A Faith- and Community-Based Approach to Identifying the Individual at Risk for Head and Neck Cancer in an Inner City

作者：Carter John M^*; Winters Ryan D; Lipin Rosa; Lookabaugh Sara; Cai David; Friedlander Paul L

来源：Laryngoscope, 2013, 123(6): 1439-1443.

DOI：10.1002/lary.23981

• Head and neck cancer
• health disparities
• faith
• community
• risk factors
• homeless
• African American
• inner city
• screening

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. %26lt;br%26gt;Study Design: Prospective cohort study. %26lt;br%26gt;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. %26lt;br%26gt;Results: The outreach group had more risk factors for development of cancer, and a significantly higher proportion who used tobacco (P%26lt;.05) and consumed %26gt;1 drink/day (P%26lt;.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%26lt;.05), fewer subjects with private insurance (P%26lt;.05), fewer subjects with a primary care provider (P%26lt;.05), and more subjects with a reported barrier to care (P%26lt;.05). %26lt;br%26gt;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.

• 出版日期2013-6