title: Racial/Ethnic disparities in health care receipt among male cancer survivors.
abstract: OBJECTIVE
  We examined racial/ethnic disparities in health care receipt among a nationally representative sample of male cancer survivors.
  
  
  METHODS
  We identified men aged 18 years and older from the 2006-2010 National Health Interview Survey who reported a history of cancer. We assessed health care receipt in 4 self-reported measures: primary care visit, specialist visit, flu vaccination, and pneumococcal vaccination. We used hierarchical logistic regression modeling, stratified by age (< 65 years vs ≥ 65 years).
  
  
  RESULTS
  In adjusted models, older African American and Hispanic survivors were approximately twice as likely as were non-Hispanic Whites to not see a specialist (odds ratio [OR] = 1.78; 95% confidence interval [CI] = 1.19, 2.68 and OR = 2.09; 95% CI = 1.18, 3.70, respectively), not receive the flu vaccine (OR = 2.21; 95% CI = 1.45, 3.37 and OR = 2.20; 95% CI = 1.21, 4.01, respectively), and not receive the pneumococcal vaccine (OR = 2.24; 95% CI = 1.54, 3.24 and OR = 3.10; 95% CI = 1.75, 5.51, respectively).
  
  
  CONCLUSIONS
  Racial/ethnic disparities in health care receipt are evident among older, but not younger, cancer survivors, despite access to Medicare. These survivors may be less likely to see specialists, including oncologists, and receive basic preventive care.
authors.affiliation: Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
authors.forename: Nynikka R A
authors.initials: NR
authors.lastname: Palmer
authors.forename: Ann M
authors.initials: AM
authors.lastname: Geiger
authors.forename: Tisha M
authors.initials: TM
authors.lastname: Felder
authors.forename: Lingyi
authors.initials: L
authors.lastname: Lu
authors.forename: L Douglas
authors.initials: LD
authors.lastname: Case
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Weaver
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005006:Ethnicity / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000208:ethnology* / Q000628:therapy*; D016017:Odds Ratio; D022242:Pneumococcal Vaccines / Q000008:administration & dosage; D011320:Primary Health Care / Q000706:statistics & numerical data; D044469:Racial Groups / Q000706:statistics & numerical data*; D012044:Regression Analysis; D013038:Specialization / Q000706:statistics & numerical data; D017741:Survivors / Q000706:statistics & numerical data*; D014481:United States; D055815:Young Adult
chemical_list: D007252:Influenza Vaccines; D022242:Pneumococcal Vaccines