Social, Prognostic, and Therapeutic Factors Associated with Cancer Survival: A Population-Based Study in Metropolitan Detroit, Michigan

Socioeconomic environment and disparities in cancer survival for 19 solid tumor sites: An analysis of the French Network of Cancer Registries (FRANCIM) data

“…population‐based registries data, ecological deprivation index, net survival) also showed lower survival among patients living in the most deprived environments compared to those living in the least deprived ones, for most cancer sites . More broadly, all studies investigating social inequalities in cancer survival worldwide have reported lower survival among the most deprived for a large majority of cancer sites, with no significant inverse association . Our findings are therefore supported by those from the literature, and bring new information about the situation in France and the impact of social deprivation on cancer survival for cancer sites with mitigated results in the literature (such as stomach, ovary, melanoma, thyroid, CNS or pancreas).…”

“…The lower survival found among patients living in the most deprived areas compared to those living in the least deprived ones regarding colon‐rectum cancer, breast cancer and cervical cancer might result from inequalities in cancer screening uptake, which have been identified in several French studies . Additionally, disparities in stage at diagnosis and therapeutic management according to deprivation have been related to cancer survival inequalities in previous research . However, neither stage at diagnosis nor patients’ treatment history were available in the cancer registries data used for our study.…”

“…Underlying hypotheses have been proposed by previous research and comprise a more advanced stage at diagnosis, worse access to healthcare services, less optimized choices of treatment, as well as higher prevalence of comorbid illnesses and more frequent unhealthy lifestyle among the more socially disadvantaged . Individual socioeconomic characteristics are known to be strong predictors of cancer survival as revealed in many studies worldwide . However, some of the potential explanations mentioned above as well as previous research suggest that not only individual but also contextual and environmental factors might contribute to social inequalities in cancer survival.…”

Too little, too late: Socioeconomic disparities in the experience of women living with diabetes

“…Our findings are consistent with previous qualitative research that focused on other chronic diseases (e.g. heart disease and cancer), suggesting that socioeconomic variations in diagnosis timing partially explain socioeconomic differentials in chronic illness outcomes (Richards et al, 2002; Gorey et al, 2003; Schwartz et al, 2003). …”

“…Several quantitative studies have examined socioeconomic differences in chronic disease among women, including the influence of socioeconomic factors on breast cancer diagnosis. Such studies found that lower SES groups were diagnosed later and had more advanced stages of breast cancer at diagnosis, which might explain the higher rates of preventable breast cancer deaths in low SES women (Gorey et al, 2003; Schwartz et al, 2003). The socioeconomic variations in stage of diagnosis were consistent with other forms of cancer such as colorectal, lung, cervical, and prostate cancers (Schwartz et al, 2003).…”