Increased disparities associated with black women and abnormal cervical cancer screening follow-up
| dc.contributor.author | Boitano, Teresa K.L. | |
| dc.contributor.author | Ketch, Peter | |
| dc.contributor.author | Maier, Julia G. | |
| dc.contributor.author | Nguyen, Christine T. | |
| dc.contributor.author | Huh, Warner K. | |
| dc.contributor.author | Straughn, J. Michael | |
| dc.contributor.author | Scarinci, Isabel C. | |
| dc.date.accessioned | 2023-03-02T16:09:38Z | |
| dc.date.available | 2023-03-02T16:09:38Z | |
| dc.date.issued | 2022-07-16 | |
| dc.description.abstract | Background: To determine whether race and ethnicity impacts patient adherence to follow-up for colposcopy after abnormal cervical cancer screening. Methods: This retrospective chart review included women that were randomly selected from patients presenting to our colposcopy clinic from 1/2019 to 12/2019. Inclusion criteria were females age ≥21 years-old and appropriate referral for colposcopy. Patients were grouped into three categories: (1) ADHERENT to follow-up if they came to their first scheduled appointment; (2) DELAYED if they presented more than three months from their original referral (usually missing 1–3 appointments); and (3) NOT ADHERENT if they did not show for their appointment after referral. Analysis was performed using SPSS v.26. Results: 284 women met inclusion criteria for the study. The majority of women were Black (65.2 %) followed by non-Hispanic Whites (20.0 %) and Latinx (14.8 %). Overall, 39.1 % were ADHERENT, 18.6 % were DELAYED, and 42.3 % were NOT ADHERENT. When compared with non-Hispanic White women, there was a significant difference between race/ethnicity and timing of follow-up (p = 0.03). Blacks were more likely to be NOT ADHERENT (45.9 %; p = 0.03), and Latinx and Blacks were the most likely to be DELAYED (35.7 % and 21.1 %; p = 0.03). Private insurance patients were more likely to be ADHERENT for care compared with un-/underinsured patients (78.9 vs 27.8 %, p = 0.0001). Conclusion: There is inadequate follow-up after abnormal cervical cancer screening across all races/ethnicities; however, lack of adherence is higher in Black patients. Moreover, 25% of Hispanic and Black women present in a delayed fashion. Culturally relevant assessments and interventions are needed to understand and address these gaps. | en_US |
| dc.identifier.citation | Boitano, T. K. L., Ketch, P., Maier, J. G., Nguyen, C. T., Huh, W. K., Michael Straughn, J., & Scarinci, I. C. (2022). Increased disparities associated with black women and abnormal cervical cancer screening follow-up. Gynecologic oncology reports, 42, 101041. https://doi.org/10.1016/j.gore.2022.101041 | en_US |
| dc.identifier.other | DOI: 10.1016/j.gore.2022.101041 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14041/5967 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Gynecologic Oncology Reports | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject | Cervical Cancer Screening | en_US |
| dc.subject | Abnormal Screening Follow-Up | en_US |
| dc.subject | Racial Disparities | en_US |
| dc.subject | HPV Testing | en_US |
| dc.subject | Lost to Follow-Up | en_US |
| dc.title | Increased disparities associated with black women and abnormal cervical cancer screening follow-up | en_US |
| dc.type | Article | en_US |