Recruitment of underserved, high-risk participants to a head and neck cancer screening program

Monika E. Freiser, Erin R. Cohen, Mikhaylo Szczupak, Dipan D. Desai, Kaming Lo, Chetan Nayak, Donald Weed, Zoukaa B Sargi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives/Hypothesis: Early detection is essential in head and neck cancer treatment as prognosis varies greatly with stage at diagnosis. Underserved populations often present with advanced disease, and individuals with tobacco and heavy alcohol use demonstrate a higher head and neck cancer incidence. This study aims to evaluate whether various promotional methods differentially recruited behavioral risk factor positive and/or underserved populations to our screening event. Study Design: Prospective cross-sectional study. Methods: A hospital-based, medical student-run, free head and neck cancer screening event for 187 participants was held in April 2015. Medical campus-based, community-based, and media-based promotions were implemented to recruit participants. Event participants filled out questionnaires to determine how they were recruited, their risk-factor history, and their socioeconomic status. Prevalence of the higher-risk population across the various promotional methods was analyzed. Results: Community-based promotions were significantly associated with the recruitment of participants in the underserved subgroups, namely uninsured (P =.019), unemployed (P =.006), and those with an annual household income <$20,000 (P <.001). Although not statistically significant, participants with behavioral risk factors reported a higher percentage of recruitment by media-based promotions. Campus-based promotions led to the highest absolute number, but not percentage, of higher-risk participants. Conclusions: Community-based promotions most efficiently recruit underserved guests to participate in a hospital-based head and neck cancer screening event as compared to media and campus-based promotions. Institutions interested in recruiting higher proportions of underserved guests to these screening events should consider focusing attention and allocation of resources to community-based promotions. Level of Evidence: 4 Laryngoscope, 126:2699–2704, 2016.

Original languageEnglish (US)
Pages (from-to)2699-2704
Number of pages6
JournalLaryngoscope
Volume126
Issue number12
DOIs
StatePublished - Dec 1 2016

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Head and Neck Neoplasms
Early Detection of Cancer
Vulnerable Populations
Laryngoscopes
Resource Allocation
Medical Students
Social Class
Tobacco
Cross-Sectional Studies
History
Alcohols
Prospective Studies
Incidence
Population
Therapeutics

Keywords

  • cancer prevention
  • early detection
  • Head and neck malignancy
  • high-risk behavior

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Freiser, M. E., Cohen, E. R., Szczupak, M., Desai, D. D., Lo, K., Nayak, C., ... Sargi, Z. B. (2016). Recruitment of underserved, high-risk participants to a head and neck cancer screening program. Laryngoscope, 126(12), 2699-2704. https://doi.org/10.1002/lary.26035

Recruitment of underserved, high-risk participants to a head and neck cancer screening program. / Freiser, Monika E.; Cohen, Erin R.; Szczupak, Mikhaylo; Desai, Dipan D.; Lo, Kaming; Nayak, Chetan; Weed, Donald; Sargi, Zoukaa B.

In: Laryngoscope, Vol. 126, No. 12, 01.12.2016, p. 2699-2704.

Research output: Contribution to journalArticle

Freiser, ME, Cohen, ER, Szczupak, M, Desai, DD, Lo, K, Nayak, C, Weed, D & Sargi, ZB 2016, 'Recruitment of underserved, high-risk participants to a head and neck cancer screening program', Laryngoscope, vol. 126, no. 12, pp. 2699-2704. https://doi.org/10.1002/lary.26035
Freiser ME, Cohen ER, Szczupak M, Desai DD, Lo K, Nayak C et al. Recruitment of underserved, high-risk participants to a head and neck cancer screening program. Laryngoscope. 2016 Dec 1;126(12):2699-2704. https://doi.org/10.1002/lary.26035
Freiser, Monika E. ; Cohen, Erin R. ; Szczupak, Mikhaylo ; Desai, Dipan D. ; Lo, Kaming ; Nayak, Chetan ; Weed, Donald ; Sargi, Zoukaa B. / Recruitment of underserved, high-risk participants to a head and neck cancer screening program. In: Laryngoscope. 2016 ; Vol. 126, No. 12. pp. 2699-2704.
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abstract = "Objectives/Hypothesis: Early detection is essential in head and neck cancer treatment as prognosis varies greatly with stage at diagnosis. Underserved populations often present with advanced disease, and individuals with tobacco and heavy alcohol use demonstrate a higher head and neck cancer incidence. This study aims to evaluate whether various promotional methods differentially recruited behavioral risk factor positive and/or underserved populations to our screening event. Study Design: Prospective cross-sectional study. Methods: A hospital-based, medical student-run, free head and neck cancer screening event for 187 participants was held in April 2015. Medical campus-based, community-based, and media-based promotions were implemented to recruit participants. Event participants filled out questionnaires to determine how they were recruited, their risk-factor history, and their socioeconomic status. Prevalence of the higher-risk population across the various promotional methods was analyzed. Results: Community-based promotions were significantly associated with the recruitment of participants in the underserved subgroups, namely uninsured (P =.019), unemployed (P =.006), and those with an annual household income <$20,000 (P <.001). Although not statistically significant, participants with behavioral risk factors reported a higher percentage of recruitment by media-based promotions. Campus-based promotions led to the highest absolute number, but not percentage, of higher-risk participants. Conclusions: Community-based promotions most efficiently recruit underserved guests to participate in a hospital-based head and neck cancer screening event as compared to media and campus-based promotions. Institutions interested in recruiting higher proportions of underserved guests to these screening events should consider focusing attention and allocation of resources to community-based promotions. Level of Evidence: 4 Laryngoscope, 126:2699–2704, 2016.",
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