IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/199888111681-1684_6.html
   My bibliography  Save this article

Social factors, treatment, and survival in early-stage non-small cell lung cancer

Author

Listed:
  • Greenwald, H.P.
  • Polissar, N.L.
  • Borgatta, E.F.
  • McCorkle, R.
  • Goodman, G.

Abstract

Objectives. This study assessed the importance of socioeconomic status, race, and likelihood of receiving surgery in explaining mortality among patients with stage-I non-small Cell lung cancer. Methods. Analyses focused on Black and White individuals 75 years of age and younger (n = 5189) diagnosed between 1980 and 1982 with stage-I non-small cell lung cancer in Detroit, San Francisco, and Seattle. The main outcome measure was months of survival after diagnosis. Results. Patients in the highest income decile were 45% more likely to receive surgical treatment and 102% more likely to attain 5-year survival than those in the lowest decile. Whites were 20% more likely to undergo surgery than Blacks and 31% more likely to survive 5 years. Multivariate procedures controlling for age and sex confirmed these observations. Conclusions. Socioeconomic status and race appear to independently influence likelihood of survival. Failure to receive surgery explains much excess mortality.

Suggested Citation

  • Greenwald, H.P. & Polissar, N.L. & Borgatta, E.F. & McCorkle, R. & Goodman, G., 1998. "Social factors, treatment, and survival in early-stage non-small cell lung cancer," American Journal of Public Health, American Public Health Association, vol. 88(11), pages 1681-1684.
    • Handle: RePEc:aph:ajpbhl:1998:88:11:1681-1684_6
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Arnold Kamis & Rui Cao & Yifan He & Yuan Tian & Chuyue Wu, 2021. "Predicting Lung Cancer in the United States: A Multiple Model Examination of Public Health Factors," IJERPH, MDPI, vol. 18(11), pages 1-27, June.
    2. Fanny Cros & Sébastien Lamy & Pascale Grosclaude & Antoine Nebout & Emilien Chabrillac & Sébastien Vergez & Pierre Bories & Agnès Dupret-Bories, 2021. "Physician practice variation in head and neck cancer therapy: Results of a national survey," Post-Print hal-03373358, HAL.
    3. Haynes, Robin & Pearce, Jamie & Barnett, Ross, 2008. "Cancer survival in New Zealand: Ethnic, social and geographical inequalities," Social Science & Medicine, Elsevier, vol. 67(6), pages 928-937, September.
    4. Jiang, Xiaqing & Lin, Ge & Islam, K.M. Monirul, 2017. "Socioeconomic factors related to surgical treatment for localized, non-small cell lung cancer," Social Science & Medicine, Elsevier, vol. 175(C), pages 52-57.
    5. Samuel Cykert & Nancy Phifer, 2003. "Surgical Decisions for Early Stage, Non–Small Cell Lung Cancer: Which Racially Sensitive Perceptions of Cancer Are Likely to Explain Racial Variation in Surgery?," Medical Decision Making, , vol. 23(2), pages 167-176, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:1998:88:11:1681-1684_6. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.