PMID- 28238989 OWN - NLM STAT- MEDLINE DCOM- 20180227 LR - 20221207 IS - 1548-6869 (Electronic) IS - 1049-2089 (Linking) VI - 28 IP - 1 DP - 2017 TI - Examining the Influence of Cost Concern and Awareness of Low-cost Health Care on Cancer Screening among the Medically Underserved. PG - 79-87 LID - 10.1353/hpu.2017.0010 [doi] AB - African Americans suffer a greater burden of mortality from breast, cervical, and colorectal cancers than other groups in the United States. Early detection through timely screening can improve survival outcomes; however, cost is frequently reported as a barrier to screening. Federally qualified health centers (FQHCs) provide preventive and primary care to underserved populations regardless of ability to pay, positioning them to improve cancer screening rates. The purpose of this study was to examine the influence of concern about health care cost (cost concern) and awareness of low-cost health care (awareness) on cancer screening among 236 African Americans within an FQHC service area using self-report surveys. Multiple logistic regression indicated that awareness was positively associated with cervical and colorectal cancer screening, while cost concern was negatively associated with mammography screening. Results indicate that improving awareness and understanding of low-cost health care could increase cancer screening among underserved African Americans. FAU - Best, Alicia L AU - Best AL FAU - Strane, Alcha AU - Strane A FAU - Christie, Omari AU - Christie O FAU - Bynum, Shalanda AU - Bynum S FAU - Wiltshire, Jaqueline AU - Wiltshire J LA - eng PT - Journal Article PL - United States TA - J Health Care Poor Underserved JT - Journal of health care for the poor and underserved JID - 9103800 SB - IM MH - Adult MH - Black or African American/*psychology MH - Aged MH - Awareness MH - Breast Neoplasms/diagnosis/ethnology MH - Colorectal Neoplasms/diagnosis/ethnology MH - Early Detection of Cancer/*economics MH - Female MH - Health Expenditures/statistics & numerical data MH - Health Services Accessibility/*economics MH - Humans MH - Male MH - Middle Aged MH - Safety-net Providers/*economics MH - Socioeconomic Factors MH - United States MH - Uterine Cervical Neoplasms/diagnosis/ethnology MH - Vulnerable Populations/*statistics & numerical data MH - Young Adult EDAT- 2017/02/28 06:00 MHDA- 2018/02/28 06:00 CRDT- 2017/02/28 06:00 PHST- 2017/02/28 06:00 [entrez] PHST- 2017/02/28 06:00 [pubmed] PHST- 2018/02/28 06:00 [medline] AID - S1548686917100100 [pii] AID - 10.1353/hpu.2017.0010 [doi] PST - ppublish SO - J Health Care Poor Underserved. 2017;28(1):79-87. doi: 10.1353/hpu.2017.0010.