Abstract
Abstract Background: Men and minorities suffer higher burdens from cancer. Healthcare utilization differences may contribute to this major public health problem. Aim: To compare utilization of healthcare services by race and sex among adults with and without a history of cancer as measured by having at least one doctor's visit within the last 12 months. Methods: We analyzed data from 7,229 responders to the 2007 Health Information and National Trends Survey (HINTS). We identified participants with and without a personal history of cancer and compared them by race and sex with having a doctor's visit within the previous 12 months. We used logistic regression models to calculate Odd Ratios (OR) and 95% confidence intervals (CI). Results: The mean age of respondents was 54.1 years, 38.8% males, 76.1% whites, 9.4% blacks, and 8.6% Hispanics. Of the respondents, 88.8% had health insurance (92.5% whites, 78.9% blacks, and 69.1% Hispanics; P value <0.001). Although there was no difference in health insurance coverage by sex (P value = 0.506), men were less likely to have seen a doctor within the previous 12 months (OR=0.40; 95% CI: 0.31-0.51). Cancer survivors were more likely to have seen a doctor (OR=2.70; 95% CI: 1.68-4.36), but there was no difference by race. After adjusting for age, education, race, income and insurance status, men were less likely to have seen a doctor if they did not have a personal history of cancer (Table). Conclusion: Our study suggests that men improve in their compliance to doctors’ visits only after cancer diagnosis. Targeted interventions to promote use of preventive care services by men are needed. Table: Comparison of doctors’ visit within the previous 12 months by personal history of cancer Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 2661. doi:1538-7445.AM2012-2661
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