Psychosocial factors associated with mouth and throat cancer examinations in rural Florida

We examined the knowledge and prevalence of mouth and throat cancer examinations in a sample drawn from rural populations in north Florida. Telephone interviews were conducted across rural census tracts throughout north Florida in 2009 and 2010, in a survey that had been adapted for cultural appropr...

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Veröffentlicht in:American journal of public health (1971) 2012-02, Vol.102 (2), p.e7-e14
Hauptverfasser: Riley, 3rd, Joseph L, Dodd, Virginia J, Muller, Keith E, Guo, Yi, Logan, Henrietta L
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container_title American journal of public health (1971)
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creator Riley, 3rd, Joseph L
Dodd, Virginia J
Muller, Keith E
Guo, Yi
Logan, Henrietta L
description We examined the knowledge and prevalence of mouth and throat cancer examinations in a sample drawn from rural populations in north Florida. Telephone interviews were conducted across rural census tracts throughout north Florida in 2009 and 2010, in a survey that had been adapted for cultural appropriateness using cognitive interviews. The sample consisted of 2526 respondents (1132 men and 1394 women; 1797 Whites and 729 African Americans). Awareness of mouth and throat cancer examination (46%) and lifetime receipt (46%) were higher than reported in statewide studies performed over the past 15 years. Only 19% of the respondents were aware of their examination, whereas an additional 27% reported having the examination when a description was provided, suggesting a lack of communication between many caregivers and rural patients. Surprisingly, anticipated racial/ethnic differences were diminished when adjustments were made for health literacy and several measures of socioeconomic status. These findings support the notion that health disparities are multifactorial and include characteristics such as low health literacy, lack of access to care, and poor communication between patient and provider.
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subjects Adult
African Americans
African Americans - statistics & numerical data
Age Factors
Aged
Aged, 80 and over
Cancer
Censuses
Communication
Female
Field study
Florida
Gender
Health care access
Health Care Surveys
Health education
Health Knowledge, Attitudes, Practice - ethnology
Health literacy
Health Literacy - statistics & numerical data
Healthcare Disparities - ethnology
Households
Humans
Interviews
Literacy
Male
Medical screening
Mens health
Middle Aged
Mortality
Mouth
Mouth Neoplasms - diagnosis
Mouth Neoplasms - ethnology
Mouth Neoplasms - psychology
Online Only
Pharyngeal Neoplasms - diagnosis
Pharyngeal Neoplasms - ethnology
Pharyngeal Neoplasms - psychology
Physical Examination - psychology
Physical Examination - statistics & numerical data
Psychological aspects
Public health
Race
Rural areas
Rural Population - statistics & numerical data
Sex Factors
Social support
Socioeconomic Factors
Throat cancer
title Psychosocial factors associated with mouth and throat cancer examinations in rural Florida
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