ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2015
Disparities in barriers to follow-up care between African American and White breast cancer survivors.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Financial Burdens of Cancer Treatment: A Systematic Review of Risk Factors and Outcomes.Journal of the National Comprehensive Cancer Network : JNCCN · 2019Pooled it
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- The LIFT UP study: feasibility of systematically identifying and addressing resource needs in those with metastatic breast cancer.Breast cancer research and treatment · 2026Article
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- The Role of Spirituality on Physical Activity and Sleep Among African American Long-Term Breast Cancer Survivors.Journal of racial and ethnic health disparities · 2024Article
- The intersection of travel burdens and financial hardship in cancer care: a scoping review.JNCI cancer spectrum · 2024Article
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- Transportation barriers, emergency room use, and mortality risk among US adults by cancer history.Journal of the National Cancer Institute · 2023Article
- Associations of Symptom Clusters and Health Outcomes in Adult Survivors of Childhood Cancer: A Report From the St Jude Lifetime Cohort Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023Article
- Disparities in healthcare utilization and access by length of cancer survivorship among population-based female cancer survivors.Journal of cancer survivorship : research and practice · 2022Article
- Racial disparities in pediatric malignant glioma management: current state of affairs in the United States.Journal of neuro-oncology · 2022Article
- Psychosocial protective interventions associated with a better quality of life and psychological wellbeing for African American/Black female breast cancer survivors: an integrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- Evaluation of health perceptions and healthcare utilization among population-based female cancer survivors and cancer-free women.Cancer causes & control : CCC · 2022Article
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- Emergency department visits and inpatient hospitalizations among older patients with brain metastases: a dual population- and institution-level analysis.Neuro-oncology practice · 2021Article
- Comparative analysis of 1152 African-American and European-American men with prostate cancer identifies distinct genomic and immunological differences.Communications biology · 2021Article
- Empowered Choices: African-American Women's Breast Reconstruction Decisions.American journal of health behavior · 2021Article
- Preferences for breast cancer survivorship care by rural/urban residence and age at diagnosis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
purposeDespite recommendations for breast cancer survivorship care, African American women are less likely to receive appropriate follow-up care, which is concerning due to their higher mortality rates. This study describes differences in barriers to follow-up care between African American and White breast cancer survivors.
methodsWe conducted a mailed survey of women treated for non-metastatic breast cancer in 2009-2011, 6-24 months post-treatment (N = 203). Survivors were asked about 14 potential barriers to follow-up care. We used logistic regression to explore associations between barriers and race, adjusting for covariates.
resultsOur participants included 31 African American and 160 White survivors. At least one barrier to follow-up care was reported by 62 %. Compared to White survivors, African Americans were more likely to identify barriers related to out-of-pocket costs (28 vs. 51.6 %, p = 0.01), other health care costs (21.3 vs. 45.2 %, p = 0.01), anxiety/worry (29.4 vs. 51.6 %, p = 0.02), and transportation (4.4 vs. 16.1 %, p = 0.03). After adjustment for covariates, African Americans were three times as likely to report at least one barrier to care (odds ratio (OR) = 3.3, 95 % confidence interval (CI) = 1.1-10.1).
conclusionsBarriers to care are common among breast cancer survivors, especially African American women. Financial barriers to care may prevent minority and underserved survivors from accessing follow-up care. Enhancing insurance coverage or addressing out-of-pocket costs may help address financial barriers to follow-up care among breast cancer survivors. Psychosocial care aimed at reducing fear of recurrence may also be important to improve access among African American breast cancer survivors.
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