Gaps in Gastric Cancer Risk Factor Management: Analysis of Electronic Health Data and Provider/Patient Perspectives
Abstract
This study addressed factors and their interactions contributing to disparities in testing and treatment of H. pylori (HP) infection and related gastric disorders (atrophic gastritis, gastric ulcer), and gastric cancer [GC; gastric adenocarcinoma (GCA), gastric non-Hodgkins lymphoma (GL) and gastric MALT lymphoma (gMALT) diagnosis and treatment, among Latinos relative to non-Latinos at two affiliated but independent health systems in San Antonio, Texas. Secondary data re-abstraction and analysis showed that GCs represented 2.6% (n=600) of our population. Men and older individuals were at higher GC risk. Military insurance was 2.7 times as likely to be diagnosed as private insurance. Latinos had significantly (24%) higher GC risk than Whites. Moreover, Latinos without high school education (OR 1.24; 95% CI 1.01-1.52; p=0.04) or insurance (1.16; 0.97-1.39; p=0.10) had higher GC risk. Poverty and lack of insurance contributed to GC risk among minorities classified as Other (Asians, Native Americans, Multiracial; all p<0.01). Qualitative analysis of Oncology patient and provider interviews showed insurance as a major care barrier among providers. Spanish-speaking patients also identified more care barriers. Gastroenterology and primary care interviews are ongoing.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2022
- Accession Number
- AD1170620
Entities
People
- Betty Diamond
- Dorothy L. Parma
- Raquel Romero
Organizations
- University of Texas at San Antonio