TABLE 3.
Adjusted odds ratios from multivariable nominal logistic regression for care gap type among women diagnosed with cervical cancer
Screening test failure (N = 156) a | Diagnostic/treatment care gap (N = 111) a | |
---|---|---|
Comparison group for outcomes: Lack of a screening test (N = 231) a |
||
Odds Ratio (95% CI) b | ||
Diagnosis year | ||
2010–2012 | Ref | Ref |
2013–2014 | 1.42 (0.83–2.43) | 1.66 (0.89–3.08) |
Age at diagnosis (years) | ||
21–29 | 3.58 (1.18–10.80) | 3.43 (1.04–11.30) |
30–39 | Ref | Ref |
40–49 | 0.77 (0.40–1.49) | 0.73 (0.36–1.51) |
50–59 | 0.48 (0.24–0.93) | 0.34 (0.15–0.73) |
60–65 | 0.38 (0.15–0.93) | 0.35 (0.13–0.96) |
Race/ethnicity | ||
Non‐Hispanic White | Ref | Ref |
Non‐Hispanic Black | 2.64 (1.07–6.47) | 2.85 (1.00–8.13) |
Hispanic | 1.65 (0.93–2.93) | 1.55 (0.82–2.96) |
Asian/Pacific Islander | 2.67 (1.07–6.67) | 2.75 (1.02–7.38) |
Other/Unknown | 0.62 (0.17–2.24) | 0.34 (0.06–1.90) |
SEER summary stage at diagnosis | ||
Localized | Ref | Ref |
Regional | 0.19 (0.11–0.35) | 0.14 (0.07–0.29) |
Distant | 0.50 (0.23–1.11) | 0.15 (0.04–0.55) |
Unknown | 1.31 (0.25–6.79) | 1.62 (0.24–11.10) |
Histology | ||
Squamous cell carcinoma | Ref | Ref |
Adenocarcinoma | 3.91 (2.31–6.61) | 3.12 (1.73–5.62) |
Other | 0.42 (0.13–1.34) | 0.38 (0.09–1.66) |
Study site | ||
Site 1 | 1.30 (0.65–2.58) | 1.75 (0.83–3.67) |
Site 2 | Ref | Ref |
Site 3 | 0.25 (0.11–0.59) | 0.10 (0.03–0.32) |
Site 4 | 0.35 (0.17–0.73) | 0.30 (0.13–0.69) |
Abbreviations: CI, confidence interval; Ref, reference group; SEER, Surveillance, Epidemiology, and End Results.
One woman without a clear care gap and 6 women with missing results for Pap test (thus it was not possible to correctly assign their care gap) were excluded, leaving 498 women in this analysis.
Model adjusted for all variables shown in this table. We did not include insurance type in this analysis due to inability to obtain stable estimates for insurance type. Additionally, adjusting for insurance type did not lead to material changes of the results presented in this table.