Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults

Tomi Akinyemiju, John W. Waterbor, Maria Pisu, Justin Xavier Moore, Sean F. Altekruse

Research output: Contribution to journalArticle

Abstract

This study aims to examine if access to healthcare, measured through the availability of medical resources at the neighborhood level, influences colorectal cancer (CRC) stage, treatment and survival using the Surveillance Epidemiology and Ends Result (SEER) dataset (November 2012), linked with the 2004 Area Resource File. A cross-sectional study was conducted to determine the association between availability of healthcare resources and CRC outcomes among non-Hispanic Black (n = 9162) and non-Hispanic White patients (n = 97,264). CRC patients were identified using the SEER*Stat program, and individual socio-demographic, clinical, and county-level healthcare access variables were obtained for each patient. Among NH-W patients, residence in counties with lower number of oncology hospitals was associated with increased odds of late stage diagnosis (OR 1.09, 95 % CI 1.04–1.14), reduced odds of receiving surgery (OR 0.83, 95 % CI 0.74–0.92) and higher hazard rates (HR 1.09, 95 % CI 1.06–1.12). There were no significant associations among NH-B patients. Increased availability of healthcare resources improves CRC outcomes among NH-W patients. However, future studies are required to better understand healthcare utilization patterns in NH-B neighborhoods, and identify other important dimensions of healthcare access such as affordability, acceptability and accommodation.

Original languageEnglish (US)
Pages (from-to)296-304
Number of pages9
JournalJournal of Community Health
Volume41
Issue number2
DOIs
StatePublished - Apr 1 2016
Externally publishedYes

Fingerprint

Colorectal Neoplasms
cancer
Delivery of Health Care
epidemiology
resources
surveillance
cross-sectional study
SEER Program
accommodation
surgery
Delayed Diagnosis
utilization
Epidemiology
Cross-Sectional Studies
Demography
Survival
Therapeutics

Keywords

  • Cancer
  • Colorectal cancer
  • Disparities
  • Healthcare access
  • Residential area

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults. / Akinyemiju, Tomi; Waterbor, John W.; Pisu, Maria; Moore, Justin Xavier; Altekruse, Sean F.

In: Journal of Community Health, Vol. 41, No. 2, 01.04.2016, p. 296-304.

Research output: Contribution to journalArticle

Akinyemiju, Tomi ; Waterbor, John W. ; Pisu, Maria ; Moore, Justin Xavier ; Altekruse, Sean F. / Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults. In: Journal of Community Health. 2016 ; Vol. 41, No. 2. pp. 296-304.
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