Table 1.
Participants characteristics | Adults with a cancer history | Adults without a cancer history | ||||
---|---|---|---|---|---|---|
Delays in care due to lack of transportation |
Delays in care due to lack of transportation |
|||||
Yes | No | Yes | No | |||
Total (weighted %) | n = 988 (2.8) | n = 27 652 (97.2%) | P b | n = 9685 (1.7%) | n = 460 339 (98.3%) | P b |
Age, y | <.001 | .04 | ||||
18-44 | 25.0 | 16.3 | 52.3 | 54.1 | ||
45-54 | 20.0 | 16.7 | 20.3 | 19.6 | ||
55-64 | 26.1 | 25.8 | 15.6 | 14.8 | ||
65-74 | 21.0 | 28.6 | 8.7 | 8.7 | ||
75-79 | 7.9 | 12.6 | 3.1 | 2.8 | ||
Sex | <.001 | <.001 | ||||
Male | 25.0 | 39.1 | 37.2 | 49.3 | ||
Female | 75.0 | 60.9 | 62.8 | 50.7 | ||
Race | <.001 | <.001 | ||||
Asian and other | 3.5 | 3.2 | 5.8 | 5.9 | ||
Hispanic | 10.0 | 6.3 | 20.1 | 14.7 | ||
Non-Hispanic Black | 17.0 | 8.2 | 24.1 | 12.1 | ||
Non-Hispanic White | 69.5 | 82.3 | 50.0 | 67.2 | ||
Educational attainment | <.001 | <.001 | ||||
Less than high school | 27.4 | 13.8 | 33.6 | 14.0 | ||
High school graduate | 30.8 | 28.5 | 30.7 | 27.0 | ||
More than high school | 41.7 | 57.7 | 35.7 | 59.0 | ||
Married | <.001 | <.001 | ||||
Yes | 27.0 | 62.0 | 25.7 | 55.7 | ||
No or missing | 73.0 | 38.0 | 74.3 | 44.3 | ||
Health insurancec | <.001 | <.001 | ||||
64 years and younger: private insurance | 13.4 | 40.9 | 20.8 | 61.4 | ||
64 years and younger: public insurance | 44.1 | 11.4 | 42.7 | 11.1 | ||
64 years and younger: uninsured | 13.6 | 6.4 | 24.7 | 16.0 | ||
65 years and older: Medicare and Private | 8.0 | 22.7 | 3.0 | 5.9 | ||
65 years and older: Medicare Advantage or HMO | 1.8 | 5.3 | 1.2 | 1.4 | ||
65 years and older: Medicare and Medicaid | 8.9 | 2.5 | 3.3 | 0.9 | ||
65 years and older: Medicare only or other | 10.3 | 10.7 | 4.2 | 3.4 | ||
Region | .35 | <.001 | ||||
Midwest | 24.9 | 24.1 | 24.0 | 23.5 | ||
Northeast | 15.8 | 18.8 | 14.0 | 17.9 | ||
South | 38.8 | 37.1 | 39.4 | 36.6 | ||
West | 20.6 | 20.0 | 22.7 | 22.0 | ||
Survey era | .05 | <.001 | ||||
2000-2004 | 18.6 | 21.1 | 18.7 | 24.6 | ||
2005-2009 | 23.6 | 24.8 | 26.5 | 25.9 | ||
2010-2014 | 27.1 | 28.4 | 29.7 | 27.1 | ||
2015-2018 | 30.7 | 25.7 | 25.1 | 22.5 | ||
Any functional limitationsd | <.001 | <.001 | ||||
No | 9.1 | 41.5 | 31.9 | 70.5 | ||
Yes | 90.9 | 58.5 | 68.1 | 29.5 | ||
Number of comorbid illnessese | <.001 | <.001 | ||||
0 | 10.9 | 27.3 | 35.1 | 59.2 | ||
1 | 16.7 | 26.2 | 20.0 | 20.9 | ||
2 | 19.5 | 21.4 | 15.5 | 10.9 | ||
≥3 | 52.9 | 25.1 | 29.4 | 9.0 | ||
Time since cancer diagnosis,y | <.001 | |||||
<2 | 27.0 | 20.4 | ||||
2-5 | 18.5 | 26.9 | ||||
6-10 | 16.6 | 20.3 | ||||
11-15 | 11.2 | 12.2 | ||||
≥16 | 26.7 | 20.1 | ||||
Cancer type | ||||||
Breast cancer | 18.1 | 21.9 | .03 | |||
Prostate cancer | 6.0 | 13.5 | <.001 | |||
Colorectal cancer | 8.8 | 7.8 | .26 | |||
Otherf | 68.3 | 57.4 | <.001 |
Data source: 2000-2018 National Health Interview Survey (NHIS) and 2019 NHIS linked Mortality Files. HMO = Health Maintenance Organization.
P values were derived from χ2 tests.
Public insurance included Medicare, Medicaid, State Children’s Health Insurance Program, and/or other public hospital or physician coverage. Age 64 years or younger with public insurance comprised people younger than 65 years who had 1 or more types of public coverage and did not have private coverage. Age 65 years or older Medicare with private, comprised people aged 65 years and older who had Medicare and private insurance coverage and did not have Medicare Advantage/HMO. Age 65 years and older with Medicare Advantage/HMO comprised people aged 65 years and older who had Medicare Advantage or HMO and did not have Medicaid coverage. Age 65 years and older with Medicare only or other comprised people aged 65 years and older who had Medicare only and/or 1 or more other types of public coverage except for Medicaid or no coverage.
Functional limitations included any self-reported limitation in walking a quarter of a mile, walking up 10 steps without resting, standing or sitting for 2 hours, stooping, reaching up over head, carrying 10 pounds, pushing large objects such as a living room chair, shopping, or visiting friends.
Comorbid Illnesses included hypertension, diabetes, coronary artery diseases, stroke, chronic obstructive lung diseases, kidney disease, liver diseases, arthritis, and morbid obesity.
Other includes cancers of all sites except for breast, prostate, colorectal cancer, and nonmelanoma skin cancer.