including cancer screening, for the nation's most vulnerable population. The purpose of this study was to explore the relationship between access to FQHCs and cancer mortality-to-incidence ratios (MIRs). One-way analysis of variance was conducted to compare the mean MIRs for breast, cervical, prostate, and colorectal cancers for each U.S. county for 2006-2010 by access to FQHCs (direct access, in-county FQHC; indirect access, adjacent-county FQHC; no access, no FQHC either in the county or in adjacent counties). ArcMap 10.1 software was used to map cancer MIRs and FQHC access levels. The mean MIRs for breast, cervical, and prostate cancer differed significantly across FQHC access levels (p < 0.05). In urban and healthcare professional shortage areas, mean MIRs decreased as FQHC access increased. A trend of lower breast and prostate cancer MIRs in direct access to FQHCs was found for all racial groups, but this trend was significant for whites only. States with a large proportion of rural and medically underserved areas had high mean MIRs, with correspondingly more direct FQHC access. Expanding FQHCs to more underserved areas and concentrations of disparity populations may have an important role in reducing cancer morbidity and mortality, as well as racial-ethnic disparities, in the United States.
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Details
- Title
- Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers
- Creators
- Swann Arp Adams - University of South CarolinaSeul Ki Choi - University of South CarolinaLeepao Khang - California State University, FresnoDayna A. Campbell - Columbia VA Health Care SystemDaniela B. Friedman - University of South CarolinaJan M. Eberth - University of South CarolinaRussell E. Glasgow - University of Colorado DenverReginald Tucker-Seeley - Harvard UniversitySudha Xirasagar - University of South CarolinaMei Po Yip - University of WashingtonVicki M. Young - Columbia VA Health Care SystemJames R. Hebert - University of South Carolina
- Publication Details
- Journal of community health, v 40(4), pp 633-641
- Publisher
- Springer Nature
- Number of pages
- 9
- Grant note
- U48/DP001936 / Centers for Disease Control and Prevention (Prevention Research Centers); United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA K01 CA169041 / NCI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) U54 CA153461-01 / National Cancer Institute, Center to Reduce Cancer Health Disparities (Community Networks Program) R01 CA 124397 / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) K05 CA136975 / Cancer Training Branch of the NCI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000357342800004
- Scopus ID
- 2-s2.0-84943354719
- Other Identifier
- 991021855274804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health