Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019
Introduction: Health insurance status is an important determinant of health outcomes for patients with cancer. This study aimed to assess the extent to which health insurance coverage in Indiana is a contributing factor to the stage of cervical cancer diagnosis. Methods: We examined reported cervica...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335525000142 |
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| author | Mrithula Suresh Babu Monica L. Kasting Natalia M. Rodriguez |
| author_facet | Mrithula Suresh Babu Monica L. Kasting Natalia M. Rodriguez |
| author_sort | Mrithula Suresh Babu |
| collection | DOAJ |
| description | Introduction: Health insurance status is an important determinant of health outcomes for patients with cancer. This study aimed to assess the extent to which health insurance coverage in Indiana is a contributing factor to the stage of cervical cancer diagnosis. Methods: We examined reported cervical cancer cases among females (N = 2518) using cancer registry data from the Indiana Department of Health from 2011 to 2019. Analyses were carried out in SPSS. Using multinomial logistic regression, we examined associations of both insurance status and race/ethnicity with stage of diagnosis after adjusting for age at diagnosis. Results: The multinomial analysis showed that uninsured females (OR = 2.42, 95 % CI = 1.35–4.35) and those who have Medicaid (OR = 2.36, 95 % CI = 1.62–3.42) were significantly more likely to be diagnosed at the regional stage than the in-situ stage compared to females with private insurance. Additionally, Black (OR = 1.98, 95 % CI = 1.21–3.24) and Hispanic females (OR = 2.19, 95 %CI = 1.04–4.61) were significantly more likely to be diagnosed at the regional stage than the in-situ stage when compared to Non-Hispanic White females. Females who are uninsured (OR = 4.43, 95 % CI = 2.23–8.44) and those who have Medicaid (OR = 3.03, 95 % CI = 1.91–4.80) were significantly more likely to be diagnosed at the distant stage than in-situ, compared to females with private insurance. Conclusion: Insurance status and race/ethnicity are associated with later stages of cervical cancer diagnosis. Increased coverage for routine cervical cancer screening and preventive care services is recommended, especially for racial/ethnic minority populations, the uninsured and those with public insurance. |
| format | Article |
| id | doaj-art-39ca7ec2c17a4a8c93f116a82cc1fae8 |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-39ca7ec2c17a4a8c93f116a82cc1fae82025-02-08T05:00:17ZengElsevierPreventive Medicine Reports2211-33552025-02-0150102975Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019Mrithula Suresh Babu0Monica L. Kasting1Natalia M. Rodriguez2Department of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USADepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA; Cancer Prevention and Control Program, Indiana University Simon Comprehensive Cancer Center, Indianapolis, IN, USADepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA; Cancer Prevention and Control Program, Indiana University Simon Comprehensive Cancer Center, Indianapolis, IN, USA; Corresponding author at: Department of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA.Introduction: Health insurance status is an important determinant of health outcomes for patients with cancer. This study aimed to assess the extent to which health insurance coverage in Indiana is a contributing factor to the stage of cervical cancer diagnosis. Methods: We examined reported cervical cancer cases among females (N = 2518) using cancer registry data from the Indiana Department of Health from 2011 to 2019. Analyses were carried out in SPSS. Using multinomial logistic regression, we examined associations of both insurance status and race/ethnicity with stage of diagnosis after adjusting for age at diagnosis. Results: The multinomial analysis showed that uninsured females (OR = 2.42, 95 % CI = 1.35–4.35) and those who have Medicaid (OR = 2.36, 95 % CI = 1.62–3.42) were significantly more likely to be diagnosed at the regional stage than the in-situ stage compared to females with private insurance. Additionally, Black (OR = 1.98, 95 % CI = 1.21–3.24) and Hispanic females (OR = 2.19, 95 %CI = 1.04–4.61) were significantly more likely to be diagnosed at the regional stage than the in-situ stage when compared to Non-Hispanic White females. Females who are uninsured (OR = 4.43, 95 % CI = 2.23–8.44) and those who have Medicaid (OR = 3.03, 95 % CI = 1.91–4.80) were significantly more likely to be diagnosed at the distant stage than in-situ, compared to females with private insurance. Conclusion: Insurance status and race/ethnicity are associated with later stages of cervical cancer diagnosis. Increased coverage for routine cervical cancer screening and preventive care services is recommended, especially for racial/ethnic minority populations, the uninsured and those with public insurance.http://www.sciencedirect.com/science/article/pii/S2211335525000142Cervical cancerEarly detectionInsurance coverageCancer screeningPreventive care |
| spellingShingle | Mrithula Suresh Babu Monica L. Kasting Natalia M. Rodriguez Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019 Preventive Medicine Reports Cervical cancer Early detection Insurance coverage Cancer screening Preventive care |
| title | Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019 |
| title_full | Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019 |
| title_fullStr | Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019 |
| title_full_unstemmed | Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019 |
| title_short | Association between health insurance coverage and stage of diagnosis for cervical cancer among females in Indiana from 2011 - 2019 |
| title_sort | association between health insurance coverage and stage of diagnosis for cervical cancer among females in indiana from 2011 2019 |
| topic | Cervical cancer Early detection Insurance coverage Cancer screening Preventive care |
| url | http://www.sciencedirect.com/science/article/pii/S2211335525000142 |
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