Table 2. Population-Based Barriers to Health Care Access Among Young Adult Survivors of Melanoma by Annual PSE Status in the Prior Yeara.
| Self-reported response | No. (%) | ||
|---|---|---|---|
| All | PSE statusb | ||
| Yes | No | ||
| Total | 128 | 75 | 46 |
| Presence of barriers | |||
| None | 96 (75) | 64 (85) | 29 (63) |
| ≥1 | 30 (23) | 11 (15) | 17 (40) |
| Types of barriers experienced in prior year | |||
| Financial or health insurance | 19 (15) | 4 (5) | 14 (30) |
| It costs too much | 15 (12) | 3 (4) | 11 (24) |
| I had no health insurance | 12 (9) | 1 (1) | 10 (22) |
| My insurance company didn’t approve a test or visit | 7 (5) | 2 (3) | 5 (11) |
| Anticipated limits and financial burden | 1 (1) | 0 | 1 (2) |
| Health system/organizational | 9 (7) | 3 (4) | 6 (13) |
| I didn’t have a doctor that I could call | 5 (4) | 2 (3) | 3 (7) |
| I didn’t know where to go | 5 (4) | 1 (1) | 4 (9) |
| I didn’t have a doctor that spoke my language | 0 | NA | NA |
| I don’t have a doctor that understands my background and values | 1 (1) | 0 | 1 (2) |
| I didn’t know how to make an appointment | 0 | NA | NA |
| Work/life | 14 (11) | 8 (11) | 6 (13) |
| I was too busy | 11 (9) | 7 (9) | 4 (9) |
| I didn’t have childcare | 3 (2) | 2 (3) | 1 (2) |
| I couldn’t leave work/school | 7 (5) | 4 (5) | 3 (7) |
| Psychosocial/other | 7 (6) | 2 (3) | 4 (9) |
| I don’t trust doctors or think they can help me at this time | 2 (2) | 0 | 2 (4) |
| I didn’t want to be reminded about my cancer experience | 2 (2) | 1 (1) | 1 (2) |
| I was worried that a problem would be discovered | 3 (2) | 2 (3) | 2 (1) |
| Anxiety | 1 (1) | 1 (1) | 0 |
| None of the above | 2 (2) | 0 | 1 (2) |
Abbreviations: NA, not applicable; PSE, physician-based skin examinations.
a
Participants were diagnosed with stage 1 or higher melanoma at 24 years or younger in 1996 to 2004 in Los Angeles County and were 18 to 39 years old and 5 or more years postdiagnosis at time of survey in 2015.
b
Seven participants were missing information on either PSE or barriers.