Effect of Population Socioeconomic and Health System Factors on Medical Care of Childhood Cancer Survivors: A Report from the Childhood Cancer Survivor Study.

ABSTRACT:

Purpose

To determine the independent contribution of population socioeconomic and health system factors on childhood cancer survivors' medical care and screening.

Methods

7899 childhood cancer survivors in the United States and Canada enrolled in the Childhood Cancer Survivor Study (CCSS). Population-level factors were derived from U.S. Area Health Resource File or 201 Canadian Census. Health service utilization and individual-level factors were self-reported. Multivariable logistic regression was used to calculate the effect of population factors on medical care (any care vs. no care; risk-based care vs. general care) and indicated echocardiogram or mammogram, adjusting for individual sociodemographic and health status.

Results

After adjusting for individual factors,

SUBMITTER: Caplin DA 

PROVIDER: S-EPMC5346913 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature