Patterns of HIV testing among women diagnosed with invasive cervical cancer in the New Jersey Medicaid Program
- PDF / 731,611 Bytes
- 11 Pages / 595.276 x 790.866 pts Page_size
- 23 Downloads / 170 Views
ORIGINAL PAPER
Patterns of HIV testing among women diagnosed with invasive cervical cancer in the New Jersey Medicaid Program Jennifer K. McGee‑Avila1,2 · Michelle Doose3,4 · Jose Nova5 · Rizie Kumar6 · Antoinette M. Stroup3,4,7 · Jennifer Tsui3,4,5,8 Received: 3 May 2019 / Accepted: 4 August 2020 / Published online: 15 August 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose Practice-based guidelines recommend HIV testing during initial invasive cervical cancer (ICC) workup. Determinants of HIV testing during diagnosis of AIDS-defining cancers in vulnerable populations, where risk for HIV infection is higher, are under-explored. Methods We examine factors associated with patterns of HIV testing among Medicaid enrollees diagnosed with ICC. Using linked data from the New Jersey State Cancer Registry and New Jersey Medicaid claims and enrollment files, we evaluated HIV testing among 242 ICC cases diagnosed from 2012 to 2014 in ages 21–64 at (a) any point during Medicaid enrollment (2011–2014) and (b) during cancer workup 6 months pre ICC diagnosis to 6 months post ICC diagnosis. Logistic regression models identified factors associated with HIV testing. Results Overall, 13% of women had a claim for HIV testing during ICC workup. Two-thirds (68%) of women did not have a claim for HIV testing (non-receipt of HIV testing) while enrolled in Medicaid. Hispanic/NH-API/Other women had lower odds of non-receipt of HIV testing compared with NH-Whites (OR: 0.40; 95% CI: 0.17–0.94). Higher odds of non-receipt of HIV testing were observed among cases with no STI testing (OR: 4.92; 95% CI 2.27–10.67) and 0.1%) [14, 48]. We examine patterns of HIV testing and determinants of non-receipt of HIV testing among non-elderly women diagnosed with ICC from 2012 to 2014 in the New Jersey Medicaid program. Using the Advancing Health Disparities Research within the Health Care System conceptual framework [49], we explore patient-, health care-, and area-level factors associated with non-receipt of HIV testing.
Methods Study population This study focuses on a subset of ICC cases from a larger data linkage established to understand patterns of care among Medicaid enrollees in New Jersey between the ages of 21 and 64. For the larger data linkage, eligible cases with a first primary breast, colorectal, or invasive cervical cancer identified by the New Jersey State Cancer Registry (NJSCR) were linked to 2011–2014 New Jersey Medicaid claims and enrollment files. Cancer cases who were identified by a death certificate, autopsy, and non-New Jersey residence at time of diagnosis and those who had a previous primary cancer were excluded. Additional details about the data linkage and study population are described in our prior work [50]. For this analysis, we specifically focused on non-elderly women diagnosed with a primary, histologically confirmed ICC at
Cancer Causes & Control (2020) 31:931–941
933
age 21 to 64 between 1 January 2012 through 31 December 2014 and were enrolled in the Medicaid program at the time of ICC diagnosis
Data Loading...
