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Examining the effect of minority status and neighborhood characteristics on cervical cancer survival outcomes


, : Examining the effect of minority status and neighborhood characteristics on cervical cancer survival outcomes. Gynecologic Oncology 121(1): 87-93

Understanding the factors that contribute to mortality and survival is central to health outcome research. The purpose of this study was to investigate the following: (1) differences in survival status by ethnicity and neighborhood median income level; and (2) individual- and neighborhood-level factors influencing cervical cancer survival. This study was based on data from 1811 cervical cancer cases obtained through the California Cancer Surveillance Program. The dependent variable was days of survival from date of cancer diagnosis. Zip code-based neighborhood-level variables were obtained from Census 2000 data. Ethnicity was significantly associated with survival (χ²=20.58; p<0.001), with African-Americans showing the shortest survival. The 5-year survival rates of European-, African-, Latino-, and Asian-American patients for all stages combined were 85%, 75%, 85%, and 84%, respectively. Differences in survival between high- and low-income regions were not observed. However, when ethnicity was considered, Asian-Americans who lived in high-income regions showed longer survival than their low-income community counterparts (χ²=4.531; p<0.05). The multilevel model demonstrated ethnicity, age at diagnosis, and cancer stage stratified by surgery to be significantly associated with cervical cancer survival at the individual level. At the neighborhood level, residing in neighborhoods with a high proportion of African-Americans increased the risk of death by 1%. The neighborhood context may be an influential contributor to survival for Asian- and African-Americans specifically. These findings necessitate closer examination of the unique contribution of ethnicity and neighborhood on cancer survival to disentangle the role of ethnic group membership, socio-ecological contexts and stress, and medical factors on disease outcomes.

US$19.90

PMID: 21183210

DOI: 10.1016/j.ygyno.2010.11.041


Other references

Van Buskirk J., 1987: Density dependent population dynamics in larvae of the dragonfly pachydiplax longipennis a field experiment. Several features of dragonfly population biology suggest that population regulation occurs in the larval stage. This study was designed to determine if density-dependent interactions among larval odonates can affect survival, growth and emergence....

Heidstra, R.; Yang, W.C.; Yalcin, Y.; Peck, S.; Emons, A.M.; van Kammen, A.; Bisseling, T., 1997: Ethylene provides positional information on cortical cell division but is not involved in Nod factor-induced root hair tip growth in Rhizobium-legume interaction. Nod factors secreted by Rhizobium leguminosarum bv. viciae induce root hair deformation, involving a reinitiation of tip growth, and the formation of nodule primordia in Vivica sativa (vetch). Ethylene is a potent inhibitor of cortical cell divisi...

Clay, J.W., 2001: Shrimp aquaculture and the environment Lessons learned about best and worst practices. AAAS Annual Meeting & Science Innovation Exposition 167: A25-A26, February 15-20

Marrot, L.; Belaidi, J.P.ilippe; Meunier, J.R.ch; Perez, P.; Agapakis Causse, C., 1999: The human melanocyte as a particular target for UVA radiation and an endpoint for photoprotection assessment. The induction of DNA breaks by UVA (320-400 nm) in the nucleus of normal human melanocytes in culture was investigated using single cell gel electrophoresis, also called the comet assay. Endogenous pigment and/or melanin-related molecules were fou...

Makridin, D.K., 1986: Local hot dry-air baths in the treatment of autonomic-sensory polyneuropathies of vibration etiology. Gigiena Truda i Professional'nye Zabolevaniia: 9-11

Eiermann, W.; Paepke, S.; Appfelstaedt, J.; Llombart-Cussac, A.; Eremin, J.; Vinholes, J.; Mauriac, L.; Ellis, M.; Lassus, M.; Chaudri-Ross, H.A.; Dugan, M.; Borgs, M., 2002: Preoperative treatment of postmenopausal breast cancer patients with letrozole: A randomized double-blind multicenter study. A randomized, double-blind, multicenter study was conducted to compare the anti-tumor activity of letrozole vs. tamoxifen in postmenopausal women with ER and/or PgR positive primary untreated breast cancer. Three hundred thirty-seven postmenopausa...

Kamio, K., 1992: Characterization of glycolipid sulfotransferase fractionated from rat kidney and involvement of the enzyme in human cancer. 3'-Phosphoadenosine 5'-phosphosulphate:galactosylceramide sulfotransferase which catalyzes the sulfation of galactosylceramide (GalCer) was partially purified from a rat kidney light membrane fraction, and the properties were studied wit...

Huntington, D.; Dervisoglu, A.A.; Pile, J.M.; Bumin, C.; Mensch, B., 1996: The quality of abortion services in Turkey. The quality of abortion in Turkey's public sector hospitals is investigated using multiple research methods including observations of actual procedures, interviews with medical staff and clients, and an inventory of materials and equipment. T...

Pakhomov, EA.; Perissinotto, R., 1997: Mesozooplankton community structure and grazing impact in the region of the Subtropical Convergence south of Africa. Journal of Plankton Research. June; 196: 675-691

Wilkens, W.F.; Mattick, L.R.; Hand, D.B., 1967: Effect of processing method on oxidative off-flavors of soybean milk. A high temperature, rapid hydration grinding process for dehulled soybeans inactivated the lipoxidase system, the primary off-flavor potentiator, and produced a nearly bland soymilk. Gas chromatography was utilized for profile comparison analysis...