Exploring disparities in healthcare utilization, cancer care experience, and beliefs about cancer among asian and hispanic cancer survivors

Authors

Hee Jun Kim, School of Nursing, The George Washington University, Innovation Hall, 45085 University Drive, Ashburn, VA, 20147, USA. heejun.kim@gwu.edu.
Kathleen A. Griffith, School of Nursing, The George Washington University, Innovation Hall, 45085 University Drive, Ashburn, VA, 20147, USA.
Richard Ricciardi, School of Nursing, The George Washington University, Innovation Hall, 45085 University Drive, Ashburn, VA, 20147, USA.
Daisy Le, School of Nursing, The George Washington University, Innovation Hall, 45085 University Drive, Ashburn, VA, 20147, USA.
Adriana Glenn, School of Nursing, The George Washington University, Innovation Hall, 45085 University Drive, Ashburn, VA, 20147, USA.
Vanessa Cameron, School of Nursing, The George Washington University, Innovation Hall, 45085 University Drive, Ashburn, VA, 20147, USA.
Hee-Soon Juon, Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, 834 Chestnut St, Suite 314, Philadelphia, PA, 19107, USA.

Document Type

Journal Article

Publication Date

10-30-2024

Journal

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

Volume

32

Issue

11

DOI

10.1007/s00520-024-08958-6

Keywords

Cancer care disparities; Cancer care experience; Cancer survivor; Fatalistic belief; Healthcare utilization

Abstract

PURPOSE: Significant disparities exist in cancer detection, treatment, and outcomes for racial/ethnic minoritized groups in the US. The objective of this study was to explore racial/ethnic disparities in healthcare utilization, cancer care experiences, and beliefs about cancer in patients diagnosed with cancer among diverse racial/ethnic groups in the US. METHODS: Data from the Health Information National Trends Survey -Surveillance, Epidemiology, and End Results (HINTS-SEER 2021) were analyzed for 1,108 cancer survivors. Bivariate analysis of the study variables with race/ethnicity were conducted with weighted analysis from STATA version 17. Sampling weights using svy was conducted. RESULTS: Racial/ethnic differences in healthcare utilization remained significant when controlling for the confounding factors. Asians and Hispanics were less likely to have a regular healthcare provider compared to non-Hispanic whites (NHW) (aOR = 3.31, p = .003; aOR = 2.17, p = .014; respectively). Asians were less likely than NHW to have had healthcare provider visits in the past 12 months (aOR = 4.89, p = .011). There were no statistically significant differences between racial/ethnic groups in the cancer care experiences. Racial/ethnic differences in fatalistic beliefs about cancer were not significant in the final multivariate model; however, being older (β = -.41, p = .033), and having a higher education level (β = -1.23, p < .001), were associated with lower level of fatalistic beliefs about cancer. CONCLUSION: The findings suggest tailored approaches to improve healthcare utilization rates among racial/ethnic minoritized groups and highlight the need for increased research and clinical practice efforts to address racial/ethnic disparities in the cancer care continuum.

APA Citation

Kim, Hee Jun; Griffith, Kathleen A.; Ricciardi, Richard; Le, Daisy; Glenn, Adriana; Cameron, Vanessa; and Juon, Hee-Soon, "Exploring disparities in healthcare utilization, cancer care experience, and beliefs about cancer among asian and hispanic cancer survivors" (2024). GW Authored Works. Paper 5756.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/5756

Department

Nursing Faculty Publications