Giving Compass' Take:
- Rural areas present a challenge for young people to access hospitals, increasing their risk for late diagnosis of diseases such as cancer.
- In what other ways has rural healthcare impacted young people? What investments in hospitals and healthcare could potentially address some of these hurdles?
- Read about implementing rural healthcare solutions.
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Those living in rural versus metropolitan counties, and those living farther from the hospital where they received their cancer diagnosis, are more likely to find out at a later cancer stage, when it’s generally less treatable and survival rates are lower, the study finds.
“A number of studies have indicated that place of residence can influence cancer survival; however, few studies have specifically focused on geographic factors and outcomes in adolescents and young adults (AYAs) with cancer,” says Kimberly Johnson, associate professor at the Brown School at Washington University in St. Louis and lead author of the paper in the journal Cancer.
Johnson and coauthors examined National Cancer Database data on nearly 180,000 AYAs aged 15 to 39 years who were diagnosed with cancer from 2010-14. They determined residence in metro, urban, or rural counties at the time of diagnosis using Rural-Urban Continuum Codes. Distance between the patient’s residence and the reporting hospital was classified as short (less than 12.5 miles), intermediate (between 12.5 and 50 miles), or long (more than 50 miles).
Odds of a late-stage diagnosis were found to be 1.16 times greater for AYAs living in rural counties and 1.2 times greater for AYAs living at long versus short distances from the reporting hospital.
Read the full article about young people in rural areas by Neil Schoenherr at Futurity.