Laryngoscope, December 2016, Vol.126(12), pp.2699-2704
To purchase or authenticate to the full-text of this article, please visit this link: http://onlinelibrary.wiley.com/doi/10.1002/lary.26035/abstract Byline: Monika E. Freiser, Erin R. Cohen, Mikhaylo Szczupak, Dipan D. Desai, Kaming Lo, Chetan Nayak, Donald T. Weed, Zoukaa B. Sargi 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 Article Note: This work was performed at the University of Miami Miller School of Medicine. This work was supported by a 2014 Prevention and Early Detection Community Service Grant by the American Head and Neck Society awarded to Monika Freiser, the University of Miami Department of Otolaryngology, Sylvester Comprehensive Cancer Center, University of Miami Hospital, and Jackson Memorial Hospital. The sponsor and hospitals reviewed the original project proposal but were not otherwise involved in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
Head And Neck Malignancy ; Cancer Prevention ; High‐Risk Behavior ; Early Detection