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  1. Article ; Online: Colorectal cancer disparities in Latin America: Mortality trends 1990-2019 and a paradox association with human development.

    Muzi, Camila D / Banegas, Matthew P / Guimarães, Raphael M

    PloS one

    2023  Volume 18, Issue 8, Page(s) e0289675

    Abstract: Background: Colorectal cancer mortality is growing in Latin America. It is known for a marked income disparity between its countries, and there is a consistent association with development. Our purpose was to describe trends in colorectal cancer ... ...

    Abstract Background: Colorectal cancer mortality is growing in Latin America. It is known for a marked income disparity between its countries, and there is a consistent association with development. Our purpose was to describe trends in colorectal cancer mortality in Latin America between 1990 and 2019, identifying differences by human development categories.
    Methods: We extracted age-adjusted mortality rate from the Global Burden of Disease (GBD) Study from 22 Latin American countries, subregions, and country groups previously ranked by the GBD study due to Sociodemographic Index (SDI) between 1990 and 2019. We applied the segmented regression model to analyze the time trend. Also, we estimated the correlation between mortality rates and Human Development Index (HDI) categories for countries.
    Results: Between 1990 and 2019, colorectal cancer adjusted mortality rate increased by 20.56% in Latin America (95% CI 19.75% - 21.25%). Between 1990 and 2004, the average annual percentage change (APC) was 0.11% per year (95% CI 0.10-0.12), and between 2004 and 2019 there was a deceleration (APC = 0.04% per year, 95% CI 0.03%- 0.05%). There is great heterogeneity among the countries of the region. Correlation between these two variables was 0.52 for 1990 and 2019. When separated into HDI groups, the correlation varied in the direction of the association and its magnitude, typifying an effect modification known as Simpson's Paradox.
    Conclusions: Human development factors may be important for assessing variation in cancer mortality on a global scale. Studies that assess the social and -economic contexts of countries are necessary for robust evaluation and provision of preventive, diagnostic and curative services to reduce cancer mortality in Latin America.
    MeSH term(s) Humans ; Colorectal Neoplasms/epidemiology ; Colorectal Neoplasms/ethnology ; Colorectal Neoplasms/mortality ; Global Burden of Disease/ethnology ; Hispanic or Latino/statistics & numerical data ; Income/statistics & numerical data ; Latin America/epidemiology ; Socioeconomic Factors ; Mortality/trends ; Health Status Disparities
    Language English
    Publishing date 2023-08-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0289675
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Examining the Association of Social Needs with Future Health Care Utilization in an Older Adult Population: Which Needs Are Most Important?

    Mosen, David M / Banegas, Matthew P / Keast, Erin M / Dickerson, John F

    Population health management

    2023  Volume 26, Issue 6, Page(s) 413–419

    Abstract: ... ...

    Abstract Abstract
    MeSH term(s) Humans ; Aged ; United States ; Medicare ; Patient Acceptance of Health Care ; Housing ; Hospitalization ; Emergency Service, Hospital
    Language English
    Publishing date 2023-10-31
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 2454546-6
    ISSN 1942-7905 ; 1942-7891
    ISSN (online) 1942-7905
    ISSN 1942-7891
    DOI 10.1089/pop.2023.0171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Editorial: Financial anxiety in cancer prevention and control.

    Parsons, Helen M / Banegas, Matthew P / Bar-Sela, Gil / Jones, Salene M

    Frontiers in psychology

    2023  Volume 14, Page(s) 1304079

    Language English
    Publishing date 2023-10-16
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2023.1304079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Conceptions of Legacy Among People Making Treatment Choices for Serious Illness: Protocol for a Scoping Review.

    Figueroa Gray, Marlaine / Banegas, Matthew P / Henrikson, Nora B

    JMIR research protocols

    2022  Volume 11, Issue 12, Page(s) e40791

    Abstract: Background: Legacy-what one leaves behind and how one hopes to be remembered after death-is an unexplored and important dimension of decision-making for people facing serious illnesses. A preliminary literature review suggests that patients facing ... ...

    Abstract Background: Legacy-what one leaves behind and how one hopes to be remembered after death-is an unexplored and important dimension of decision-making for people facing serious illnesses. A preliminary literature review suggests that patients facing serious illness consider legacy when making medical decisions, for example, forgoing expensive treatment with limited or unknown clinical benefit to preserve one's inheritance for their children. To date, very little is known about the conceptual foundations of legacy. No conceptual frameworks exist that provide a comprehensive understanding of how legacy considerations relate to patient choices about their medical care.
    Objective: The objective of this scoping review is to understand the extent and type of research addressing the concept of legacy by people facing serious illness to inform a conceptual framework of legacy and patient treatment choices.
    Methods: This protocol follows the guidelines put forth by Levac et al, which expands the framework introduced by Arksey and O'Malley, as well as the Joanna Briggs Institute Reviewer's manual. This scoping review will explore several electronic databases including PubMed, Medline, CINAHL, Cochrane Library, PsycINFO, and others and will include legacy-specific gray literature, including dissertation research available via ProQuest. An initial search will be conducted in English-language literature from 1990 to the present with selected keywords to identify relevant articles and refine the search strategy. After the search strategy has been finalized, 2 independent reviewers will undertake a 2-part study selection process. In the first step, reviewers will screen article titles and abstracts to identify the eligibility of each article based on predetermined exclusion or inclusion criteria. A third senior reviewer will arbitrate discrepancies regarding inclusions or exclusions. During the second step, the full texts will be screened by 2 reviewers, and only relevant articles will be kept. Relevant study data will be extracted, collated, and charted to summarize the key findings related to the construct of legacy.
    Results: This study will identify how people facing serious illness define legacy, and how their thinking about legacy impacts the choices they make about their medical treatments. We will note gaps in the literature base. The findings of this study will inform a conceptual model that outlines how ideas about legacy impact the patient's treatment choices. The results of this study will be submitted to an indexed journal.
    Conclusions: Very little is known about the role of legacy in the treatment decisions of patients across the continuum of serious illness. In particular, no comprehensive conceptual model exists that would provide an understanding of how legacy is considered by people making decisions about their care during serious illness. This study will be among the first to construct a conceptual model detailing how considerations of legacy impact medical decision-making for people facing or living with serious illnesses.
    International registered report identifier (irrid): DERR1-10.2196/40791.
    Language English
    Publishing date 2022-12-09
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/40791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Social support experiences of hispanic/latino parents of childhood cancer survivors in a safety-net hospital: a qualitative study.

    Ochoa-Dominguez, Carol Y / Chan, Randall Y / Cervantes, Lissette / Banegas, Matthew P / Miller, Kimberly A

    Journal of psychosocial oncology

    2023  , Page(s) 1–14

    Abstract: Purpose: To describe the social support experiences of Hispanic/Latino parents while caregiving for childhood cancer survivors.: Research approach: Semi-structured one-on-one interviews were conducted among 15 caregivers from a safety-net hospital in ...

    Abstract Purpose: To describe the social support experiences of Hispanic/Latino parents while caregiving for childhood cancer survivors.
    Research approach: Semi-structured one-on-one interviews were conducted among 15 caregivers from a safety-net hospital in Los Angeles. A thematic analysis approach was used to analyze data.
    Findings: The positive influence of social support throughout their caregiving experience included (1) sharing information-enhanced knowledge, (2) receiving comfort and encouragement, (3) receiving tangible assistance reducing the caregiving burden, and (4) enhancing caregiving empowerment/self-efficacy. Sub-themes regarding the lack of social support included (1) being a single parent and (2) family and friends withdrawing after the child's cancer diagnosis.
    Conclusion: We found Hispanic/Latino parents strongly value social support as it enables them to have essential resources that support caregiving for their child and themselves. Efforts should ensure that caregivers are routinely screened to identify their supportive needs so that support services for caregivers can be optimized and tailored, as those with a lack of social support may experience excessive caregiver burden.
    Language English
    Publishing date 2023-10-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605892-9
    ISSN 1540-7586 ; 0734-7332
    ISSN (online) 1540-7586
    ISSN 0734-7332
    DOI 10.1080/07347332.2023.2259365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Health-related social needs, medical financial hardship, and mortality risk among cancer survivors.

    Zheng, Zhiyuan / Hu, Xin / Banegas, Matthew P / Han, Xuesong / Zhao, Jingxuan / Shi, Kewei Sylvia / Yabroff, K Robin

    Cancer

    2024  

    Abstract: ... mortality risk (hazards ratio [HR], 2.00; 95% confidence interval [CI], 1.36-2.93, p < .001; reference ... financial hardship was associated with increased mortality risk (HR, 1.58; 95% CI, 1.13-2.20, p = .007 ...

    Abstract Background: Cancer survivors may face challenges affording food, housing, and other living necessities, which are known as health-related social needs (HRSNs). However, little is known about the associations of HRSNs and mortality risk among adult cancer survivors.
    Methods: Adult cancer survivors were identified from the 2013-2018 National Health Interview Survey (NHIS) and linked with the NHIS Mortality File with vital status through December 31, 2019. HRSNs, measured by food insecurity, and nonmedical financial worries (e.g., housing costs), was categorized as severe, moderate, and minor/none. Medical financial hardship, including material, psychological, and behavioral domains, was categorized as 2-3, 1, or 0 domains. Using age as the time scale, the associations of HRSNs and medical financial hardship and mortality risk were assessed with weighted adjusted Cox proportional hazards models.
    Results: Among cancer survivors 18-64 years old (n = 5855), 25.5% and 18.3% reported moderate and severe levels of HRSNs, respectively; among survivors 65-79 years old (n = 5918), 15.6% and 6.6% reported moderate and severe levels of HRSNs, respectively. Among cancer survivors 18-64 years old, severe HRSNs was associated with increased mortality risk (hazards ratio [HR], 2.00; 95% confidence interval [CI], 1.36-2.93, p < .001; reference = minor/none) in adjusted analyses. Among cancer survivors 65-79 years old, 2-3 domains of medical financial hardship was associated with increased mortality risk (HR, 1.58; 95% CI, 1.13-2.20, p = .007; reference = 0 domain).
    Conclusions: HSRNs and financial hardship are associated with increased mortality risk among cancer survivors; comprehensive assessment of HRSN and financial hardship connecting patients with relevant services can inform efforts to mitigate adverse consequences of cancer.
    Language English
    Publishing date 2024-05-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1429-1
    ISSN 1097-0142 ; 0008-543X ; 1934-662X
    ISSN (online) 1097-0142
    ISSN 0008-543X ; 1934-662X
    DOI 10.1002/cncr.35342
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  7. Article ; Online: Examining the Association Between Social Needs and Care Gap Closure Among Older Adults Receiving Dental Care.

    Mosen, David M / Banegas, Matthew P / Pihlstrom, Daniel J / Keast, Erin M / Dickerson, John F / Fellows, Jeffrey L

    AJPM focus

    2024  Volume 3, Issue 3, Page(s) 100212

    Abstract: Introduction: The authors of this study sought to (1) describe the prevalence of social needs and (2) determine whether social needs were associated with closure of care gaps among patients aged ≥65 years seeking dental care.: Methods: In this ... ...

    Abstract Introduction: The authors of this study sought to (1) describe the prevalence of social needs and (2) determine whether social needs were associated with closure of care gaps among patients aged ≥65 years seeking dental care.
    Methods: In this retrospective cross-sectional study, the authors identified 754 Kaiser Permanente Northwest patients aged ≥65 years who completed an index dental visit; had at least 1 of 23 preventive care gaps (e.g., flu vaccination) or disease management care gaps (e.g., diabetes HbA1c screening test) documented in their medical record; and had completed a social needs assessment through survey evaluating financial strain, food insecurity, housing needs, social isolation, and transportation needs. The authors described the prevalence of social needs at the index visit and then used logistic regression to evaluate the association between the number of social needs (0, 1, ≥2) and closure of all care gaps over the following 60 days (yes versus no), adjusting for patient characteristics. Identification and closure of care gap were assessed through Kaiser Permanente Northwest's Panel Support Tool.
    Results: Approximately 28% of patients reported ≥1 social needs. The prevalence of social needs was as follows: social isolation, 13.7%; financial strain, 11.3%; food insecurity, 7.7%; transportation needs, 5.4%; and housing needs, 3.3%. Those with 1 social need were more likely to close care gaps than those with no social needs (OR=1.82, 95% CI=1.17, 2.85). No significant association was found with care gap closure among those with ≥2 versus zero social needs.
    Conclusions: The prevalence of social needs was nearly 30% among patients aged ≥65 years with dental and medical coverage. Patients with 1 social need were more likely than those with no social needs to close all care gaps after their visit.
    Language English
    Publishing date 2024-02-22
    Publishing country United States
    Document type Journal Article
    ISSN 2773-0654
    ISSN (online) 2773-0654
    DOI 10.1016/j.focus.2024.100212
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Oral Health Care: A Missing Pillar of Total Health Care?

    Gordon, Nancy P / Mosen, David M / Banegas, Matthew P

    The Permanente journal

    2021  Volume 25

    Abstract: Introduction: Oral health is an important component of overall health, and preventive dental care is essential for maintaining good oral health. However, many patients face significant barriers to preventive dental care. We examined prevalence of and ... ...

    Abstract Introduction: Oral health is an important component of overall health, and preventive dental care is essential for maintaining good oral health. However, many patients face significant barriers to preventive dental care. We examined prevalence of and factors associated with no recent preventive dental care in an adult health plan population.
    Methods: For this cross-sectional study, we used data for 19,672 Kaiser Permanente members aged 25-85 who participated in the 2014/2015 or 2017 Member Health Survey (MHS) and 20,329 Medicaid members who completed an intake questionnaire. We estimated percentages of adults with no preventive dental care (teeth cleaning and examination by a dental professional) in the prior 12 months, overall and among four racial groups, by age, sex, education, income, and dental care cost factors. We used logistic regression to model associations of sociodemographic and cost factors with no preventive dental care. We also examined lack of preventive dental care in subgroups at elevated risk for periodontal disease.
    Results: Overall prevalence of no preventive dental care was 21%, with significant differences by race (non-Hispanic White, 19.6%; African-American/Black, 29.3%; Latinx, 24.9%, Asian American/Pacific Islander, 19.6%). Adults with lower educational attainment and household income and dental care cost barriers were more likely to lack preventive dental care. Racial and socioeconomic factors remained significant in the multivariable models. Lack of preventive dental care was fairly common among adults with diabetes, prediabetes, hypertension, smokers, frequent consumption of sugary beverages, and Medicaid coverage.
    Conclusion: Oral health care should be better integrated with primary medical care to promote adult total health.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Delivery of Health Care ; Humans ; Middle Aged ; Oral Health ; Racial Groups ; Socioeconomic Factors ; United States/epidemiology
    Language English
    Publishing date 2021-12-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2062823-7
    ISSN 1552-5775 ; 1552-5775
    ISSN (online) 1552-5775
    ISSN 1552-5775
    DOI 10.7812/TPP/21.080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Psychological Impact and Coping Strategies of Hispanic Parents of Children with Cancer: A Qualitative Study.

    Ochoa-Dominguez, Carol Y / Miller, Kimberly A / Banegas, Matthew P / Sabater-Minarim, Daniel / Chan, Randall Y

    International journal of environmental research and public health

    2023  Volume 20, Issue 11

    Abstract: Throughout the cancer trajectory, parents of childhood cancer survivors (CCSs) may experience mental and social challenges requiring continual adaptation to cancer-induced stress. Using Lazarus and Folkman's Transactional Model of Stress and Coping ... ...

    Abstract Throughout the cancer trajectory, parents of childhood cancer survivors (CCSs) may experience mental and social challenges requiring continual adaptation to cancer-induced stress. Using Lazarus and Folkman's Transactional Model of Stress and Coping framework, this qualitative study aimed to describe Hispanic parents' psychological health and explore their coping strategies. Purposive sampling was used to recruit 15 Hispanic caregivers from a safety-net hospital in Los Angeles County. To be eligible, participants had to be: the primary caregiver of a CCS who had completed active treatment, the primary caregiver or child self-identified as Hispanic, and proficient in English or Spanish. The interviews lasted approximately 60 min, were audio-recorded (in English and Spanish), and professionally transcribed. Data were analyzed following a thematic content analysis with deductive and inductive approaches on Dedoose. Participants described high levels of stress and fear when their child was diagnosed with cancer. They also shared experiencing symptoms of social anxiety, post-traumatic stress disorder, and depression. Participants' coping strategies were encompassed by three major themes: problem-focused, emotion-focused, and avoidant coping strategies. Problem-focused coping strategies included self-efficacy, behavioral change, and social support. Emotion-focused coping strategies included religious practices and positive reframing. Avoidant coping strategies included denial and self-distraction. Despite the evident disparities in psychological health for Hispanic parents of CCSs, gaps remain in designing a culturally tailored program to help alleviate the caregiver burden. This study provides insights regarding coping strategies that Hispanic caregivers use to deal with the psychological impact of their child's cancer diagnosis. Our findings also delve into the contextual and cultural factors that impact psychological adjustment.
    MeSH term(s) Humans ; Child ; Surveys and Questionnaires ; Adaptation, Psychological ; Emotions ; Mental Health ; Neoplasms/therapy ; Caregivers/psychology ; Hispanic or Latino ; Stress, Psychological
    Language English
    Publishing date 2023-05-23
    Publishing country Switzerland
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20115928
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  10. Article ; Online: Colorectal Cancer and Return to Work: A Pilot Study of Recruiting Cancer Survivors and Their Employers.

    Gruß, Inga / Bradley, Cathy J / Banegas, Matthew P

    The Permanente journal

    2021  Volume 25

    Abstract: Introduction: In this study we assessed the feasibility of recruiting colorectal cancer survivors and their employers to participate in research on returning to work after a cancer diagnosis.: Methods: Semistructured qualitative interviews were ... ...

    Abstract Introduction: In this study we assessed the feasibility of recruiting colorectal cancer survivors and their employers to participate in research on returning to work after a cancer diagnosis.
    Methods: Semistructured qualitative interviews were conducted with 6 survivors and 4 employers to collect feedback on 2 recruitment approaches: 1) an employee/cancer survivor-focused approach whereby researchers obtained employer contact information directly from survivors and 2) an employer-focused approach whereby researchers interviewed employers to identify pathways to recruiting survivor-supervisor dyads. Recordings of all interviews were transcribed and analyzed.
    Results: Of the 6 survivor participants, 3 (50%) consented to follow up with their supervisors. One of the 3 supervisors responded but declined participation in the study. The 4 participating employers included 2 compensation/benefits managers and 2 human resources managers. Employers identified specific avenues for potential recruitment of survivor-supervisor dyads, including first obtaining organizational support for participating in this type of research.
    Discussion: While challenges and opportunities exist with both the employee- and the employer-focused recruitment approaches, our findings suggest that an employer-focused approach, whereby researchers obtain organizational support for the research first, may be more promising for recruiting survivor-supervisor dyads to studies on cancer and employment. Results from this study underscore the importance of gaining support from all stakeholders-from administrators to employees who are cancer survivors.
    Conclusion: Our study informs recruitment strategies that bring together cancer survivors and employers to improve our understanding of the barriers and facilitators of returning to work after cancer, in effort to develop interventions that mitigate employment challenges for cancer survivors.
    MeSH term(s) Cancer Survivors ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/therapy ; Employment ; Humans ; Pilot Projects ; Return to Work ; Workplace
    Language English
    Publishing date 2021-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2062823-7
    ISSN 1552-5775 ; 1552-5775
    ISSN (online) 1552-5775
    ISSN 1552-5775
    DOI 10.7812/TPP/20.198
    Database MEDical Literature Analysis and Retrieval System OnLINE

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