Abstract

Abstract:

Objectives. To identify determinants of follow-up care and diagnosis of invasive cervical cancer among uninsured/underinsured women screened for cervical cancer. Methods. We examined the associations between health care facility, area-level, and individual-level factors on the outcomes of interest in retrospective cohort of women from the New Jersey Cancer Education and Early Detection Program (2000–2015). Results. Women screened at department of health clinics (aOR:3.11, 95% CI: 2.30–4.20) and health care system-affiliated clinics (aOR:1.71, 95% CI: 1.11–2.64) had higher odds of lacking follow-up care compared with women in private physician practices. Similarly, women residing in areas with the highest unemployment had higher odds of lacking follow-up (aOR:1.48, 95% CI: 1.07–2.06). Delays in follow-up care were higher for women born in Central/South American countries compared with U.S.-born women (aOR: 1.46, 95% CI: 1.12–1.92). Conclusions. Improved outreach efforts and multilevel strategies are needed to address the persistent barriers to appropriate follow-up care for underserved women.

pdf

Additional Information

ISSN
1548-6869
Print ISSN
1049-2089
Pages
pp. 680-701
Launched on MUSE
2019-05-21
Open Access
No
Back To Top

This website uses cookies to ensure you get the best experience on our website. Without cookies your experience may not be seamless.