Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019.

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Tác giả: Mrithula Suresh Babu, Monica L Kasting, Natalia M Rodriguez

Ngôn ngữ: eng

Ký hiệu phân loại: 621.18 Generating and transmitting steam

Thông tin xuất bản: United States : Preventive medicine reports , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 463234

INTRODUCTION: Health insurance status is an important determinant of health outcomes for patients with cancer. This study aimed to assess the extent to which health insurance coverage in Indiana is a contributing factor to the stage of cervical cancer diagnosis. METHODS: We examined reported cervical cancer cases among females ( RESULTS: The multinomial analysis showed that uninsured females (OR = 2.42, 95 % CI = 1.35-4.35) and those who have Medicaid (OR = 2.36, 95 % CI = 1.62-3.42) were significantly more likely to be diagnosed at the regional stage than the in-situ stage compared to females with private insurance. Additionally, Black (OR = 1.98, 95 % CI = 1.21-3.24) and Hispanic females (OR = 2.19, 95 %CI = 1.04-4.61) were significantly more likely to be diagnosed at the regional stage than the in-situ stage when compared to Non-Hispanic White females. Females who are uninsured (OR = 4.43, 95 % CI = 2.23-8.44) and those who have Medicaid (OR = 3.03, 95 % CI = 1.91-4.80) were significantly more likely to be diagnosed at the distant stage than in-situ, compared to females with private insurance. CONCLUSION: Insurance status and race/ethnicity are associated with later stages of cervical cancer diagnosis. Increased coverage for routine cervical cancer screening and preventive care services is recommended, especially for racial/ethnic minority populations, the uninsured and those with public insurance.
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