The late-stage diagnosis of colorectal cancer: Demographic and socioeconomic factors
The late-stage diagnosis of colorectal cancer: Demographic and socioeconomic factors
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DOI：
10.2105/ajph.86.12.1794
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发表时间：
1996-12-01
影响因子：
12.7
通讯作者：
Kerner, J
中科院分区：
文献类型：
--
作者：
Mandelblatt, J;Andrews, H;Kerner, J
目标.本研究描述了与结直肠癌诊断分期相关的因素。对来自纽约州肿瘤登记处和美国人口普查地区社会阶层指标的数据进行逻辑回归分析。在控制了其他预测因素的影响后，晚期癌症的几率随着年龄的降低而增加;女性和非洲裔美国人比男性和白人更有可能患晚期癌症;生活在社会经济地位低的地区的人比生活在社会经济地位高的地区的人更有可能在晚期被诊断出来。分层分析显示，生活在低社会经济地位地区是所有年龄、种族、性别和护理来源群体的阶段的最重要决定因素。虽然所有人群都将受益于系统的筛查，但社会经济弱势群体也可能受益于有针对性的筛查。
Objectives. This study described factors related to colorectal cancer stage at diagnosis.Methods. Logistic regression analyses were used on data from the New York State Tumor Registry and US Census area-level social class indicators.Results. After the effects of other predictors were controlled for, the odds of late-stage cancer increased as age decreased; women and African Americans were significantly more likely to have late stage than men and Whites; and individuals living in areas of low socioeconomic status (SES) were significantly more likely to be diagnosed at late stage than those living in higher SES areas. Stratified analyses showed that living in a low SES area was the most important determinant of stage for all age, race, gender, and source-of-care groups.Conclusions. While all populations would benefit from the systematic use of screening, socioeconomically disadvantaged groups may also benefit from targeted screening.