{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:53:44Z","timestamp":1787806424853,"version":"build-2784847793"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is limited research on screening rates among uninsured cancer survivors. Uninsured cancer survivors are at higher risk of poorer health outcomes than the insured due to limited access to preventative screening for secondary cancers. This study examines the rates of surveillance and screening of uninsured cancer survivors and compares to uninsured patients without a cancer history seen in free clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected retrospectively from electronic medical records and paper charts of patients from 10 free clinics between January 2016 and December 2018 in the Tampa Bay area. The prevalence of socioeconomic characteristics, cancer diagnoses, and screening practices were compared for cancer survivors and free clinic patients without a history of cancer. Study participants were determined to be eligible for cancer screenings based on the United States Preventive Services Task Force guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of 13\u00a0982 uninsured patients frequenting free clinics between 2016 and 2018, 402 (2.9%) had a documented history of cancer. Out of the 285 eligible cancer survivors, 44 (15.4%) had completed age-appropriate colon cancer screening. Among the 170 female cancer survivors, 75 (44.1%) had completed breast cancer screenings, and only 5.9% (59\/246) had completed cervical cancer screenings. After adjusting for age, gender, race, salary, employment status, and household size, cancer survivors were more likely to undergo colorectal cancer screening (OR: 3.59, 95% CI: 2.10\u20136.15) and breast cancer screening (OR: 2.13, 95% CI: 1.30\u20133.84) than patients without a cancer history. This difference was not seen for cervical cancer screening (OR: 0.99, 95% CI: .62\u20131.58).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Uninsured cancer survivors frequenting free clinics represent a unique population that is underrepresented in the medical literature. Our results suggest that uninsured survivors use screening services at higher rates when compared to uninsured patients without a reported cancer diagnosis. However, these rates are suboptimal when compared to national screening rates of insured cancer survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748211072983","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T20:59:46Z","timestamp":1646427586000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Preventative Cancer Screening Rates Among Uninsured Patients in Free Clinics: A Retrospective Cohort Study of Cancer Survivors and Non-cancer Survivors"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0410-8484","authenticated-orcid":false,"given":"Madeline","family":"MacDonald","sequence":"first","affiliation":[{"name":"University of South Florida Morsani College of Medicine, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abu-Sayeef","family":"Mirza","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Mhaskar","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldenise","family":"Ewing","sequence":"additional","affiliation":[{"name":"Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liwei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medical Education, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Lu","sequence":"additional","affiliation":[{"name":"College of Public Health, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noura","family":"Ayoubi","sequence":"additional","affiliation":[{"name":"University of South Florida Morsani College of Medicine, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Guerra","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of South Florida, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Roetzheim","sequence":"additional","affiliation":[{"name":"Department of Medical Education, University of South Florida, Tampa, FL, USA"},{"name":"Department of Family Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie","family":"Woodard","sequence":"additional","affiliation":[{"name":"Department of Medical Education, University of South Florida, Tampa, FL, USA"},{"name":"Department of Family Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9459-8028","authenticated-orcid":false,"given":"Smitha","family":"Pabbathi","sequence":"additional","affiliation":[{"name":"Survivorship Clinic, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"bibr1-10732748211072983","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21442"},{"key":"bibr2-10732748211072983","doi-asserted-by":"publisher","DOI":"10.3857\/roj.2018.00290"},{"issue":"1093","key":"bibr3-10732748211072983","doi-asserted-by":"crossref","first-page":"20180390","DOI":"10.1259\/bjr.20180390","volume":"92","author":"Demoor-Goldschmidt C","year":"2019","journal-title":"Br J Radiol"},{"key":"bibr4-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0316-9"},{"key":"bibr5-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-020-01286-0"},{"issue":"3","key":"bibr6-10732748211072983","first-page":"143","volume":"41","author":"Han X","year":"2016","journal-title":"J Registry Manag"},{"key":"bibr7-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2017.1377322"},{"key":"bibr8-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2015.09.016"},{"key":"bibr9-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32900"},{"key":"bibr10-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000876"},{"issue":"1","key":"bibr11-10732748211072983","first-page":"37","volume":"16","author":"Hu ZI","year":"2016","journal-title":"Ochsner J"},{"key":"bibr12-10732748211072983","unstructured":"U.S. Preventive Services Task Force. 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Colorectal cancer is a major public health problem; 2020."},{"key":"bibr28-10732748211072983","doi-asserted-by":"publisher","DOI":"10.5888\/pcd18.200496"},{"key":"bibr29-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.04.010"},{"key":"bibr30-10732748211072983","unstructured":"American Cancer Society. Breast Cancer Facts & Figures; 2018."},{"key":"bibr31-10732748211072983","author":"Christy SM","year":"2017","journal-title":"J Cancer Educ"},{"key":"bibr32-10732748211072983","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21340"},{"issue":"1","key":"bibr33-10732748211072983","first-page":"1","volume":"4","author":"Zein K","year":"2018","journal-title":"J Stud-Run Clinics"},{"key":"bibr34-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-019-00724-8"},{"key":"bibr35-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-019-00767-x"},{"key":"bibr36-10732748211072983","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30431"},{"key":"bibr37-10732748211072983","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21557"}],"container-title":["Cancer Control"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10732748211072983","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10732748211072983","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10732748211072983","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:22:28Z","timestamp":1777386148000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10732748211072983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,4]]},"references-count":37,"alternative-id":["10.1177\/10732748211072983"],"URL":"https:\/\/doi.org\/10.1177\/10732748211072983","relation":{},"ISSN":["1073-2748","1526-2359"],"issn-type":[{"value":"1073-2748","type":"print"},{"value":"1526-2359","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,4]]},"article-number":"10732748211072983"}}