Details:

Alternative Title:
Cancer
Publisher's site:
http://dx.doi.org/10.1002/cncr.28632
Personal Author:
Boscoe, Francis P. ; Johnson, Christopher J. ; Sherman, Recinda L. ; Stinchcomb, David G. ; Lin, Ge ; ... More +
Boscoe, Francis P. ; Johnson, Christopher J. ; Sherman, Recinda L. ; Stinchcomb, David G. ; Lin, Ge ; Henry, Kevin A. ; Less -
Description:
BACKGROUND The relationship between socioeconomic status and cancer incidence in the United States has not traditionally been a focus of population-based cancer surveillance systems. METHODS Nearly 3 million tumors diagnosed between 2005 and 2009 from 16 states plus Los Angeles were assigned into 1 of 4 groupings based on the poverty rate of the residential census tract at time of diagnosis. The sex-specific risk ratio of the highest-to-lowest poverty category was measured using Poisson regression, adjusting for age and race, for 39 cancer sites. RESULTS For all sites combined, there was a negligible association between cancer incidence and poverty; however, 32 of 39 cancer sites showed a significant association with poverty (14 positively associated and 18 negatively associated). Nineteen of these sites had monotonic increases or decreases in risk across all 4 poverty categories. The sites most strongly associated with higher poverty were Kaposi sarcoma, larynx, cervix, penis, and liver; those most strongly associated with lower poverty were melanoma, thyroid, other nonepithelial skin, and testis. Sites associated with higher poverty had lower incidence and higher mortality than those associated with lower poverty. CONCLUSIONS These findings demonstrate the importance and relevance of including a measure of socioeconomic status in national cancer surveillance. Cancer 2014;120:2191–2198. © 2014 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.
Subject:
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Health Disparities
Humans
Incidence
Neoplasms
Odds Ratio
Original Articles
Poisson Distribution
Poverty
Poverty Areas
Risk Assessment
Risk Factors
SEER Program
Sex Factors
Social Class
Socioeconomic Status
Surveillance

Source:
Cancer. 2014; 120(14):2191-2198.
Pubmed ID:
24866103
Pubmed Central ID:
PMC4232004
Document Type:
Journal Article ;
Funding:
1-U58-DP003879/DP/NCCDPHP CDC HHS/United States ; 1-U58-DP003882/DP/NCCDPHP CDC HHS/United States ; 1-U58-DP003928/DP/NCCDPHP CDC HHS/United States ; U58-DP000844/DP/NCCDPHP CDC HHS/United States ;
1-U58-DP003879/DP/NCCDPHP CDC HHS/United States ; 1-U58-DP003882/DP/NCCDPHP CDC HHS/United States ; 1-U58-DP003928/DP/NCCDPHP CDC HHS/United States ; U58-DP000844/DP/NCCDPHP CDC HHS/United States ; Less -
Place as Subject:
United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:3d43fc6fb25f16208ec407a0cd4b0d4c097fe57c2395147e3d70bf32102c66e1
File Type:

Supporting Files

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