Featured Research

from universities, journals, and other organizations

Low Socioeconomic Status Increases Risk Of Death After Cancer Diagnosis

Date:
June 23, 2008
Source:
American Cancer Society
Summary:
Cancer patients with low socioeconomic status (SES) have more advanced cancers at diagnosis, receive less aggressive treatment, and have a higher risk of dying in the five years following cancer diagnosis, according to a new study. The study supports the need to focus on SES as an underlying factor in cancer disparities by race and ethnicity.

Cancer patients with low socioeconomic status (SES) have more advanced cancers at diagnosis, receive less aggressive treatment, and have a higher risk of dying in the five years following cancer diagnosis, according to a new study. The study, which will appear in the August 1, 2008 issue of CANCER, a peer-reviewed journal of the American Cancer Society, supports the need to focus on SES as an underlying factor in cancer disparities by race and ethnicity.

Racial and ethnic disparities in the diagnosis and treatment of cancer and in risk of death after cancer have been documented by many studies. But the role that socioeconomic status might play, in addition to race and ethnicity, has been less well-studied

To explore the association between SES and mortality, Tim Byers, M.D. of the University of Colorado Denver and colleagues from seven states conducted the Breast, Colon, and Prostate Cancer Data Quality and Patterns of Care (POC) Study, a collaborative inquiry by seven state cancer registries within the National Program of Cancer Registries. The researchers documented compete information on cancer stage, treatment received, and 5-year mortality rates from multiple medical record sources for 13,598 cancer cases diagnosed in seven states in 1997, including 4,844 women with breast cancer, 4,332 men with prostate cancer, and 4,422 men and women with colorectal cancer. They also determined the socioeconomic status of the neighborhood of each patient by using the neighborhood-specific income and education data from the 2000 U.S. census.

Their analysis revealed that for all three types of cancers, individuals of low socioeconomic status had more advanced stages of cancer and received less aggressive treatment. For example, women of low socioeconomic status were less likely to receive radiation treatment after a lumpectomy or to receive anti-estrogen therapy when diagnosed with an estrogen receptor positive (ER+) tumor. Men with prostate cancer who were living in areas of low socioeconomic status were less likely to have been treated by prostatectomy or radiation compared to men from areas of high socioeconomic status. Chemotherapy was also less likely to be used for low socioeconomic status men and women with colorectal cancer.

For all three types of cancer, patients who lived in low SES neighborhoods were more likely to die in the five years following their cancer diagnosis than were patients in higher SES neighborhoods. A substantial proportion of this difference seemed to be due to the combined effects of this less intensive treatment and to a later stage of cancer at the time of diagnosis. While African Americans and Hispanics were more likely than non-Hispanic whites to have lived in areas of low socioeconomic status, the investigators say that the low SES factor was apparent for all racial and ethnic groups. Disparities related to socioeconomic status were not as apparent among patients aged 65 and older, perhaps because nearly everyone over age 65 is provided access to cancer screening and treatment via Medicare, regardless of their socioeconomic status.

"These findings support the need to focus on socioeconomic status as an important underlying factor in cancer disparities by race and ethnicity," the authors concluded. "We need better information on how access to health care contributes to differences in cancer outcomes by socioeconomic status in order to address the root causes of racial and ethnic cancer disparities in the United States," they added.


Story Source:

The above story is based on materials provided by American Cancer Society. Note: Materials may be edited for content and length.


Journal Reference:

  1. Tim Byers, Holly J. Wolf, Katrina R. Bauer, Susan Bolick-Aldrich, Vivien W. Chen, Jack L. Finch, John P. Fulton, Maria J. Schymura, Tiefu Shen, Scott Van Heest, and Xiang Yin. The impact of socioeconomic status on survival after cancer in the United States: Findings from the National Program of Cancer Registries Patterns of Care Study. CANCER, Published Online: June 23, 2008 DOI: 10.002/cncr.23567

Cite This Page:

American Cancer Society. "Low Socioeconomic Status Increases Risk Of Death After Cancer Diagnosis." ScienceDaily. ScienceDaily, 23 June 2008. <www.sciencedaily.com/releases/2008/06/080623092544.htm>.
American Cancer Society. (2008, June 23). Low Socioeconomic Status Increases Risk Of Death After Cancer Diagnosis. ScienceDaily. Retrieved October 20, 2014 from www.sciencedaily.com/releases/2008/06/080623092544.htm
American Cancer Society. "Low Socioeconomic Status Increases Risk Of Death After Cancer Diagnosis." ScienceDaily. www.sciencedaily.com/releases/2008/06/080623092544.htm (accessed October 20, 2014).

Share This



More Health & Medicine News

Monday, October 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

How Nigeria Beat Its Ebola Outbreak

How Nigeria Beat Its Ebola Outbreak

Newsy (Oct. 20, 2014) The World Health Organization has declared Nigeria free of Ebola. Health experts credit a bit of luck and the government's initial response. Video provided by Newsy
Powered by NewsLook.com
Another Study Suggests Viagra Is Good For The Heart

Another Study Suggests Viagra Is Good For The Heart

Newsy (Oct. 20, 2014) An ingredient in erectile-dysfunction medications such as Viagra could improve heart function. Perhaps not surprising, given Viagra's history. Video provided by Newsy
Powered by NewsLook.com
Ebola Worries End for Dozens on U.S. Watch Lists

Ebola Worries End for Dozens on U.S. Watch Lists

Reuters - US Online Video (Oct. 20, 2014) Forty-three people who had contact with Thomas Eric Duncan, the first person diagnosed with Ebola in the U.S., were cleared overnight of twice-daily monitoring after 21 days of showing no symptoms. Rough Cut (no reporter narration). Video provided by Reuters
Powered by NewsLook.com
Fauci: Ebola Protocols to Focus on Training

Fauci: Ebola Protocols to Focus on Training

AP (Oct. 20, 2014) Dr. Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, says he expects revised CDC protocols on Ebola to focus on training, observation and ensuring health care workers are more protected. (Oct. 20) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins