Explaining reduced cancer survival among the disadvantaged
Explaining reduced cancer survival among the disadvantaged
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DOI：
10.2307/3350247
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发表时间：
1996-01-01
影响因子：
6.6
通讯作者：
Polissar, N
中科院分区：
文献类型：
--
作者：
Greenwald, HP;Borgatta, EF;Polissar, N
社会地位低下的癌症患者比社会地位优越的癌症患者面临更大的死亡风险，这一事实已得到充分认识，但却知之甚少。现有研究和一项新完成的10年生存研究表明，生物因素、医疗干预和社会分化的特定维度之间的复杂相互关系决定了生存差异。一些癌症的“经济”模型和另一些癌症的“认知-行为”模型似乎与决定生存的因素之间的相互关系模式是相容的。本文提出的研究结果表明，改善获得卫生保健的机会将降低至少某些恶性肿瘤中弱势群体的死亡风险，但仅凭这一点并不能使他们的生存机会与优势群体相等。
The fact that socially disadvantaged cancer patients face a greater risk of mortality than the advantaged is well recognized but poorly understood. Existing research and a newly completed 10-year survival study suggest that complex interrelations among biological factors, medical interventions, and specific dimensions of social differentiation determine survival differences. Patterns of interrelations among determinants of survival appear compatible with an ''economic'' model in some forms of cancer and a ''cognitive-behavioral'' model in others. Findings presented here suggest that improved access to health care will reduce mortality risk among the disadvantaged in at least some malignancies, but will not alone make their survival chances equal to those of the advantaged.