The roles of teaching hospitals, insurance status, and race/ethnicity in receipt of adjuvant therapy for regional-stage breast cancer in Florida.
Objectives. We examined the roles of teaching hospitals, insurance status, and race/ethnicity in women's receipt of adjuvant therapy for regional-stage breast cancer.Methods. Data were taken from the Florida Cancer Data System for cases diagnosed from July 1997 to December 2000. We evaluated the imp...
| Publicado en: | American Journal of Public Health Vol. 96; no. 1; pp. 160 - 167 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Public Health Association
Jan2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106416743&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106416743 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Jan2006 vid: 96 iid: 1 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 106416743 19347236 2009113477 10.2105/AJPH.2004.053579 NLM16317209 106416743 ppf: 160 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The roles of teaching hospitals, insurance status, and race/ethnicity in receipt of adjuvant therapy for regional-stage breast cancer in Florida. aug: au: Richardson LC Tian L Voti L Hartzema AG Reis I Fleming LE MacKinnoin J affil: Department of Medicine, University of Florida, Gainesville; lfr@cdc.gov sug: subj: Academic Medical Centers Breast Neoplasms Drug Therapy Chemotherapy, Adjuvant Health Services Accessibility Florida Insurance, Health Medically Underserved Florida Race Factors Adult Aged Black Persons Breast Neoplasms Diagnosis Confidence Intervals Data Analysis Software Descriptive Statistics Disease Management Female Florida Funding Source Hispanic Americans Hospitals Classification Medicaid Medically Uninsured Middle Age Multiple Logistic Regression Odds Ratio P-Value Registries, Disease Tamoxifen Therapeutic Use White Persons Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female ab: Objectives. We examined the roles of teaching hospitals, insurance status, and race/ethnicity in women's receipt of adjuvant therapy for regional-stage breast cancer.Methods. Data were taken from the Florida Cancer Data System for cases diagnosed from July 1997 to December 2000. We evaluated the impact of health insurance status and hospital type on use of adjuvant therapy (after adjustment for age, race/ethnicity, and marital status). Interaction terms for hospital type, insurance status, and race/ethnicity were entered in each model.Results. Teaching facilities diagnosed 12.5% of the cases; however, they cared for a disproportionate percentage (21.3%) of uninsured and Medicaid-insured women. Among women who received adjuvant chemotherapy only, those diagnosed in teaching hospitals were more likely than those diagnosed in nonteaching hospitals to receive therapy regardless of insurance status or race/ethnicity. Among women who received chemotherapy with or without hormonal therapy, Hispanics were more likely than White non-Hispanic women to receive therapy, whereas women with private insurance or Medicare were less likely than uninsured and Medicaid-insured women to receive this type of therapy.Conclusions. Teaching facilities play an important role in the diagnosis and treatment of regional-stage breast cancer among Hispanics, uninsured women, and women insured by Medicaid. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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