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.


Subjects:
[+]
Humans Incidence Neoplasms Odds Ratio Poisson Distribution Poverty Areas Risk Assessment Risk Factors Sex Factors Social Class
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 -
Name as Subject:
SEER Program
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:3d43fc6fb25f16208ec407a0cd4b0d4c097fe57c2395147e3d70bf32102c66e1
Download URL:
https://stacks.cdc.gov/view/cdc/26392/cdc_26392_DS1.pdf
File Type:

Supporting Files

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