Association of educational attainment with cancer mortality in a national cohort study of black and white adults: A mediation analysis.

ABSTRACT:

Background

Low educational attainment is associated with excess cancer mortality. However, the mechanisms driving this association remain unknown.

Methods

Using data from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study, we evaluated the associations of participant and parental/caregiver education with cancer mortality using Cox proportional hazards models, adjusting for socio-demographic characteristics and health conditions. We used principal components analysis to generate indices of measures representing the social determinants of health (SDOH) and health behaviors. We used structural equation modeling to determine if the association between educational attainment and cancer mortality was mediated by these domains.

Results

Among 30,177 R

SUBMITTER: Gupta A 

PROVIDER: S-EPMC10637994 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature