OBJECTIVES/HYPOTHESIS: To perform a subset analysis of faith- and community-based screening events to further identify at-risk populations for head and neck cancer in hopes of further focusing screening efforts. STUDY DESIGN: Prospective cohort study. METHODS: Three hundred fifty-three individuals (n=353) presented to community events and self-selected for head and neck cancer screenings. A subgroup analysis focusing on risk factors for the development of head and neck cancer and for poor overall prognosis was performed. Subgroups analyzed were individuals screened at church-affiliated events, social events, or community outreach events at homeless shelters. Statistical analysis was performed using one-tailed analysis of variance test. RESULTS: The outreach group had more risk factors for development of cancer, and a significantly higher proportion who used tobacco (P<.05) and consumed >1 drink/day (P<.05). Those in the outreach and church groups had a greater number of risk factors for a poor prognosis with and neck cancer in comparison with the social group: number of uninsured subjects (P<.05), fewer subjects with private insurance (P<.05), fewer subjects with a primary care provider (P<.05), and more subjects with a reported barrier to care (P<.05). CONCLUSIONS: Inhabitants of homeless shelters represent a particularly vulnerable population for both the development and poor prognosis of head and neck cancer. Members of urban church groups are also an at-risk subpopulation due to the prevalence of poor prognostic risk factors. These groups may benefit from future targeted screenings for head and neck cancer.
OBJECTIVES/HYPOTHESIS: To perform a subset analysis of faith- and community-based screening events to further identify at-risk populations for head and neck cancer in hopes of further focusing screening efforts. STUDY DESIGN: Prospective cohort study. METHODS: Three hundred fifty-three individuals (n=353) presented to community events and self-selected for head and neck cancer screenings. A subgroup analysis focusing on risk factors for the development of head and neck cancer and for poor overall prognosis was performed. Subgroups analyzed were individuals screened at church-affiliated events, social events, or community outreach events at homeless shelters. Statistical analysis was performed using one-tailed analysis of variance test. RESULTS: The outreach group had more risk factors for development of cancer, and a significantly higher proportion who used tobacco (P<.05) and consumed >1 drink/day (P<.05). Those in the outreach and church groups had a greater number of risk factors for a poor prognosis with and neck cancer in comparison with the social group: number of uninsured subjects (P<.05), fewer subjects with private insurance (P<.05), fewer subjects with a primary care provider (P<.05), and more subjects with a reported barrier to care (P<.05). CONCLUSIONS: Inhabitants of homeless shelters represent a particularly vulnerable population for both the development and poor prognosis of head and neck cancer. Members of urban church groups are also an at-risk subpopulation due to the prevalence of poor prognostic risk factors. These groups may benefit from future targeted screenings for head and neck cancer.
Authors: Travis P Baggett; Yuchiao Chang; Bianca C Porneala; Monica Bharel; Daniel E Singer; Nancy A Rigotti Journal: Am J Prev Med Date: 2015-07-03 Impact factor: 5.043
Authors: Sunshine Dwojak; Daniel Deschler; Michele Sargent; Kevin Emerick; B Ashleigh Guadagnolo; Daniel Petereit Journal: Am J Public Health Date: 2014-10-16 Impact factor: 9.308
Authors: Nosayaba Osazuwa-Peters; Eric Adjei Boakye; Adnan S Hussaini; Nanthiya Sujijantarat; Rajan N Ganesh; Matthew Snider; Devin Thompson; Mark A Varvares Journal: PLoS One Date: 2017-05-17 Impact factor: 3.240