Racial/Ethnic Disparities in the Burden of HIV/Cervical Cancer Comorbidity and Related In-hospital Mortality in the USA

Salihu, Hamisu M.; Dongarwar, Deepa; Ikedionwu, Chioma; Shelton, Andrea J.; Jenkins, China; Onyenaka, Collins; Charles, Creaque V; Wang, Hongmei; Osemene, Inyang; Harris, Kiydra; Kaur, Manvir; Rasmus, Monica L.; Awosemo, Ololade; Milton, Shirlette G.; Estill, Sonnice; Adebusuyi, Tolulope; Gao, Xuelu; Mbye, Ya Fatou N.; Chen, Yuan; Olaleye, Omonike A.

doi:10.1007/s40615-020-00751-5

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…A study conducted among patients admitted to 92 hospitals in 12 U.S. states by Yehia et al also found no difference in all-cause in-hospital mortality by race [13]. These findings, though, are in contradiction to published reports in other inpatient populations that consistently demonstrate a link between in-hospital mortality and race [14,15].…”

Section: Introductionmentioning

confidence: 79%

Racial and neighborhood disparities in mortality among hospitalized COVID-19 patients in the United States: An analysis of the CDC case surveillance database

Atarere

Uribe-Leitz

Dey

et al. 2022

PLOS Glob Public Health

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Background Black and Hispanic populations have higher overall COVID-19 infection and mortality odds compared to Whites. Some state-wide studies conducted in the early months of the pandemic found no in-hospital racial disparities in mortality. Methods We performed chi-square and logistic regression analyses on the CDC COVID-19 Case Surveillance Restricted Database. The primary outcome of the study was all-cause in-hospital mortality. The primary exposures were racial group (White, Black, Hispanic and Others) and neighborhood type (low vulnerability, moderate vulnerability, high vulnerability, very high vulnerability). Findings The overall unadjusted mortality rate was 33% and was lowest among Hispanics. In the fully adjusted models, Blacks and Hispanics had higher overall odds of dying [OR of 1.20 (95% CI 1.15, 1.25) and 1.23 (95% CI 1.17, 1.28) respectively] compared with White patients, and patients from neighborhoods with very high vulnerability had the highest mortality odds in the Northeast, Midwest and overall [Adjusted OR 2.08 (95% CI 1.91, 2.26)]. In the Midwest, Blacks and Hispanics had higher odds of mortality compared with Whites, but this was not observed in other regions. Interpretation Among hospitalized COVID-19 patients, Blacks and Hispanics were more likely to die compared to Whites in the Midwest. Patients from highly vulnerable neighborhoods also had the highest likelihood of death in the Northeast and Midwest. These results raise important questions on our efforts to curb healthcare disparities and structural racism in the healthcare setting.

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Section: Introductionmentioning

confidence: 79%

Racial and neighborhood disparities in mortality among hospitalized COVID-19 patients in the United States: An analysis of the CDC case surveillance database

Atarere

Uribe-Leitz

Dey

et al. 2022

PLOS Glob Public Health

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“…Although rates of cervical cancer have declined in the US, racial and socioeconomic disparities persist in rates of cervical cancer screening, incidence, and stage at diagnosis. 1,2,[6][7][8] While patient factors have been associated with lack of or delay to follow-up in the screening and diagnostic process, fewer studies have explored practice or structural factors that influence this pattern. 8,9 Thus, investigation of specific systems-based variations in subsequent follow-up is warranted to better understand differences in outcomes.…”

mentioning

confidence: 99%

Time Differences From Abnormal Cervical Cancer Screening to Colposcopy Between Insurance Statuses

Khurana,

Smolar,

Warren

et al. 2024

J Low Genit Tract Dis

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Objective Screening and diagnostic follow-up to prevent cervical cancer are influenced by socioeconomic and systemic factors. This study sought to characterize intervals from abnormal cervical cancer screening to colposcopy between practices differing by insurance status at a large, urban academic center. Materials and Methods This retrospective cohort study included patients aged 21–65 who presented for colposcopy between January 1, 2021, and January 1, 2022, at the resident and faculty gynecology practices of a single large urban academic medical center. Patient characteristics were compared using t tests or Wilcoxon rank sum tests for continuous measures and χ2 or Fisher exact tests for categorical measures. Intervals from abnormal cervical cancer screening to colposcopy were compared using the Wilcoxon rank sum test and linear regression analysis with multivariable models adjusted for age, cervical cytology result, human papillomavirus result, and HIV status. Results Resident practice patients were publicly insured and more likely to be Black or Hispanic (p < .0001); rates of high-risk human papillomavirus and smoking were similar. Resident practice patients had longer intervals from abnormal cervical cancer screening to colposcopy compared with faculty practice patients (median 79.5 vs 34 d, p < .0001). On adjusted analysis, resident practice patients faced a 95% longer interval (p < .0001). Conclusions Publicly insured patients of a resident-based practice faced significantly longer intervals from abnormal cervical cancer screening to colposcopy than faculty practice patients at a single urban academic center. Effort to address these differences may be an area of focus in improving health disparities.

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Cervical Cancer Screening Among Older Garifuna Women Residing in New York City

Rockson

Btoush

2023

J. Racial and Ethnic Health Disparities

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Racial/Ethnic Disparities in the Burden of HIV/Cervical Cancer Comorbidity and Related In-hospital Mortality in the USA

Cited by 4 publications

References 18 publications

Racial and neighborhood disparities in mortality among hospitalized COVID-19 patients in the United States: An analysis of the CDC case surveillance database

Racial and neighborhood disparities in mortality among hospitalized COVID-19 patients in the United States: An analysis of the CDC case surveillance database

Time Differences From Abnormal Cervical Cancer Screening to Colposcopy Between Insurance Statuses

Cervical Cancer Screening Among Older Garifuna Women Residing in New York City

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