Patterns of HIV testing among women diagnosed with invasive cervical cancer in the New Jersey Medicaid Program.

作者: Jennifer K. McGee-Avila , Michelle Doose , Jose Nova , Rizie Kumar , Antoinette M. Stroup

DOI: 10.1007/S10552-020-01333-W

关键词:

摘要: Practice-based guidelines recommend HIV testing during initial invasive cervical cancer (ICC) workup. Determinants of diagnosis AIDS-defining cancers in vulnerable populations, where risk for infection is higher, are under-explored. We examine factors associated with patterns among Medicaid enrollees diagnosed ICC. Using linked data from the New Jersey State Cancer Registry and claims enrollment files, we evaluated 242 ICC cases 2012 to 2014 ages 21–64 at (a) any point (2011–2014) (b) workup 6 months pre post diagnosis. Logistic regression models identified testing. Overall, 13% women had a claim Two-thirds (68%) did not have (non-receipt testing) while enrolled Medicaid. Hispanic/NH-API/Other lower odds non-receipt compared NH-Whites (OR: 0.40; 95% CI: 0.17–0.94). Higher were observed no STI 4.92; CI 2.27–10.67) and < 1 year 3.07; 1.14- 8.26) after adjusting other factors. Few Opportunities optimal care informed by knowledge status. Further research should explore if lack an accurate indicator care, so, assess barriers

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