Persistent Child Poverty and Mortality in a Cohort of Children with Cancer in Alabama.

ABSTRACT:

Background

One-fifth of U.S. counties are designated persistent child poverty counties (≥20% of children in poverty since 1980). The association between a persistent child poverty environment and mortality in children with cancer is unknown.

Methods

Our cohort includes 2,089 children with cancer (2000-2016) in Alabama. We used multivariable Cox proportional hazards modeling (adjusted for sociodemographics/clinical characteristics) to assess mortality by persistent child poverty designation at 1, 5, and 10 years from diagnosis. Distance to treatment was subsequently explored.

Results

Forty-two percent of the cohort lived in a persistent child poverty county; they were more likely to be African American (P < 0.0001), have public/no insurance (P = 0.0009), and live >100

SUBMITTER: Hoppmann AL 

PROVIDER: S-EPMC9991934 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature