The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic
Identifieur interne : 000D58 ( Main/Merge ); précédent : 000D57; suivant : 000D59The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic
Auteurs : Joseph Kangmennaang [Canada] ; Isaac Luginaah [Canada]Source :
- Journal of Cancer Epidemiology [ 1687-8558 ] ; 2016.
Abstract
Url:
DOI: 10.1155/2016/7284303
PubMed: 27034669
PubMed Central: 4806283
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic</title><author><name sortKey="Kangmennaang, Joseph" sort="Kangmennaang, Joseph" uniqKey="Kangmennaang J" first="Joseph" last="Kangmennaang">Joseph Kangmennaang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Geography and Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada N2L 3G1</nlm:aff><country>Canada</country><wicri:regionArea>Department of Geography and Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Luginaah, Isaac" sort="Luginaah, Isaac" uniqKey="Luginaah I" first="Isaac" last="Luginaah">Isaac Luginaah</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Geography, Western University, 1151 Richmond Street, London, ON, Canada N6A 5C2</nlm:aff><country>Canada</country><wicri:regionArea>Department of Geography, Western University, 1151 Richmond Street, London, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27034669</idno><idno type="pmc">4806283</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4806283</idno><idno type="RBID">PMC:4806283</idno><idno type="doi">10.1155/2016/7284303</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002615</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002615</idno><idno type="wicri:Area/Pmc/Curation">002614</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002614</idno><idno type="wicri:Area/Pmc/Checkpoint">000444</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000444</idno><idno type="wicri:Area/Ncbi/Merge">003703</idno><idno type="wicri:Area/Ncbi/Curation">003703</idno><idno type="wicri:Area/Ncbi/Checkpoint">003703</idno><idno type="wicri:doubleKey">1687-8558:2016:Kangmennaang J:the:influences:of</idno><idno type="wicri:Area/Main/Merge">000D58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Influences of Health Insurance and Access to Information on Prostate Cancer Screening among Men in Dominican Republic</title><author><name sortKey="Kangmennaang, Joseph" sort="Kangmennaang, Joseph" uniqKey="Kangmennaang J" first="Joseph" last="Kangmennaang">Joseph Kangmennaang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Geography and Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON, Canada N2L 3G1</nlm:aff><country>Canada</country><wicri:regionArea>Department of Geography and Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author><author><name sortKey="Luginaah, Isaac" sort="Luginaah, Isaac" uniqKey="Luginaah I" first="Isaac" last="Luginaah">Isaac Luginaah</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Geography, Western University, 1151 Richmond Street, London, ON, Canada N6A 5C2</nlm:aff><country>Canada</country><wicri:regionArea>Department of Geography, Western University, 1151 Richmond Street, London, ON</wicri:regionArea><wicri:noRegion>ON</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Cancer Epidemiology</title><idno type="ISSN">1687-8558</idno><idno type="eISSN">1687-8566</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> Although research demonstrates the public health burden of prostate cancer among men in the Caribbean, relatively little is known about the factors that underlie the low levels of testing for the disease among this population.<italic> Study Design.</italic> A cross-sectional study of prostate cancer testing behaviours among men aged 40–60 years in Dominican Republic using the Demographic and Health Survey (2013).<italic> Methods.</italic> We use hierarchical binary logit regression models and average treatment effects combined with propensity score matching to explore the determinants of prostate screening as well as the average effect of health insurance coverage on screening. The use of hierarchical binary logit regression enabled us to control for the effect of unobserved heterogeneity at the cluster level that may affect prostate cancer testing behaviours.<italic> Results.</italic> Screening varied significantly with health insurance coverage, knowledge of cholesterol level, education, and wealth. Insured men were more likely to test for prostate cancer (OR = 1.65, <italic>p</italic> = 0.01) compared to the uninsured.<italic> Conclusions.</italic> The expansion and restructuring of Dominican Republic universal health insurance scheme to ensure equity in access may improve health access that would potentially impact positively on prostate cancer screening among men.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Rathe, M" uniqKey="Rathe M">M. Rathe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rathe, M" uniqKey="Rathe M">M. 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