Distance to endoscopy services amplifies racial inequities in colorectal cancer mortality in Washington state.
Am J Surg
; 235: 115732, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38670835
ABSTRACT
BACKGROUND:
This study evaluates relationships among race, access to endoscopy services, and colorectal cancer (CRC) mortality in Washington state (WA).METHODS:
We overlayed the locations of ambulatory endoscopy services with place of residence at time of death, using Department of Health data (2011-2018). We compared CRC mortality data within and outside a 10 âkm buffer from services. We used linear regression to assess the impact of distance and race on age at death while adjusting for gender and education level.RESULTS:
Age at death median 72.9y vs. 68.2y for white vs. non-white (p â< â0.001). The adjusted model showed that non-whites residing outside the buffer died 6.9y younger on average (p â< â0.001). Non-whites residing inside the buffer died 5.2y younger on average (p â< â0.001), and whites residing outside the buffer died 1.6y younger (p â< â0.001). We used heatmaps to geolocate death density.CONCLUSIONS:
Results suggest that geographic access to endoscopy services disproportionately impacts non-whites in Washington. These data help identify communities which may benefit from improved access to alternative colorectal cancer screening methods.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Disparidades em Assistência à Saúde
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Acessibilidade aos Serviços de Saúde
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2024
Tipo de documento:
Article