- Influence of Socioeconomic Status, Comorbidity, and Disability on Late-stage Cancer Diagnosis
-
Bo Ram Park, So Young Kim, Dong Wook Shin, Hyung Kook Yang, Jong Hyock Park
-
Osong Public Health Res Perspect. 2017;8(4):264-270. Published online August 31, 2017
-
DOI: https://doi.org/10.24171/j.phrp.2017.8.4.06
-
-
4,913
View
-
48
Download
-
9
Crossref
-
 Abstract
 PDF
- Objectives
Understanding factors affecting advanced stage at diagnosis is vital to improve cancer outcomes and overall survival. We investigated the factors affecting later-stage cancer diagnosis. MethodsPatients completed self-reported questionnaires. We collected cancer stage data from medical records review. Logistic regression analyses were performed to identify factors associated with later stage cancer at diagnosis by gender. ResultsIn total, 1,870 cancer patients were included in the study; 55.8% were men, 31.1% had more than one comorbid condition, and 63.5% had disabilities. About half of the patients were smokers, and drank alcohol, and 58.0% were diagnosed at an advanced stage. By cancer type, lung and liver cancers (both genders), prostate (men), colorectal, cervical, and thyroid cancer (women) were more likely to be diagnosed at a later stage. After controlling for socioeconomic factors, comorbidity (odds ratio [OR], 1.48 in men) and disability (OR, 1.64 in men and 1.52 in women) remained significantly associated with late-stage diagnosis. ConclusionIn this nationwide study, using combined information from patients and medical records, we found that male patients with comorbidities or disabilities, and female patients with disabilities were more likely to have advanced stage cancer at diagnosis. Targeted approaches by cancer type and health conditions are recommended.
-
Citations
Citations to this article as recorded by  - Factors associated with late diagnosis of cervical cancer at two national referral hospitals, Kenya 2017: A case control study
Valerian Mwenda, Martin Mwangi, Gladwell Gathecha, Joseph Kibachio, Robert Too, Zeinab Gura, Marleen Temmerman
Gynecologic Oncology Reports.2024; 52: 101355. CrossRef - “I Thought It Was Better to Be Safe Than Sorry”: Factors Influencing Parental Decisions on HPV and Other Adolescent Vaccinations for Students with Intellectual Disability and/or Autism in New South Wales, Australia
Allison Carter, Christiane Klinner, Alexandra Young, Iva Strnadová, Horas Wong, Cassandra Vujovich-Dunn, Christy E. Newman, Cristyn Davies, S. Rachel Skinner, Margie Danchin, Sarah Hynes, Rebecca Guy
Vaccines.2024; 12(8): 922. CrossRef - Obstacles dans le dépistage du cancer du sein chez les personnes ayant un handicap
Sylvia Mazellier, Rajeev Ramanah, Catherine Guldenfels, Carole Mathelin
Bulletin du Cancer.2022; 109(2): 185. CrossRef - Cancer Disparities Experienced by People with Disabilities
Rosemary B. Hughes, Susan Robinson-Whelen, Carly Knudson
International Journal of Environmental Research an.2022; 19(15): 9187. CrossRef - Prognostic factors and survival analysis of Hurthle cell carcinoma: A population-based study
Bailey M. Humphreys, Kelvin O. Memeh, Alex Funkhouser, Tanaz M. Vaghaiwalla
Surgery.2022; 172(5): 1379. CrossRef - Disparities in the Diagnosis and Treatment of Bile Duct Cancer in People with Disabilities: A National Cohort Study in South Korea
Seon Mee Park, So Young Kim, Kyoung Eun Yeob, Dong Wook Shin, Joung-Ho Han, Jong Heon Park, Jong Hyock Park
International Journal of Environmental Research an.2022; 19(24): 16625. CrossRef - Impact of comorbidity assessment methods to predict non-cancer mortality risk in cancer patients: a retrospective observational study using the National Health Insurance Service claims-based data in Korea
Sanghee Lee, Yoon Jung Chang, Hyunsoon Cho
BMC Medical Research Methodology.2021;[Epub] CrossRef - Disparities in the Diagnosis, Treatment, and Survival Rate of Cervical Cancer among Women with and without Disabilities
Jin Young Choi, Kyoung Eun Yeob, Seung Hwa Hong, So Young Kim, Eun-Hwan Jeong, Dong Wook Shin, Jong Heon Park, Gil-won Kang, Hak Soon Kim, Jong Hyock Park, Ichiro Kawachi
Cancer Control.2021;[Epub] CrossRef - Gynecologic Care in Women With Down Syndrome
Anna J. B. Smith, Jeremy Applebaum, Edward J. Tanner, George T. Capone
Obstetrics & Gynecology.2020; 136(3): 518. CrossRef
|
