How Trust in Cancer Information Has Changed in the Era of COVID-19: Patterns by Race and Ethnicity

Journal of Health Communication, Journal Year: 2023, Volume and Issue: 28(3), P. 131 - 143

Published: March 4, 2023

COVID-19 emerged during an era of heightened attention to systemic racism and the spread misinformation. This context may have impacted public trust in health information about chronic diseases like cancer. Here, we examine data from 2018 2020 Health Information National Trends Survey (N = 7,369) describe how cancer government agencies, doctors, family friends, charitable organizations, religious organizations changed after became a pandemic, whether that change varied by race/ethnicity. Statistical methods included chi-square tests multiple logistic regression modeling. Overall, proportion respondents who reported high degree doctors increased (73.65% vs. 77.34%, p .04). for agencies friends significantly race/ethnicity, with substantial declines observed among non-Hispanic Blacks (NHB) only. The odds reporting decreased 53% (OR 0.47, 95% CI 0.24–0.93) 73% 0.27, 0.09–0.82), respectively, NHB, but were stable other groups. Future studies should monitor recent NHB persist unfavorably impact participation preventive care.

Language: Английский

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Stool-Based Tests Mitigate Impacts of COVID-19 on Colorectal Cancer Screening

Clinical Gastroenterology and Hepatology, Journal Year: 2022, Volume and Issue: 21(6), P. 1667 - 1669.e2

Published: Dec. 23, 2022

Language: Английский

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Impact of the COVID-19 Pandemic on Women's Health Care Access: A Cross-Sectional Study

Journal of Women s Health, Journal Year: 2022, Volume and Issue: 31(12), P. 1690 - 1702

Published: Nov. 1, 2022

Background: There has been limited study of how the COVID-19 pandemic affected women's health care access. Our aims to examine prevalence and correlates COVID-19-related disruptions (1) primary care; (2) gynecologic (3) preventive among women. Materials Methods: We recruited 4,000 participants from a probability-based online panel. conducted four multinomial logistic regression models, one for each outcomes: access; patient-initiated visits; (4) provider-initiated visits. Results: The sample included 1,285 One in women (28.5%) reported that their Sexual minority (SMW) (odds ratios [OR]: 1.67; 95% confidence intervals [CI]: 1.19-2.33) had higher odds reporting pandemic-related effects on access compared identifying as heterosexual. Cancer survivors (OR: 2.07; CI: 1.25-3.42) without cancer history. About 16% Women with history 2.34; 1.35-4.08) SMW were more likely report patient- delays care. Other factors income, insurance status, having usual source Conclusions: disrupted disproportionately history, suggesting targeted interventions may be needed ensure adequate during pandemic.

Language: Английский

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Impact of the COVID-19 breast cancer screening hiatus on clinical stage and racial disparities in New York City

The American Journal of Surgery, Journal Year: 2022, Volume and Issue: 224(4), P. 1039 - 1045

Published: May 27, 2022

Language: Английский

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Population simulation modeling of disparities in US breast cancer mortality

JNCI Monographs, Journal Year: 2023, Volume and Issue: 2023(62), P. 178 - 187

Published: Aug. 14, 2023

Abstract Background Populations of African American or Black women have persistently higher breast cancer mortality than the overall US population, despite having slightly lower age-adjusted incidence. Methods Three Cancer Intervention and Surveillance Modeling Network simulation teams modeled disparities between female populations population. Model inputs used racial group–specific data from clinical trials, national registries, nationally representative surveys, observational studies. Analyses began with in population sequentially replaced parameters for to quantify percentage morality attributable differences demographics, incidence, access screening treatment, variation tumor biology response therapy. Results were similar across 3 models. In 2019, incidence competing accounted a net ‒1% disparities, while subtype stage distributions mean 20% (range models = 13%-24%), 3% 3%-4%) disparities. Treatment majority disparities: 17% 16%-19%) treatment initiation 61% 57%-63%) real-world effectiveness. Conclusion Our model results suggest that changes policies target improvements could increase equity. The findings also highlight efforts must extend beyond targeting equity include high-quality completion. This research will facilitate future modeling test effects different specific policy on

Language: Английский

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The global effects of digestive system cancers worldwide on the COVID-19 pandemic by negative binomial (mixed) regression models

Journal of Radiation Research and Applied Sciences, Journal Year: 2024, Volume and Issue: 17(3), P. 100944 - 100944

Published: May 8, 2024

In this study, the main goal is to determine statistically significant relationships between biggest epidemic problem of last years as COVID-19 pandemic and digestive system cancers belonging 168 countries worldwide using generalized linear mixed model (GLMM) its special case (GLM) approaches, obtain global inferences that will shed light on pandemic. For goal, response variable "total cases per 100,000 people" until January 14, 2022. The explanatory variables are total number people suffering from colon rectum, stomach, lip oral cavity, esophageal, nasopharynx 2019, respectively. negative binomial (NB) regression in GLM iteratively reweighted least squares (IRLS) algorithm NB GLMM with "countries" taken "random effects" Adaptive Gauss-Hermite Quadrature (AGHQ) approximation method at 1, 2, 10, 20 quadrature points used for modelling systems cancer data. by information criteria, under log-link function random effects AGHQ point detected most appropriate

Language: Английский

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Evolving trends in CT colonography: A 10-year analysis of use and associated factors

Clinical Imaging, Journal Year: 2024, Volume and Issue: 113, P. 110241 - 110241

Published: July 27, 2024

Language: Английский

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Local health department engagement with workplaces during the COVID-19 pandemic—Examining barriers of and facilitators to outbreak investigation and mitigation

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: March 17, 2023

To document local health department (LHD) COVID-19 prevention or mitigation activities at workplaces in the United States and identify facilitators for barriers to these efforts. We conducted a web-based, cross-sectional national probability survey of LHDs (n = 181 unweighted; n 2,284 weighted) from January March 2022, collecting information about worker complaints, surveillance, investigations, relationships interactions with employers/businesses, LHD capacity. Overall, 94% respondents reported investigating workplace-linked cases; however, 47% insufficient capacity effectively receive, investigate respond COVID-19-related workplace safety complaints. Prior jurisdiction employers personnel formal occupational (OHS) training were predictors proactive outreach prevent spread (p < 0.01 p 0.001). size predicted OHS sufficient financial resources support investigation Differences communicable disease may exacerbate disparities, especially between rural urban settings. Improving capacity, smaller jurisdictions, could facilitate effective spread.

Language: Английский

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Mammography screening beliefs and barriers through the lens of Black women during the COVID‐19 pandemic

Cancer, Journal Year: 2023, Volume and Issue: 129(S19), P. 3102 - 3113

Published: Sept. 11, 2023

Mammography is an effective screening tool that leads to decreased breast cancer mortality, yet minority women continue experience barriers. The coronavirus disease 2019 (COVID-19) pandemic has been proven have negatively affected communities, its effect on mammography habits in Black uncertain. purpose of this study was evaluate and barriers for two northeast communities amid the COVID-19 pandemic.The participants were aged 40 years or older who recruited from community outreach initiatives. Study coordinators conducted telephone surveys determine behaviors, perceptions, psychosocial factors.Two hundred seventy-seven completed. Two fifty-six patients reported ever having a mammogram became population interest. One seventy-four these (68%) within past year (nondelayed), 82 (32%) had more than ago (delayed). Only thirty-one delayed (37.8%) private insurance. There significant difference mean score perceived nondelayed (mean = 9.9, standard deviation [SD] 3.6) versus 11.2, SD 4.3, p .03). also when they asked, "How likely it 'other health problems would keep you mammogram'?" (p .002).Barriers during era include insurance, competing issues, perceptions screening. Community efforts should concentrate building trust collaborating with organizations improve despite pandemic.

Language: Английский

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Improving Equity in Cancer Care in the Face of a Public Health Emergency

The Cancer Journal, Journal Year: 2022, Volume and Issue: 28(2), P. 138 - 145

Published: March 1, 2022

Cancer health disparities have been well documented among different populations in the United States for decades. While cause of these is multifactorial, COVID-19 pandemic has highlighted structural barriers to and care gaps public infrastructure within States. The most long-standing inequities are rooted discriminatory practices, current historical, which excluded disenfranchised many vulnerable nation. These systemic themselves a crisis, resulting increased mortality rates communities color from both cancer. implementing programs temporarily improve cancer equity locally or regionally laudable, it imperative develop strategy focused on alleviating root causes well-being every citizen ensure readiness next emergency.

Language: Английский

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