An Introduction to Health Disparities for the Practicing Radiologist

Safdar, Nabile M.

doi:10.1016/j.jacr.2018.12.023

Cited by 17 publications

(4 citation statements)

References 29 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The April 2019 special edition of the JACR focused on health equity and how radiology can intervene. The lead article by Safdar [5] was an eloquent introduction to the realities of health disparities and radiology's potential role. Although the concentrated journal effort certainly highlighted the issues to our membership and community, there is more work to be done and opportunity to effect change.…”

Section: Radiology's Health Equity Coalitionmentioning

confidence: 99%

Radiology’s Health Equity Coalition

Fleishon¹

2021

Journal of the American College of Radiology

View full text Add to dashboard Cite

Section: Radiology's Health Equity Coalitionmentioning

confidence: 99%

Radiology’s Health Equity Coalition

Fleishon¹

2021

Journal of the American College of Radiology

View full text Add to dashboard Cite

“…Cancer screening for LGBTQ+ patients should take into account the cancer risk factors known to be increased in this population [1,15,16]. In addition, each subpopulation's risk factors must be accounted for; for example, the hormone replacement therapy and genderaffirming surgeries of varying types and schedules in the transgender population [6] and differences in sex development and baseline cancer risks in the intersex population [17].…”

Section: Introductionmentioning

confidence: 99%

Physician Perceptions on Cancer Screening for LGBTQ+ Patients

Nelson

Lombardo

Shimada

et al. 2023

Cancers

View full text Add to dashboard Cite

The LGBTQ+ community experiences cancer disparities due to increased risk factors and lower screening rates, attributable to health literacy gaps and systemic barriers. We sought to understand the experiences, perceptions, and knowledge base of healthcare providers regarding cancer screening for LGBTQ+ patients. A 20-item IRB-approved survey was distributed to physicians through professional organizations. The survey assessed experiences and education regarding the LGBTQ+ community and perceptions of patient concerns with different cancer screenings on a 5-point Likert scale. Complete responses were collected from 355 providers. Only 100 (28%) reported past LGBTQ+-related training and were more likely to be female (p = 0.020), have under ten years of practice (p = 0.014), or practice family/internal medicine (p < 0.001). Most (85%) recognized that LGBTQ+ subpopulations experience nuanced health issues, but only 46% confidently understood them, and 71% agreed their clinics would benefit from training. Family/internal medicine practitioners affirmed the clinical relevance of patients’ sexual orientation (94%; 62% for medical/radiation oncology). Prior training affected belief in the importance of sexual orientation (p < 0.001), confidence in understanding LGBTQ+ health concerns (p < 0.001), and willingness to be listed as “LGBTQ+-friendly” (p = 0.005). Our study suggests that despite a paucity of formal training, most providers acknowledge that LGBTQ+ patients have unique health needs. Respondents had a lack of consensus regarding cancer screenings for lesbian and transgender patients, indicating the need for clearer screening standards for LGBTQ+ subpopulations and educational programs for providers.

show abstract

“…In the United States, racial and ethnic variation in the access and utilization of medical resources has been well established. There is a growing body of literature reporting socioeconomic health disparities in diagnostic imaging and interventional radiology [4,5]. There is a concern that these health disparities may be exacerbated when medical resources are limited, as seen during the COVID-19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

Imaging Utilization During the COVID-19 Pandemic Highlights Socioeconomic Health Disparities

Naidich

Boltyenkov

Wang

et al. 2021

Journal of the American College of Radiology

View full text Add to dashboard Cite

Objective: The devastating impact from the coronavirus disease 2019 (COVID-19) pandemic highlights long-standing socioeconomic health disparities in the United States. The purpose of this study was to evaluate socioeconomic factors related to imaging utilization during the pandemic.Methods: Retrospective review of consecutive imaging examinations was performed from January 1, 2019, to May 31, 2020, across all service locations (inpatient, emergency, outpatient). Patient level data were provided for socioeconomic factors (age, sex, race, insurance status, residential zip code). Residential zip code was used to assign median income level. The weekly total imaging volumes in 2020 and 2019 were plotted from January 1 to May 31 stratified by socioeconomic factors to demonstrate the trends during the pre-COVID-19 (January 1 to February 28) and post-COVID-19 (March 1 to May 31) periods. Independent-samples t tests were used to statistically compare the 2020 and 2019 socioeconomic groups.Results: Compared with 2019, the 2020 total imaging volume in the post-COVID-19 period revealed statistically significant increased imaging utilization in patients who are aged 60 to 79 years (P ¼ .0025), are male (P < .0001), are non-White (Black, Asian, other, unknown; P < .05), are covered by Medicaid or uninsured (P < .05), and have income below $80,000 (P < .05). However, there was a significant decrease in imaging utilization among patients who are younger (<18 years old; P < .0001), are female (P < .0001), are White (P ¼ .0003), are commercially insured (P < .0001), and have income $80,000 (P < .05).

show abstract

An Introduction to Health Disparities for the Practicing Radiologist

Cited by 17 publications

References 29 publications

Radiology’s Health Equity Coalition

Radiology’s Health Equity Coalition

Physician Perceptions on Cancer Screening for LGBTQ+ Patients

Imaging Utilization During the COVID-19 Pandemic Highlights Socioeconomic Health Disparities

Contact Info

Product

Resources

About