期刊
AMERICAN JOURNAL OF PUBLIC HEALTH
卷 94, 期 12, 页码 2104-2111出版社
AMER PUBLIC HEALTH ASSOC INC
DOI: 10.2105/AJPH.94.12.2104
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资金
- NCI NIH HHS [N01 PC065064] Funding Source: Medline
- CDC HHS [T01/CCT517642-01] Funding Source: Medline
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 advanced-stage 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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