Minority Health Archive

Endometrial Cancer: Socioeconomic Status and Racial/Ethnic Differences in Stage at Diagnosis, Treatment, and Survival

Madison, Terri and Schottenfeld, David and James, Sherman A. and Schwartz, Ann G. and Gruber, Stephen B. (2004) Endometrial Cancer: Socioeconomic Status and Racial/Ethnic Differences in Stage at Diagnosis, Treatment, and Survival. American Journal of Public Health, 94 (12). pp. 2104-2111. ISSN 0090-0036

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Abstract

Objective. We evaluated the association between socioeconomic status and racial/ ethnic differences in endometrial cancer stage at diagnosis, treatment, and survival. Methods. We conducted a population-based study among 3656 women. Results. Multivariate analyses showed that either race/ethnicity or income, but not both, was associated with advanced-stage disease. Age, stage at diagnosis, and income were independent predictors of hysterectomy. African American ethnicity, increased age, aggressive histology, poor tumor grade, and advancedstage disease were associated with increased risk for death; higher income and hysterectomy were associated with decreased risk for death. Conclusions. Lower income was associated with advanced-stage disease, lower likelihood of receiving a hysterectomy, and lower rates of survival. Earlier diagnosis and removal of barriers to optimal treatment among lower-socioeconomic status women will diminish racial/ethnic differences in endometrial cancer survival.


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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: stage at diagnosis; income; African American ethnicity; increased age; aggressive histology; poor tumor grade; advanced stage disease
Subjects: Health > Health Equity > Access To Healthcare
Health
Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Cancer
Research
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Depositing User: Users 141 not found.
Date Deposited: 03 Oct 2008
Last Modified: 30 Jun 2011 10:16
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1034

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