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Disparities associated with advanced prostate cancer stage at diagnosis.
- Source :
-
Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2010 Feb; Vol. 21 (1), pp. 112-31. - Publication Year :
- 2010
-
Abstract
- This study expands on a previous report (focusing on health insurance status and race/ethnicity) to present effects of age, socioeconomic status, hospital type, and other factors (e.g., type of Medicaid and Medicare coverage, insurance-by-race/ethnicity interactions) on advanced-stage (III/IV) at prostate cancer diagnosis. Invasive (Stages I-IV) prostate cancer cases diagnosed during 1998-2004 were extracted from the National Cancer Database (N=687,464). Independent of health-insurance and race/ethnicity, socioeconomic status was a significant predictor of advanced stage at diagnosis, with patients residing in areas with lower socioeconomic characteristics having significantly increased odds. Those treated at community-cancer-centers had significantly decreased odds (versus teaching/research-facilities). Significantly increased odds were also observed among uninsured-Blacks, Medicare-insured-Blacks, Medicaid-insured-Blacks, Medicare-insured-Hispanics, and Medicare-insured-other-racial/ethnic-minorities 65 years old and older (versus corresponding White-populations). The impact of prostate cancer screening on reducing mortality remains debatable. Still, our results suggest improvements in multiple factors that affect access-to-care may achieve earlier diagnosis and, therefore, a potentially more treatable disease.
- Subjects :
- Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Black People statistics & numerical data
Health Facilities classification
Hispanic or Latino statistics & numerical data
Humans
Logistic Models
Male
Medicaid statistics & numerical data
Medically Uninsured statistics & numerical data
Medicare statistics & numerical data
Middle Aged
Neoplasm Invasiveness
Prostatic Neoplasms pathology
Registries
Risk Factors
Socioeconomic Factors
United States
White People statistics & numerical data
Young Adult
Black or African American
Health Status Disparities
Healthcare Disparities
Neoplasm Staging
Prostatic Neoplasms ethnology
Subjects
Details
- Language :
- English
- ISSN :
- 1548-6869
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of health care for the poor and underserved
- Publication Type :
- Academic Journal
- Accession number :
- 20173259
- Full Text :
- https://doi.org/10.1353/hpu.0.0253