Impact of Redlining on Healthcare Disparities in GI Cancer Patients
Author Information
Author(s): Chatzipanagiotou Odysseas P. MD, Pawlik Timothy M. MD, PhD, MPH, MTS, MBA
Primary Institution: Department of Surgery, The Ohio State University, Columbus, OH USA
Hypothesis
The study aims to characterize the effect of redlining as a root cause of healthcare inequalities among patients with gastrointestinal cancer.
Conclusion
The study found that contemporary redlining is associated with significant healthcare disparities, particularly affecting access to treatment and clinical outcomes for patients with GI cancer.
Supporting Evidence
- 32.2% of patients with GI cancer lived in high and highest redlining areas.
- Patients in the highest redlining areas had 36.3% greater odds of not undergoing surgery for localized disease.
- Socioeconomic status mediated 45.6% of the association between redlining and non-receipt of surgery.
Takeaway
Living in areas marked by redlining can make it harder for people with gastrointestinal cancer to get the care they need, leading to worse health outcomes.
Methodology
The study used mediation analysis to assess the impact of redlining on healthcare access and outcomes, considering demographic, socioeconomic, and neighborhood factors.
Participant Demographics
The study included a diverse population of patients with gastrointestinal cancer, with significant representation from Black, Hispanic, and White patients.
Statistical Information
Confidence Interval
95%CI 1.219–1.524
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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