Journal of Clinical Oncology, 2005 ASCO Annual Meeting Proceedings.
Vol 23, No 16S (June 1 Supplement), 2005: 1028
© 2005 American Society of Clinical Oncology

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Abstract

The effect of insurance and ethnicity on healthcare access and health behaviors: A Childhood Cancer Survivor Study (CCSS)

Univ of CA Los Angeles, Los Angeles, CA; Wake Forest, Winston-Salem, NC; St. Jude Children’s Research Hosp, Memphis, TN; Univ of Minnesota, Minneapolis, MN; Fred Hutchinson Cancer Research Ctr, Seattle, WA; Univ of Texas Southwestern, Dallas, TX; Univ of CA San Francisco, San Francisco, CA

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Background: We examined the influence of ethnicity and insurance coverage on healthcare access and healthy behaviors in adult childhood cancer survivors. Methods: The CCSS is a resource designed to evaluate the long-term effects of cancer and associated therapies in 5-year survivors. The cohort, established through a consortium of 25 centers, includes 20,316 subjects diagnosed with cancer < 21 years of age between 1970–86. We analyzed cross-sectional, self-reported data from 443 Black, 503 Hispanic and 7,821 non-Hispanic white (NHW) childhood cancer survivors 18 years of age. Outcomes are defined in Table 1 and compared with reference to survivors with private insurance within each ethnic group. Results: See table: Odd Ratios and 95% Confidence Intervals of the likelihood of reporting Healthcare Access and Health Behaviors For Survivors with Medicaid/Public Insurance and Uninsured in comparison to those with Private Insurance, stratified by ethnic group. Conclusions: Compared to survivors with private insurance, NHW and Hispanics with public insurance are more likely to report cancer-related follow-up care. Uninsured survivors are less likely to report preventive health behaviors, regardless of ethnicity.

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Abstract presentation from the 2005 ASCO Annual Meeting