Socioeconomic deprivation as a determinant of cancer mortality and the Hispanic paradox in Texas, US

dc.contributor.authorGong, Gordon
dc.contributor.authorBelasco, Eric J.
dc.contributor.authorMarkide, K.
dc.contributor.authorPhillips, B. U. Jr.
dc.date.accessioned2015-02-11T22:35:51Z
dc.date.available2015-02-11T22:35:51Z
dc.date.issued2013-04
dc.description.abstractIntroduction: We have recently reported that delayed cancer detection is associated with the Wellbeing Index (WI) for socioeconomic deprivation, lack of health insurance, physician shortage, and Hispanic ethnicity. The current study investigates whether these factors are determinants of cancer mortality in Texas, the United States of America (USA). Methods: Data for breast, colorectal, female genital system, lung, prostate, and all-type cancers are obtained from the Texas Cancer Registry. A weighted regression model for non-Hispanic whites, Hispanics, and African Americans is used with age-adjusted mortality (2004–2008 data combined) for each county as the dependent variable while independent variables include WI, percentage of the uninsured, and physician supply. Results: Higher mortality for breast, female genital system, lung, and all-type cancers is associated with higher WI among non-Hispanic whites and/or African Americans but with lower WI in Hispanics after adjusting for physician supply and percentage of the uninsured. Mortality for all the cancers studied is in the following order from high to low: African Americans, non-Hispanic whites, and Hispanics. Lung cancer mortality is particularly low in Hispanics, which is only 35% of African Americans’ mortality and 40% of non-Hispanic whites’ mortality. Conclusions: Higher degree of socioeconomic deprivation is associated with higher mortality of several cancers among non-Hispanic whites and African Americans, but with lower mortality among Hispanics in Texas. Also, mortality rates of all these cancers studied are the lowest in Hispanics. Further investigations are needed to better understand the mechanisms of the Hispanic Paradox.en_US
dc.identifier.citationGong, G., E.J. Belasco, K. Markide, B.U. Phillips Jr. "Socioeconomic Deprivation as a Determinant of Cancer Mortality and the Hispanic Paradox in Texas, USA." International Journal for Equity in Health. Vol. 12, No. 26 (2013).en_US
dc.identifier.issn1475-9276
dc.identifier.urihttps://scholarworks.montana.edu/handle/1/8829
dc.subjectOncologyen_US
dc.subjectSociologyen_US
dc.subjectEconomicsen_US
dc.titleSocioeconomic deprivation as a determinant of cancer mortality and the Hispanic paradox in Texas, USen_US
dc.typeArticleen_US
mus.citation.extentfirstpage26en_US
mus.citation.issue26en_US
mus.citation.journaltitleInternational Journal for Equity in Healthen_US
mus.citation.volume12en_US
mus.identifier.categoryBusiness, Economics & Managementen_US
mus.identifier.categoryHealth & Medical Sciencesen_US
mus.identifier.doi10.1186/1475-9276-12-26en_US
mus.relation.collegeCollege of Letters & Science
mus.relation.collegeCollege of Letters & Scienceen_US
mus.relation.departmentAgricultural Economics & Economics.en_US
mus.relation.universityMontana State University - Bozemanen_US

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