Table 3.

Adjusted ORs for health care access among adult cancer survivors, age 18–64, from the National Health Interview Survey (2006–2010)

Delayed/didn't get care due to costCan't afford medicationsCan't afford dental care
OR (95% CI)OR (95% CI)OR (95% CI)
Rural (ref: Urban)1.04 (0.81–1.34)1.05 (0.80–1.38)0.84 (0.63–1.10)
Sex
 Female1.54 (1.19–1.98)1.70 (1.32–2.20)2.04 (1.58–2.63)
 Male (ref)
Race/ethnicity
 African American0.87 (0.65–1.15)1.06 (0.77–1.45)0.86 (0.62–1.18)
 Hispanic0.93 (0.65–1.32)1.51 (1.09–2.09)1.02 (0.74–1.40)
 Non-Hispanic white (ref)
Age, y (continuous)0.99 (0.98–1.00)0.97 (0.96–0.98)0.97 (0.96–0.98)
Marital status
 Married/living together (ref)
 Not married1.64 (1.32–2.03)1.51 (1.21–1.89)1.41 (1.14–1.74)
Education
 ≤High school/GED (ref)
 ≥Some college1.19 (0.96–1.49)1.08 (0.86–1.37)1.09 (0.86–1.37)
Insurance status
 Private (ref)
 Public1.36 (1.03–1.79)1.59 (1.19–2.14)2.11 (1.61–2.77)
 None9.40 (7.14–12.39)6.97 (5.22–9.31)5.77 (4.29–7.77)
Comorbidities, number1.21 (1.08–1.35)1.60 (1.41–1.82)1.20 (1.06–1.36)
Health status
 Excellent/very good (ref)
 Good/fair/poor2.38 (1.86–3.04)2.30 (1.73–3.06)2.26 (1.75–2.91)
More than one cancer1.04 (0.70–1.57)1.09 (0.73–1.62)0.99 (0.69–1.40)
Time since diagnosis, y
 <20.78 (0.56–1.10)0.81 (0.59–1.12)0.65 (0.49–0.85)
 2–50.82 (0.61–1.09)0.90 (0.68–1.19)0.65 (0.50–0.85)
 6–90.93 (0.67–1.31)0.98 (0.69–1.40)1.08 (0.81–1.43)
 10+ (ref)
Geographic region
 Northeast (ref)
 Midwest1.32 (0.92–1.91)0.97 (0.68–1.37)1.06 (0.76–1.47)
 South1.43 (1.01–2.03)1.21 (0.87–1.68)1.33 (0.98–1.79)
 West1.65 (1.15–2.37)1.00 (0.70–1.45)1.56 (1.11–2.19)

Abbreviations: 95% CI, 95% confidence intervals; Ref, reference group.

NOTE: Participants with missing data for covariates are excluded from the analyses. Bold text indicates significance of P < 0.05.