Association Between Socioeconomic and Insurance Status and Delayed Diagnosis of Gastrointestinal Cancers.

ABSTRACT:

Introduction

Association between socioeconomic status (SES) and stage at diagnosis in gastrointestinal (GI) cancers is poorly described. Relationship between low SES and stage at diagnosis as well as the mediating role of insurance status (IS) was examined.

Methods

The Surveillance, Epidemiology, and End Results database was queried for esophageal, gastric, liver, biliary, pancreatic, colon, and rectal cancers diagnosed in 2012-2016. Relationship between census-tract SES index quintiles and late diagnosis (distant disease at diagnosis) was examined. Uni and multivariable logistic regressions were performed. Mediation analyses were conducted to determine the degree to which IS (private/Medicare versus Medicaid/uninsured) mediates the relationship between SES and late diagnosi

SUBMITTER: Kim G 

PROVIDER: S-EPMC10132254 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature