Minority Health Archive

Stage at Diagnosis and Survival in a Multiethnic Cohort of Prostate Cancer Patients

Oakley-Girvan, Ingrid and Kolonel, Laurence N. and Gallagher, Richard P. and Wu, Anna H. and Anna, Anna and Whittemore, Alice S. (2003) Stage at Diagnosis and Survival in a Multiethnic Cohort of Prostate Cancer Patients. American Journal of Public Health, 93 (10). pp. 1753-1759. ISSN 0090-0036

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Objectives. We evaluated the effects of socioeconomic status and comorbidity on stage of disease and survival among 1,509 population-based prostate cancer patients. Methods. We applied logistic regression and Cox proportional hazards regression to data from Whites, African Americans, and Asian Americans who were diagnosed from 1987 to 1991. Results. Patients with existing comorbid conditions were less likely than those without these conditions to be diagnosed with advanced cancer. Compared with Whites, African Americans (odds ratio [OR]=1.5; 95% confidence interval [CI]=1.1, 2.2) and foreign-born Asian Americans (OR=1.6; 95% CI=1.0, 2.4) were more likely to be diagnosed with advanced cancer. Among men with localized disease, prostate cancer death rates were higher for African Americans than for Whites (death rate ratio=2.3; 95% CI=1.2, 4.7). Conclusions. These findings support the need for further investigation of factors that affect access to and use of health care among African Americans and Asian Americans.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: socioeconomic status; survival; prostate cancer patients; African Americans; foreign-born Asian Americans; advanced cancer; death rates
Subjects: Health > Health Equity > Access To Healthcare
Health > Public Health > Chronic Illness & Diseases > Cancer
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Depositing User: Users 141 not found.
Date Deposited: 29 Sep 2008
Last Modified: 28 Jun 2011 10:52
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1001

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