Racial and ethnic differences in healthcare access and utilization among U.S. adults with melanoma and keratinocyte carcinomas in the NIH All of Us Research Program.

Racial and ethnic differences in healthcare access and utilization among U.S. adults with melanoma and keratinocyte carcinomas in the NIH All of Us Research Program.

Publication date: Oct 14, 2024

There is a paucity of information on racial and ethnic disparities relating to barriers to care in healthcare access and utilization in patients with cutaneous malignancies. We conducted a cross-sectional analysis of adults with melanoma, basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (cSCC) in the National Institutes of Health (NIH) All of Us Research Program collected between May 2018 and July 2022. Participants included adults (aged 18 or older) with cutaneous malignancy who completed the Health Care Access and Utilization survey. We identified 5,817 adults who were diagnosed with BCC (67%), cSCC (28. 9%), and melanoma (23. 9%). Non-Hispanic Black (NHB) and Hispanic patients were more likely than non-Hispanic White (NHW) patients to delay a primary care visit due to cost (p = 0. 005 and p = 0. 015, respectively). NHB patients were also more likely to delay care due to lack of transportation (p 

Concepts Keywords
Carcinomas Adolescent
Healthcare Adult
Hispanic Aged
July Aged, 80 and over
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Cross-Sectional Studies
Ethnicity
Female
Health care disparities
Health Services Accessibility
Healthcare Disparities
Hispanic or Latino
Humans
Keratinocytes
Male
Melanoma
Middle Aged
Skin cancer
Skin Neoplasms
Skin of color
United States
Young Adult

Semantics

Type Source Name
disease MESH melanoma
pathway KEGG Melanoma
disease MESH carcinomas
disease MESH malignancies
disease MESH basal cell carcinoma
pathway KEGG Basal cell carcinoma
disease MESH squamous cell carcinoma
disease MESH Health Services Accessibility
disease MESH Skin cancer

Original Article

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