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Demographic Disparities and Factors Influencing Cancer Treatment Decision-Making.

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Many cancer patients face treatment decisions. Factors like insurance, affordability, and regular doctor visits influence treatment pursuit, highlighting the need for better patient education and support.

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Area of Science:

  • Public Health
  • Health Services Research
  • Cancer Care Disparities

Background:

  • Understanding cancer treatment decision-making is crucial for improving patient outcomes.
  • Disparities exist in cancer care, impacting treatment adherence and survival rates.
  • The PRECEDE-PROCEED model offers a framework for analyzing health behavior determinants.

Purpose of the Study:

  • To explore disparities in cancer treatment decision-making.
  • To identify factors associated with the decision to pursue cancer treatment.
  • To analyze predisposing, enabling, and reinforcing factors influencing treatment choices.

Main Methods:

  • Utilized Behavioral Risk Factor Surveillance System (BRFSS) data from 2017-2022.
  • Employed the PRECEDE-PROCEED model for analytical framework.
  • Conducted weighted descriptive statistics and multivariable logistic regression analyses.

Main Results:

  • Nearly 21% of 19,388 cancer patients refused treatment.
  • American Indians, younger adults, and breast cancer patients were more likely to pursue treatment.
  • Private insurance, affordability, regular healthcare access, and poor health days correlated with treatment pursuit.

Conclusions:

  • Patient education is vital for enhancing cancer treatment adherence and informed decision-making.
  • Culturally tailored programs, addressing financial barriers, and promoting regular healthcare are essential.
  • Interventions should consider age-related concerns and socioeconomic factors influencing treatment choices.