Article ; Online: Distance to endoscopy services amplifies racial inequities in colorectal cancer mortality in Washington state.
2024
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 ... ...
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 km 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 < 0.001). The adjusted model showed that non-whites residing outside the buffer died 6.9y younger on average (p < 0.001). Non-whites residing inside the buffer died 5.2y younger on average (p < 0.001), and whites residing outside the buffer died 1.6y younger (p < 0.001). 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. |
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Language | English |
Publishing date | 2024-04-18 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2953-1 |
ISSN | 1879-1883 ; 0002-9610 |
ISSN (online) | 1879-1883 |
ISSN | 0002-9610 |
DOI | 10.1016/j.amjsurg.2024.04.003 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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