Identifying an association between socio‐demographic factors and breast cancer screening adherence in a federally qualified health centre sample in the United States. A retrospective, cross‐sectional study

Bibliographic Data

ID12287944
AuthorsKari Kosog (Dept. of Health Systems Management Rush UniversityECG Management Consultants Chicago IL USA), Melinda Earle (0000-0002-0636-5284, College of Nursing and College of Health Sciences Rush University Medical Center Chicago IL USA), Ed Stellon (Heartland Alliance Health Chicago IL USA), Christopher J Nolan (0000-0002-6964-3819, Rush University Medical Center), Christopher Nolan (0000-0002-0621-2907, Rush University Medical Center Chicago IL USA), Mary Katherine Wainwright (Rush University Medical Center), Thomas A Webb (0000-0003-0610-9755, Center for Quality, Safety and Value Analytics Rush University Medical Center Chicago IL USA), Jeff Canar (0000-0002-0058-4232, Dept. of Health Systems Management Rush UniversityECG Management Consultants Chicago IL USA, corresponding author)
Year2020
Volume28
Issue5
Pages1772-1779
Publication date2020-04-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13002
PMID32304270
OpenAlexW3017317532
LanguageEN
Citations received2
References cited15

Federally Qualified Health Centres (FQHC) are community-based centres in the United States, intended to fill a gap in care for underserved populations, including Medicaid patients and the homeless. Because of the Affordable Care Act, passed into law in 2010, there was a 29% increase in Medicaid enrolees nationally. One service offered at FQHCs is breast cancer screening. Breast cancer screening has been shown to have the lowest adherence levels among low-income women and homeless women. As they serve patients with socio-economic barriers, FQHCs are a vital resource in ensuring access to such screening. This study aimed to identity an association between socio-demographic factors and breast cancer screening adherence in FQHC patients that included the homeless. This exploratory, cross-sectional, retrospective study looked at encounter level data from a FQHC in a major metropolitan (Chicago, IL) area from January 1st, 2017 through December 31st, 2018. Data were collected in January of 2019. This was a convenience sample. Association was tested through bivariate chi-square tests and multivariate logistic regression analysis, investigating the association between socio-demographic characteristics and compliance (Yes/No) for breast cancer screening. Results showed age (55-59; 65-69) and homeless status (doubling-up, transitional) showed a positive association with breast cancer screening, while insurance status (self-pay) had a negative association. Age, homeless status and insurance type were significantly associated with adherence. Demographic characteristics in the homeless population can be used to identify nonadherence

Breast cancer · Breast cancer screening · Cancer · Cross-sectional study · Environmental health · Family medicine · Health care · Logistic regression · Mammography · Medicaid · Population · Cancer Risks and Factors · Demography · Economic and Financial Impacts of Cancer · Global Cancer Incidence and Screening · Medicine · Gerontology

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