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  • Wendell Nilsson posted an update 6 years, 6 months ago

    Prior study on the matched comparison group for cancer survivors using MEPS data.26 Moreover, we did not match survivors and comparison group on variables (i.e., insurance coverage and marital status) that may very well be influenced by cancer exposure. We utilized one-to-one nearest-neighbor matching with predicted logistic regression and identified N = 1216 comparison group people. The post-matching Continuity, and centred in family medicine t-test revealed that the averages of independent variables didn’t differ drastically across survivors along with the comparison group.Dental care measures. Our key outcome variable was total dental visits within the previous 12 months. The household component of MEPS collects information on healthcare use for solutions for example office- and hospital-based care and dental services in each survey round. For each individual, these data are summed to make yearly utilization (e.g., total dental visits). We examined dental care use in two approaches. Initially, we developed a variable to recognize no matter if survivors reported two or more visits in the past year, to indicate their adherence to national recommendations for survivors.22 Then, as handful of survivors reported two or a lot more visits, we created a binary variable (0 vs. q1 check out in the previous year) to recognize danger elements associated with nonuse of dental services. We also integrated report of delays in receiving necessary dental care and if they have been unable to get necessary dental care. Demographic and cancer-related measures. Demographic variables in our study integrated sex, age at survey (209, 3039, 409, and 504 years), race/ethnicity (Hispanic, nonHispanic white, non-Hispanic black, non-Hispanic Asian, and non-Hispanic other folks), marital status (never married, married, divorced/separated, and widowed), poverty categories (higher: >400 , middle: 200 00 , and poor/near-poor/low: 200 of poverty line), medical and dental insurance coverage inside the prior year (private medical and dental, private medical and no dental insurance coverage, public insurance, and uninsured), censusregion (Northeast, Midwest, South, and West), and survey year (2008 to 2012). Census-regions were incorporated to adjust for regional differences in demographics and access to healthcare care, too as cancer incidence prices.279 Cancer diagnosis information and facts for survivors incorporated diagnosis frequency (one or a number of cancers), age at initial diagnosis, and initial diagnosis. For confidentially causes, MEPS combines cancer forms with low frequencies and reports a separate category (i.e., Other Unspecified). Because of low frequencies, we also combined some specified cancer forms into a category named “Other Specified.”MEPS can be a nationally representative survey of a civilian noninstitutionalized population inside the United states.236 MEPS utilizes a subsample of households who participated inside the preceding year’s National Wellness Interview Survey to create a sampling frame every year. An overlapping panel style is employed in which every family is followed for 2 years. To conduct our analyses, we utilized the complete year consolidated MEPS data files from 2008 to 2012. Selected variables were vertically concatenated across survey years to create a cross-sectional data set. Utilizing publically readily available data which include MEPS for analysis purposes does not need human analysis approval based on the University of Texas Healthcare Branch Institutional Overview Board.Study sample Survivors of AYA cancer and matched comparison group.MEPS delivers info on regardless of whether respondents were ever diagnosed with cancer or any ot.