Study finds major gaps in cancer screening use in Federally Qualified Health Centers

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A nationalist study led by researchers astatine The University of Texas MD Anderson Cancer Center and The University of New Mexico (UNM) Comprehensive Cancer Center recovered awesome gaps successful breast, cervical and colorectal crab screening usage successful Federally Qualified Health Centers (FQHCs) successful nan U.S., comparative to wide screening rates successful nan country.

The findings, published coming successful JAMA Internal Medicine, revealed screening usage successful FQHCs was 45.4% for bosom cancer, 51% for cervical crab and 40.2% for colorectal cancer, compared to crab screening rates successful nan wide American organization of 78.2%, 82.9% and 72.3%, respectively.

FQHCs supply high-quality superior attraction to underserved communities successful nan U.S., which are disproportionately comprised of group and taste minorities, group without wellness insurance, and those surviving beneath nan poorness level. These findings item an urgent request to attraction connected scaling up evidence-based screenings successful these populations to mitigate crab disparities."

Jane Montealegre, Ph.D., study author, associate professor of Behavioral Science at MD Anderson

The U.S. Preventive Services Task Force (USPSTF) offers guidance for nan wide organization to get screened for breast, cervical and colorectal crab based connected property and family history. However, screening usage remains suboptimal successful galore marginalized populations. About 30 cardinal group successful nan U.S. who mightiness not different person entree to aesculapian services presently usage FQHCs.

The study, led by postdoctoral chap Trisha Amboree, Ph.D., examined screening accusation from nan Health Center Program Uniform Data System from 1,364 FQHCs betwixt January 1 and December 31, 2020. To understand screening successful nan wide population, researchers evaluated information from nan Behavioral Risk Factor Surveillance System, which includes nan usage of preventive wellness services for non-institutionalized U.S. adults complete nan property of 18, during nan aforesaid clip period.

Researchers recovered crab screening usage successful FQHCs varied wide crossed states. Certain states, specified arsenic Maine and New Hampshire, achieved screening rates over 60% and others fell beneath 35%, including Utah, Wyoming and Alabama. Additionally, nan study revealed underscreened populations served by FQHCs successful circumstantial states contributed to a ample proportionality of America's wide underscreened population. Experts property these differences, successful part, to nan variability of authorities screening programs and policies astir healthcare funding.

"FQHCs look financial constraints and unit turnover while trying to supply attraction successful a fragmented wellness system. Implementing objective preventive services specified arsenic crab screenings will require further support," said corresponding writer Prajakta Adsul, M.B.B.S, Ph.D., adjunct professor of Internal Medicine astatine UNM. "With investments successful implementation investigation successful FQHCs, location is imaginable to mitigate screening-related disparities successful medically underserved populations."

Limitations of nan study see self-reporting successful nan datasets and imaginable effects from nan COVID-19 pandemic. 

The investigation was supported by nan National Institutes of Health (R01MD013715, R01CA232888, R01CA256660).


Journal reference:

Amboree, T. L., et al. (2024). National Breast, Cervical, and Colorectal Cancer Screening Use successful Federally Qualified Health Centers. JAMA Internal Medicine.