Journal article
Consequences of Structural Urbanism: Urban-Rural Differences in Cancer Patients' Use and Perceived Importance of Supportive Care Services from a 2017-2018 Midwestern Survey
International journal of environmental research and public health, Vol.19(6), p.3405
03/01/2022
DOI: 10.3390/ijerph19063405
PMCID: PMC8955585
PMID: 35329094
Abstract
Background: Structural inequities, in part, undergird urban-rural differences in cancer care. The current study aims to understand the potential consequences of structural inequities on rural and urban cancer patients' access to and perceived importance of supportive cancer care resources. Methods: We used data collected from November 2017 to May 2018 from a larger cross-sectional needs assessment about patients' support needs, use of services, and perceptions at a Midwestern United States cancer center. Oncology patients received a study packet during their outpatient clinic visit, and interested patients consented and completed the questionnaires. Results: Among the sample of 326 patients, 27% of the sample was rural. In adjusted logistic regression models, rural patients were less likely to report using any secondary support services (15% vs. 27%; OR = 0.43, 95%CI [0.22, 0.85], p = 0.02) and less likely than urban counterparts to perceive secondary support services as very important (51% vs. 64%; OR = 0.57, 95%CI [0.33, 0.94], p = 0.03). Conclusion: Structural inequities likely have implications on the reduced access to and importance of supportive care services observed for rural cancer patients. To eliminate persistent urban-rural disparities in cancer care, rural residents must have programs and policies that address cancer care and structural inequities.
Details
- Title: Subtitle
- Consequences of Structural Urbanism: Urban-Rural Differences in Cancer Patients' Use and Perceived Importance of Supportive Care Services from a 2017-2018 Midwestern Survey
- Creators
- Marquita W. Lewis-Thames - Northwestern UniversityPatricia Fank - Rush University Medical CenterMichelle Gates - Truman Medical CenterKathy Robinson - Southern Illinois University School of MedicineKristin Delfino - Southern Illinois University School of MedicineZachary Paquin - Spectrum HealthAaron T. Seaman - University of IowaYamile Molina - University of Illinois Chicago
- Resource Type
- Journal article
- Publication Details
- International journal of environmental research and public health, Vol.19(6), p.3405
- DOI
- 10.3390/ijerph19063405
- PMID
- 35329094
- PMCID
- PMC8955585
- NLM abbreviation
- Int J Environ Res Public Health
- ISSN
- 1661-7827
- eISSN
- 1660-4601
- Publisher
- Mdpi
- Number of pages
- 12
- Grant note
- Simmons Cancer Institute, Southern Illinois University School of Medicine, Denim and Diamonds K01CA193918; 1K01CA262342-01 / National Cancer Institute; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) UL1TR002537 / University of Iowa Clinical and Translational Sciences Institute grant University of Illinois at Chicago's Center for Research on Women and Gender RHA2020-01 / Respiratory Health Association of Metropolitan Chicago grant University of Illinois Cancer Center P30AG059988 / N ational Institutes of Health's National Institute on Aging UL1TR001422 / Northwestern University Clinical and Translational Sciences Institute grant (NUCATS) Northwestern University Center for Community Health
- Language
- English
- Date published
- 03/01/2022
- Academic Unit
- Center for Social Science Innovation; General Internal Medicine; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984359763602771
Metrics
11 Record Views