Access to preventive care services and stage at diagnosis in head and neck cancer. Issue 10 (3rd July 2020)

• Record Type: Journal Article
• Authors: Farquhar, Douglas R.; Lenze, Nicholas R.; Masood, Maheer M.; Divaris, Kimon; Tasoulas, Jason; Blumberg, Jeffrey; Lumley, Catherine; Patel, Samip; Hackman, Trevor; Weissler, Mark C.; Yarbrough, Wendell; Zanation, Adam M.; Olshan, Andrew F.
• Is Part Of: Head & neck. Volume 42:Issue 10(2020)
• Page Start: 2841
• Page End: 2851
• Publication Date: 2020-07-03
• Subjects: dental health services -- early detection of cancer -- head and neck neoplasms -- neoplasm staging -- preventive medicine; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.26326
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: Decreased access to preventive care services has been proposed as a mechanism for the association between low socioeconomic status (SES) and advanced stage at diagnosis in patients with head and neck squamous cell carcinoma (HNSCC). Methods: Retrospective analysis of patients diagnosed with HNSCC in North Carolina between 2002 and 2006. Results: A total of 1108 patients with HNSCC were included in the study. In the multivariable analysis, use of annual routine dental services (OR 0.7, 95% CI 0.5‐0.9) and colonoscopy in the past 10 years (OR 0.7, 95% CI 0.5‐0.9) were associated with lower odds of advanced T stage at diagnosis. Having no insurance (OR 1.8, 95% CI 1.1‐2.9), an income <$20 000 (OR 1.6 95% CI 1.03‐2.6), and >10 pack‐years tobacco use (OR 1.5, 95% CI 1.04‐2.2) were associated with advanced T stage at diagnosis. Conclusion: Use of preventive care services and SES independently predict stage at diagnosis in HNSCC.