Neighborhood Factors Associated with Time to Resolution Following an Abnormal Breast or Cervical Cancer Screening Test

摘要: Background: The effect of neighborhood and healthcare access factors on cancer outcomes among patients enrolled in navigator programs is not clearly understood. This study assessed associations between: (i) diagnostic time to resolution (TTR) (ii) geographic TTR following an abnormal breast or cervical screening test women participating the Ohio Patient Navigator Research Program (OPNRP). Methods: (demographic, socioeconomic status, home-to-clinic distance) (deprivation, racial segregation) characteristics 801 living one 285 census tracts (CT) greater Columbus, were examined. Randomization receive navigation occurred at clinic level. Multilevel Cox regression spatial analysis used estimate effects various assess model assumptions, respectively. Results: increased as deprivation increased. After adjustment for age, friend social support, education, a with moderate median household income (between $36,147 $53,099) was shorter compared low neighborhoods (<$36,147; P < 0.05). There little evidence that unmeasured confounders are geographically patterned. Conclusions: Increased associated longer test. Impact: These results highlight need addressing patient- neighborhood-level reduce disparities underserved populations. Cancer Epidemiol Biomarkers Prev; 23(12); 1–10. ©2014 AACR .