Jyoti Malhotra|David Rotter|Jennifer Tsui|Adana A.M. Llanos|Bijal A. Balasubramanian|Kitaw Demissie
Impact of Patient–Provider Race, Ethnicity, and Gender Concordance on Cancer Screening: Findings from Medical Expenditure Panel Survey
Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey|Rutgers, The State University of New Jersey
abstract background racial ethnic minorities experience lower rates cancer screening compared nonhispanic whites nhws previous studies evaluating role patientprovider race ethnicity gender concordance cancer screening inconclusive methods crosssectional analysis using medical expenditure panel survey meps data 2003 2010 assessed associations patientprovider race ethnicity andor gender concordance screening american cancer society guidelines breast cervical colorectal cancer multivariable logistic analyses conducted examine associations interest results 32041 patientprovider pairs analysis 60 patients nhw 15 nonhispanic black nhb 15 hispanic overall patients adherent cancer screening likely nonhispanic better educated married wealthier privately insured patientprovider gender discordance associated lower rates breast 083 95 confidence interval ci 076090 cervical 083 95 ci 076091 colorectal cancer 084 95 ci 079090 screening patients association also significant adjusting racial andor ethnic concordance conversely among nhws nhbs patientprovider racial andor ethnic concordance associated screening among hispanics patientprovider ethnic discordant pairs higher breast 58 vs 52 colorectal cancer 45 vs 39 screening rates compared concordant pairs conclusions patientprovider gender concordance positively affected cancer screening patientprovider ethnic concordance inversely associated receipt cancer screening among hispanics counterintuitive finding requires study impact findings highlight importance gender concordance improving cancer screening rates cancer epidemiol biomarkers prev 2612 180411 2017 aacr