北卡罗来纳州患有癌症的青少年和年轻成年妇女获得生育咨询的地理位置。

IF 3.7 3区 医学 Q2 ONCOLOGY Cancer Epidemiology Biomarkers & Prevention Pub Date : 2024-09-03 DOI:10.1158/1055-9965.EPI-24-0482
Nidia Rodriguez-Ormaza, Chelsea Anderson, Christopher D Baggett, Paul L Delamater, Melissa A Troester, Stephanie B Wheeler, Alexis C Wardell, Allison M Deal, Andrew Smitherman, Jennifer Mersereau, Valerie L Baker, Hazel B Nichols
{"title":"北卡罗来纳州患有癌症的青少年和年轻成年妇女获得生育咨询的地理位置。","authors":"Nidia Rodriguez-Ormaza, Chelsea Anderson, Christopher D Baggett, Paul L Delamater, Melissa A Troester, Stephanie B Wheeler, Alexis C Wardell, Allison M Deal, Andrew Smitherman, Jennifer Mersereau, Valerie L Baker, Hazel B Nichols","doi":"10.1158/1055-9965.EPI-24-0482","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Fertility counseling is recommended for adolescent and young adult women facing gonadotoxic cancer therapy. However, fertility care is subspecialized medical care offered at a limited number of institutions, making geographic access a potential barrier to guideline-concordant care. We assessed the relationship between geographic access and receipt of fertility counseling among adolescent and young adult women with cancer.</p><p><strong>Methods: </strong>Using data from the North Carolina Central Cancer Registry, we identified women diagnosed with lymphoma, gynecologic cancer, or breast cancer at ages 15 to 39 years during 2004 to 2015. Eligible women were invited to complete an online survey on various topics, including fertility counseling. Geographic access was measured, using geocoded addresses, as vehicular travel time from residence to the nearest fertility clinic available at diagnosis. Multivariable regression models were used to examine the association between travel time and receipt of fertility counseling by provider type: health care provider versus fertility specialist.</p><p><strong>Results: </strong>Analyses included 380 women. The median travel time to a fertility clinic was 31 (IQR: 17-71) minutes. Overall, 75% received fertility counseling from a health care provider and 16% by a fertility specialist. Women who lived ≥30 minutes from a clinic were 13% less likely to receive fertility counseling by a health care provider (prevalence ratio: 0.87; 95% confidence interval, 0.75-1.00) and 49% less likely to receive counseling by a fertility specialist (prevalence ratio: 0.51; 95% confidence interval, 0.28-0.93).</p><p><strong>Conclusions: </strong>Women who lived further away from fertility clinics were less likely to receive fertility counseling.</p><p><strong>Impact: </strong>Interventions to improve access to fertility counseling should include strategies to alleviate the burden of geographic access.</p>","PeriodicalId":9458,"journal":{"name":"Cancer Epidemiology Biomarkers & Prevention","volume":null,"pages":null},"PeriodicalIF":3.7000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371502/pdf/","citationCount":"0","resultStr":"{\"title\":\"Geographic Access to Fertility Counseling among Adolescent and Young Adult Women with Cancer in North Carolina.\",\"authors\":\"Nidia Rodriguez-Ormaza, Chelsea Anderson, Christopher D Baggett, Paul L Delamater, Melissa A Troester, Stephanie B Wheeler, Alexis C Wardell, Allison M Deal, Andrew Smitherman, Jennifer Mersereau, Valerie L Baker, Hazel B Nichols\",\"doi\":\"10.1158/1055-9965.EPI-24-0482\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Fertility counseling is recommended for adolescent and young adult women facing gonadotoxic cancer therapy. However, fertility care is subspecialized medical care offered at a limited number of institutions, making geographic access a potential barrier to guideline-concordant care. We assessed the relationship between geographic access and receipt of fertility counseling among adolescent and young adult women with cancer.</p><p><strong>Methods: </strong>Using data from the North Carolina Central Cancer Registry, we identified women diagnosed with lymphoma, gynecologic cancer, or breast cancer at ages 15 to 39 years during 2004 to 2015. Eligible women were invited to complete an online survey on various topics, including fertility counseling. Geographic access was measured, using geocoded addresses, as vehicular travel time from residence to the nearest fertility clinic available at diagnosis. Multivariable regression models were used to examine the association between travel time and receipt of fertility counseling by provider type: health care provider versus fertility specialist.</p><p><strong>Results: </strong>Analyses included 380 women. The median travel time to a fertility clinic was 31 (IQR: 17-71) minutes. Overall, 75% received fertility counseling from a health care provider and 16% by a fertility specialist. Women who lived ≥30 minutes from a clinic were 13% less likely to receive fertility counseling by a health care provider (prevalence ratio: 0.87; 95% confidence interval, 0.75-1.00) and 49% less likely to receive counseling by a fertility specialist (prevalence ratio: 0.51; 95% confidence interval, 0.28-0.93).</p><p><strong>Conclusions: </strong>Women who lived further away from fertility clinics were less likely to receive fertility counseling.</p><p><strong>Impact: </strong>Interventions to improve access to fertility counseling should include strategies to alleviate the burden of geographic access.</p>\",\"PeriodicalId\":9458,\"journal\":{\"name\":\"Cancer Epidemiology Biomarkers & Prevention\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2024-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11371502/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cancer Epidemiology Biomarkers & Prevention\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1158/1055-9965.EPI-24-0482\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer Epidemiology Biomarkers & Prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1158/1055-9965.EPI-24-0482","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

背景:建议为面临性腺毒性癌症治疗的青少年女性提供生育咨询。然而,不孕不育治疗是由数量有限的机构提供的亚专科医疗服务,这使得地理位置成为获得与指南一致的治疗的潜在障碍。我们对患癌症的青壮年女性接受生育咨询的地理位置与接受生育咨询之间的关系进行了评估:利用北卡罗来纳州中央癌症登记处的数据,我们确定了 2004-2015 年间被诊断患有淋巴瘤、妇科癌症或乳腺癌的 15-39 岁女性。我们邀请符合条件的女性完成一项在线调查,内容涉及生育咨询等多个主题。使用地理编码地址对地理位置进行测量,即从居住地到诊断时可提供的最近的生育诊所所需的车程时间。采用多变量回归模型来研究旅行时间与接受生育咨询之间的关系,并按提供者类型进行分类:医疗保健提供者与生育专家:分析包括 380 名妇女。前往生育诊所的中位旅行时间为 31 分钟(IQR:17-71 分钟)。总体而言,75%的妇女接受了医疗服务提供者提供的生育咨询,16%的妇女接受了生育专家提供的生育咨询。居住地距离诊所≥30分钟的妇女接受医疗服务提供者提供的生育咨询的可能性要低13%(PR:0.87; 95% CI:0.75-1.00),接受生育专家提供的咨询的可能性要低49%(PR:0.51; 95% CI:0.28-0.93):结论:距离生育诊所较远的妇女接受生育咨询的可能性较低:影响:改善生育咨询的干预措施应包括减轻地理位置负担的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Geographic Access to Fertility Counseling among Adolescent and Young Adult Women with Cancer in North Carolina.

Background: Fertility counseling is recommended for adolescent and young adult women facing gonadotoxic cancer therapy. However, fertility care is subspecialized medical care offered at a limited number of institutions, making geographic access a potential barrier to guideline-concordant care. We assessed the relationship between geographic access and receipt of fertility counseling among adolescent and young adult women with cancer.

Methods: Using data from the North Carolina Central Cancer Registry, we identified women diagnosed with lymphoma, gynecologic cancer, or breast cancer at ages 15 to 39 years during 2004 to 2015. Eligible women were invited to complete an online survey on various topics, including fertility counseling. Geographic access was measured, using geocoded addresses, as vehicular travel time from residence to the nearest fertility clinic available at diagnosis. Multivariable regression models were used to examine the association between travel time and receipt of fertility counseling by provider type: health care provider versus fertility specialist.

Results: Analyses included 380 women. The median travel time to a fertility clinic was 31 (IQR: 17-71) minutes. Overall, 75% received fertility counseling from a health care provider and 16% by a fertility specialist. Women who lived ≥30 minutes from a clinic were 13% less likely to receive fertility counseling by a health care provider (prevalence ratio: 0.87; 95% confidence interval, 0.75-1.00) and 49% less likely to receive counseling by a fertility specialist (prevalence ratio: 0.51; 95% confidence interval, 0.28-0.93).

Conclusions: Women who lived further away from fertility clinics were less likely to receive fertility counseling.

Impact: Interventions to improve access to fertility counseling should include strategies to alleviate the burden of geographic access.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Cancer Epidemiology Biomarkers & Prevention
Cancer Epidemiology Biomarkers & Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.60%
发文量
538
审稿时长
1.6 months
期刊介绍: Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
期刊最新文献
The Influence of DNA Repair Genes and Prenatal Tobacco Exposure on Risk of Childhood Acute Lymphoblastic Leukemia-A Gene-Environment Interaction Study. Chronic Health Conditions, Disability, and Physical and Cognitive Limitations among LGBTQ+ Cancer Survivors. Disparities in Cancer Stage of Diagnosis by Rurality in California, 2015 to 2019. High Parathyroid Hormone Rather than Low Vitamin D Is Associated with Reduced Event-Free Survival in Childhood Cancer. Occupational Benzene Exposure and Cancer Risk among Chinese Men: A Report from the Shanghai Men's Health Study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1