کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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1912482 | 1047180 | 2015 | 8 صفحه PDF | دانلود رایگان |
ObjectiveTo study factors that influence receipt of preventive care in older cancer survivors.MethodsWe analyzed a nationally representative sample of 12,458 older adults from the 2003 Medicare Current Beneficiary Survey. Factors associated with non-receipt of preventive care were explored among cancer and non-cancer survivors, using logistic regression.ResultsAmong the cancer survivors, 1883 were diagnosed > 1 year at survey completion. A cancer history was independently associated with receipt of mammogram (AOR = 1.57, 95% CI = 1.34–1.85), flu shot (AOR = 1.33, 95% CI = 1.16–1.53), measurement of total cholesterol in the previous six months (AOR = 1.20, 95% CI = 1.07–1.34), pneumonia vaccination (AOR = 1.33, 95% CI = 1.18–1.49), bone mineral density (BMD) testing (AOR = 1.38, 95% CI = 1.21–1.56), and lower endoscopy (AOR = 1.46, 95% CI = 1.29–1.65). However, receipt of preventive care was not optimal among older cancer survivors with only 51.2% of the female cancer survivors received a mammogram, 63.8% of all the cancer survivors received colonoscopy, and 42.5% had BMD testing. Among the cancer survivors, factors associated with non-receipt of mammogram included age ≥ 85 years (AOR = 0.43, 95% CI = 0.26–0.74), and scoring ≥ three points on the Vulnerable Elders Survey-13 (AOR = 0.94, 95% CI = 0.80–1.00). Factors associated with non-receipt of colonoscopy included low education (AOR = 0.43, 95% CI = 0.27–0.68) and rural residence (AOR = 0.51, 95% CI = 0.34–0.77). Factors associated with non-receipt of BMD testing included age ≥ 70 (AOR = 0.59, 95% CI = 0.39–0.90), African American race (AOR = 0.51, 95% CI = 0.27–0.95), low education (AOR = 0.23, 95% CI = 0.14–0.38), and rural residence (AOR = 0.43, 95% CI = 0.27–0.70).ConclusionAlthough older cancer survivors are more likely to receive preventive care services than other older adults, factors other than health status considerations (e.g., education, rural residence) are associated with non-receipt of preventive care services.
Journal: Journal of Geriatric Oncology - Volume 6, Issue 2, March 2015, Pages 85–92