Social disparities and prostate cancer: mapping the gaps in our knowledge

Gilligan, Timothy D.

doi:10.1007/s10552-004-1291-x

Cited by 77 publications

(59 citation statements)

References 92 publications

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“…For instance, former studies suggest that African American patients are more likely than White patients to concentrate in lower-end health insurance plans [16], to be treated by primary care providers with less clinical training and who may have less referral access to specialty facilities and important clinical resources than physicians treating White patients [17]. Other studies suggest that African Americans are also more likely to report a general mistrust of the healthcare industry and of medical/biomedical research and experimentation, present at clinical settings with later disease stages at diagnosis and show a tendency towards refusing participation in medical/ biomedical experiments [18][19][20][21]. African American patients are also more likely than other patients to show a heightened sense of ethnic prejudice directed against them in clinical settings and in racially discordant healthcare provider-patient interactions [16,22].…”

Section: Resultsmentioning

confidence: 99%

Minority Use of a National Cancer Institute-Designated Comprehensive Cancer Center and Non-specialty Hospitals in Two Florida Regions

Sultan

Gishe

Hanciles

et al. 2015

J. Racial and Ethnic Health Disparities

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Purpose To examine cancer treatment disparities at a National Cancer Institute-designated comprehensive cancer center (NCI-CCC) and non-specialty hospitals. Materials and Methods Florida hospital discharge datasets were used. ICD9-CM codes were used to define patients with female reproductive organ cancers (FROC), male reproductive organ cancers (MROC), and OTHER cancer diagnoses. A total of 7462 NCI-CCC patients and 21,875 non-specialty hospital patients were included in the statistical analysis. Data analysis was conducted in SAS 9.2.Results Increases in age reduced the odds of receiving treatment at the NCI-CCC. Male patients were more likely than female patients to be treated at the NCI-CCC. Age-adjusted odds of African American and Hispanic out/inpatients being treated at the NCI-CCC were significantly lower than those of White out/inpatients. Only patients with workers' compensation, charity, or other insurance had higher odds of being treated at the NCI-CCC. The odds of minority patients receiving outpatient treatment at the NCI-CCC declined after 2005. The odds of receiving inpatient treatment at the NCI-CCC significantly increased after 2006. Conclusions More targeted outreach by the NCI-CCC is required. However, we expect the creation of local Accountable Care Organizations (ACOs) to reduce the numbers of minority and older patients at the NCI-CCC. Coordinated quality care at ACOs implies a potential for retaining the patient market share held by non-specialty hospitals and a potential for increased demand for ACO care by minority and older patients.

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Section: Resultsmentioning

confidence: 99%

Minority Use of a National Cancer Institute-Designated Comprehensive Cancer Center and Non-specialty Hospitals in Two Florida Regions

Sultan

Gishe

Hanciles

et al. 2015

J. Racial and Ethnic Health Disparities

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“…Several recent reviews of social disparities and cancer suggest that low education is associated with a cluster of other factors (eg, minority ethnicity, low income) that contribute to social disadvantages, and consequently to disparities in cancer outcomes. 24,25 For example, men who are diagnosed with prostate cancer who have low education levels, low income, and few resources may need to continue employment, making time off work for treatments and managing side effects more difficult. Further research is needed to understand the role of education as a factor influencing social status and outcomes.…”

Section: Discussionmentioning

confidence: 99%

Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs

Knight

Latini

Hart

et al. 2007

Cancer

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BACKGROUND.Previous findings have suggested that patient educational attainment is related to cancer stage at presentation and treatment for localized prostate cancer, but there is little information on education and quality of life outcomes. Patient education level and quality of life were examined among men diagnosed with prostate cancer and cared for within an equal‐access health care system, the Department of Veterans Affairs Veterans Health Administration (VA).METHODS.Participants were 248 men with prostate cancer cared for in the VA and enrolled in CaPSURE. Repeated‐measures analysis of variance was used to examine quality of life over time according to education level, controlling for age, ethnicity, income, site of clinical care, and year of diagnosis.RESULTS.Patients with lower levels of education tended to be younger, nonwhite, and have lower incomes. Controlling for age, ethnicity, income, year of diagnosis, and site, men with less formal education, compared with those with more, had worse functioning in the physical (P = .0248), role physical (P = .0048), role emotional (P = .0089), vitality (P = .0034), mental health (P = .0054), social function (P = .0056), and general health (P = .0002) domains and worse urinary (P = .003) and sexual (P = .0467) side effects.CONCLUSIONS.Men with less education experienced worse health‐related quality of life across a wide range of domains and greater urinary and sexual symptoms than their peers who had more education. Clinicians should be aware that, even within an equal access to health care system, men with less education are vulnerable, having greater difficulty functioning in their daily lives after their prostate cancer treatment. Cancer 2007. © 2007 American Cancer Society.

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“…These inequalities are evident in many countries (3)(4)(5)(6)(7)(8) and are apparent for almost all cancer sites (9)(10)(11)(12). Ascertaining the reasons for, with the hope of eventual elimination of, cancer inequalities remains high on both the research and policy agenda in many countries (13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Inequalities in Cancer Survival in New Zealand: The Role of Extent of Disease at Diagnosis

Jeffreys

Sarfati

Stevanović

et al. 2009

Cancer Epidemiology, Biomarkers &Amp; Prevention

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We examined socioeconomic inequalities in cancer survival in New Zealand among 132,006 people ages 15 to 99 years who had a cancer registered (1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003) and were followed up to 2004. Relative survival rates (RSR) were calculated using deprivation-specific life tables. A census-based measure of socioeconomic position (New Zealand deprivation based on the 1996 census) based on residence at the time of cancer registration was used. All RSRs were age-standardized, and further standardization was used to investigate the effect of extent of disease at diagnosis on survival. Weighted linear regression was used to estimate the deprivation gap (slope index of inequality) between the most and least deprived cases. Socioeconomic inequalities in cancer survival were evident for all of the major cancer sites, with the deprivation gap being particularly high for prostate (À0.15), kidney and uterus (both À0.14), bladder (À0.12), colorectum (À0.10), and brain (+0.10). Accounting for extent of disease explained some of the inequalities in survival from breast and colorectal cancer and melanoma and all of the deprivation gaps in survival of cervical cancer; however, it did not affect RSRs for cancers of the kidney, uterus, and brain. No substantial differences between the total compared with the non-Māori population were found, indicating that the findings were not due to confounding by ethnicity. In summary, socioeconomic disparities in survival were consistent for nearly all cancer sites, persisted in ethnic-specific analyses, and were only partially explained by differential extent of disease at diagnosis. Further investigation of reasons for persisting inequalities is required. (Cancer Epidemiol Biomarkers Prev 2009;18(3):915-21)

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Social disparities and prostate cancer: mapping the gaps in our knowledge

Cited by 77 publications

References 92 publications

Minority Use of a National Cancer Institute-Designated Comprehensive Cancer Center and Non-specialty Hospitals in Two Florida Regions

Minority Use of a National Cancer Institute-Designated Comprehensive Cancer Center and Non-specialty Hospitals in Two Florida Regions

Education predicts quality of life among men with prostate cancer cared for in the department of Veterans affairs

Socioeconomic Inequalities in Cancer Survival in New Zealand: The Role of Extent of Disease at Diagnosis

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