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Association between insurance and socioeconomic status and risk of advanced stage Hodgkin lymphoma in adolescents and young adults
BACKGROUND: Hodgkin lymphoma (HL) is one of the most common types of cancer among adolescents and young adults (AYAs) in the United States. Unfortunately, a greater percentage of AYAs are presenting with an advanced stage of disease at the time of diagnosis compared with their younger counterparts....
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| Published in: | Cancer 2012-12, Vol.118 (24), p.6179-6187 |
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| container_end_page | 6187 |
| container_issue | 24 |
| container_start_page | 6179 |
| container_title | Cancer |
| container_volume | 118 |
| creator | Smith, Erlyn C. Ziogas, Argyrios Anton‐Culver, Hoda |
| description | BACKGROUND:
Hodgkin lymphoma (HL) is one of the most common types of cancer among adolescents and young adults (AYAs) in the United States. Unfortunately, a greater percentage of AYAs are presenting with an advanced stage of disease at the time of diagnosis compared with their younger counterparts.
METHODS:
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, race, birthplace, marital status, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage HL at the time of diagnosis in a large cohort of AYA patients with HL from the California Cancer Registry (7343 incident cases of HL diagnosed from 1988‐2006, between ages 15 years‐40 years).
RESULTS:
AYAs with advanced stage HL were more likely to be male, of Hispanic or black race/ethnicity, foreign born, single, of lower SES, and uninsured or to have only public health insurance (P < .05). Multivariate logistic regression analysis demonstrated that there was a significant increase in the odds of having advanced HL in males (odds ratio [OR], 1.57; 95% confidence interval [95% CI], 1.42‐1.74 [P < .0001]), those with the lowest SES (OR, 1.47; 95% CI, 1.23‐1.75 [P = .0003]), those without health insurance (OR, 1.76; 95% CI, 1.34‐2.31 [P < .0001]), and those with public health insurance (OR, 1.45; 95% CI, 1.23‐1.71 [P < .0001]).
CONCLUSIONS:
A strong association was found between male gender, lower SES, and lack of health insurance and advanced stage HL at the time of diagnosis in AYAs (See editorial on pages 000–000, this issue.) Cancer 2012. © 2012 American Cancer Society.
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage Hodgkin lymphoma (HL) being found at the time of diagnosis in a large cohort of adolescents and young adults. Patients with advanced stage HL were more likely to be males, of Hispanic or black race/ethnicity, foreign born, of lower SES, and uninsured or to have only public health insurance. |
| doi_str_mv | 10.1002/cncr.27684 |
| format | article |
| fullrecord | <record><control><sourceid>wiley_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1002_cncr_27684</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>CNCR27684</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3624-243684d9243b8390c89c4334f4715e46a2f510bd01c8ca0b9b30cd24277b3f13</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqWw8AOQFxakgL8SJ2MVAUWqQEId2CLHcYppYldxQpWVX47TFNiYTr73uTv5AeASo1uMELmTRja3hEcxOwJTjBIeIMzIMZgihOIgZPRtAs6c-_BPTkJ6CiaEcBohjqfga-6clVq02hqYq3anlIHauK4RRiooTAGH3Cppja21hK4Vbef2QaPdBtoSiuJzgIshWyu4sMV6ow2s-nr7bmvh13nEVspJZdpxtLedWftuV7XuHJyUonLq4lBnYPVwv0oXwfLl8SmdLwNJI8ICwqj_YZH4msc0QTJOJKOUlYzjULFIkDLEKC8QlrEUKE9yimRBGOE8pyWmM3AzrpWNda5RZbZtdC2aPsMoGzxmg8ds79HDVyO87fJaFb_ojzgPXB8A4aSoykGXdn9cxDGOSew5PHI7Xan-n5NZ-py-jse_AeGwjKQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Association between insurance and socioeconomic status and risk of advanced stage Hodgkin lymphoma in adolescents and young adults</title><source>Wiley</source><source>EZB Electronic Journals Library</source><creator>Smith, Erlyn C. ; Ziogas, Argyrios ; Anton‐Culver, Hoda</creator><creatorcontrib>Smith, Erlyn C. ; Ziogas, Argyrios ; Anton‐Culver, Hoda</creatorcontrib><description>BACKGROUND:
Hodgkin lymphoma (HL) is one of the most common types of cancer among adolescents and young adults (AYAs) in the United States. Unfortunately, a greater percentage of AYAs are presenting with an advanced stage of disease at the time of diagnosis compared with their younger counterparts.
METHODS:
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, race, birthplace, marital status, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage HL at the time of diagnosis in a large cohort of AYA patients with HL from the California Cancer Registry (7343 incident cases of HL diagnosed from 1988‐2006, between ages 15 years‐40 years).
RESULTS:
AYAs with advanced stage HL were more likely to be male, of Hispanic or black race/ethnicity, foreign born, single, of lower SES, and uninsured or to have only public health insurance (P < .05). Multivariate logistic regression analysis demonstrated that there was a significant increase in the odds of having advanced HL in males (odds ratio [OR], 1.57; 95% confidence interval [95% CI], 1.42‐1.74 [P < .0001]), those with the lowest SES (OR, 1.47; 95% CI, 1.23‐1.75 [P = .0003]), those without health insurance (OR, 1.76; 95% CI, 1.34‐2.31 [P < .0001]), and those with public health insurance (OR, 1.45; 95% CI, 1.23‐1.71 [P < .0001]).
CONCLUSIONS:
A strong association was found between male gender, lower SES, and lack of health insurance and advanced stage HL at the time of diagnosis in AYAs (See editorial on pages 000–000, this issue.) Cancer 2012. © 2012 American Cancer Society.
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage Hodgkin lymphoma (HL) being found at the time of diagnosis in a large cohort of adolescents and young adults. Patients with advanced stage HL were more likely to be males, of Hispanic or black race/ethnicity, foreign born, of lower SES, and uninsured or to have only public health insurance.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.27684</identifier><identifier>PMID: 22736071</identifier><identifier>CODEN: CANCAR</identifier><language>eng ; ger</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; adolescents and young adults ; Adult ; advanced stage ; Biological and medical sciences ; California ; Continental Population Groups ; Ethnic Groups ; Female ; Follow-Up Studies ; health insurance ; Hematologic and hematopoietic diseases ; Hodgkin Disease - diagnosis ; Hodgkin Disease - economics ; Hodgkin Disease - etiology ; Hodgkin lymphoma ; Humans ; Insurance Coverage ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Male ; Medical sciences ; Prognosis ; Retrospective Studies ; Risk Factors ; Social Class ; socioeconomic status ; Tumors ; Young Adult</subject><ispartof>Cancer, 2012-12, Vol.118 (24), p.6179-6187</ispartof><rights>Copyright © 2012 American Cancer Society</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 American Cancer Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3624-243684d9243b8390c89c4334f4715e46a2f510bd01c8ca0b9b30cd24277b3f13</citedby><cites>FETCH-LOGICAL-c3624-243684d9243b8390c89c4334f4715e46a2f510bd01c8ca0b9b30cd24277b3f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.27684$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.27684$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26711828$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22736071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Erlyn C.</creatorcontrib><creatorcontrib>Ziogas, Argyrios</creatorcontrib><creatorcontrib>Anton‐Culver, Hoda</creatorcontrib><title>Association between insurance and socioeconomic status and risk of advanced stage Hodgkin lymphoma in adolescents and young adults</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND:
Hodgkin lymphoma (HL) is one of the most common types of cancer among adolescents and young adults (AYAs) in the United States. Unfortunately, a greater percentage of AYAs are presenting with an advanced stage of disease at the time of diagnosis compared with their younger counterparts.
METHODS:
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, race, birthplace, marital status, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage HL at the time of diagnosis in a large cohort of AYA patients with HL from the California Cancer Registry (7343 incident cases of HL diagnosed from 1988‐2006, between ages 15 years‐40 years).
RESULTS:
AYAs with advanced stage HL were more likely to be male, of Hispanic or black race/ethnicity, foreign born, single, of lower SES, and uninsured or to have only public health insurance (P < .05). Multivariate logistic regression analysis demonstrated that there was a significant increase in the odds of having advanced HL in males (odds ratio [OR], 1.57; 95% confidence interval [95% CI], 1.42‐1.74 [P < .0001]), those with the lowest SES (OR, 1.47; 95% CI, 1.23‐1.75 [P = .0003]), those without health insurance (OR, 1.76; 95% CI, 1.34‐2.31 [P < .0001]), and those with public health insurance (OR, 1.45; 95% CI, 1.23‐1.71 [P < .0001]).
CONCLUSIONS:
A strong association was found between male gender, lower SES, and lack of health insurance and advanced stage HL at the time of diagnosis in AYAs (See editorial on pages 000–000, this issue.) Cancer 2012. © 2012 American Cancer Society.
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage Hodgkin lymphoma (HL) being found at the time of diagnosis in a large cohort of adolescents and young adults. Patients with advanced stage HL were more likely to be males, of Hispanic or black race/ethnicity, foreign born, of lower SES, and uninsured or to have only public health insurance.</description><subject>Adolescent</subject><subject>adolescents and young adults</subject><subject>Adult</subject><subject>advanced stage</subject><subject>Biological and medical sciences</subject><subject>California</subject><subject>Continental Population Groups</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>health insurance</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hodgkin Disease - diagnosis</subject><subject>Hodgkin Disease - economics</subject><subject>Hodgkin Disease - etiology</subject><subject>Hodgkin lymphoma</subject><subject>Humans</subject><subject>Insurance Coverage</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Social Class</subject><subject>socioeconomic status</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PwzAQhi0EoqWw8AOQFxakgL8SJ2MVAUWqQEId2CLHcYppYldxQpWVX47TFNiYTr73uTv5AeASo1uMELmTRja3hEcxOwJTjBIeIMzIMZgihOIgZPRtAs6c-_BPTkJ6CiaEcBohjqfga-6clVq02hqYq3anlIHauK4RRiooTAGH3Cppja21hK4Vbef2QaPdBtoSiuJzgIshWyu4sMV6ow2s-nr7bmvh13nEVspJZdpxtLedWftuV7XuHJyUonLq4lBnYPVwv0oXwfLl8SmdLwNJI8ICwqj_YZH4msc0QTJOJKOUlYzjULFIkDLEKC8QlrEUKE9yimRBGOE8pyWmM3AzrpWNda5RZbZtdC2aPsMoGzxmg8ds79HDVyO87fJaFb_ojzgPXB8A4aSoykGXdn9cxDGOSew5PHI7Xan-n5NZ-py-jse_AeGwjKQ</recordid><startdate>20121215</startdate><enddate>20121215</enddate><creator>Smith, Erlyn C.</creator><creator>Ziogas, Argyrios</creator><creator>Anton‐Culver, Hoda</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20121215</creationdate><title>Association between insurance and socioeconomic status and risk of advanced stage Hodgkin lymphoma in adolescents and young adults</title><author>Smith, Erlyn C. ; Ziogas, Argyrios ; Anton‐Culver, Hoda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3624-243684d9243b8390c89c4334f4715e46a2f510bd01c8ca0b9b30cd24277b3f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; ger</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>adolescents and young adults</topic><topic>Adult</topic><topic>advanced stage</topic><topic>Biological and medical sciences</topic><topic>California</topic><topic>Continental Population Groups</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>health insurance</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hodgkin Disease - diagnosis</topic><topic>Hodgkin Disease - economics</topic><topic>Hodgkin Disease - etiology</topic><topic>Hodgkin lymphoma</topic><topic>Humans</topic><topic>Insurance Coverage</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Social Class</topic><topic>socioeconomic status</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Erlyn C.</creatorcontrib><creatorcontrib>Ziogas, Argyrios</creatorcontrib><creatorcontrib>Anton‐Culver, Hoda</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Erlyn C.</au><au>Ziogas, Argyrios</au><au>Anton‐Culver, Hoda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between insurance and socioeconomic status and risk of advanced stage Hodgkin lymphoma in adolescents and young adults</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2012-12-15</date><risdate>2012</risdate><volume>118</volume><issue>24</issue><spage>6179</spage><epage>6187</epage><pages>6179-6187</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><notes>this issue.</notes><notes>Fax: (949) 824‐4773</notes><notes>6018–21</notes><notes>See editorial on pages</notes><abstract>BACKGROUND:
Hodgkin lymphoma (HL) is one of the most common types of cancer among adolescents and young adults (AYAs) in the United States. Unfortunately, a greater percentage of AYAs are presenting with an advanced stage of disease at the time of diagnosis compared with their younger counterparts.
METHODS:
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, race, birthplace, marital status, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage HL at the time of diagnosis in a large cohort of AYA patients with HL from the California Cancer Registry (7343 incident cases of HL diagnosed from 1988‐2006, between ages 15 years‐40 years).
RESULTS:
AYAs with advanced stage HL were more likely to be male, of Hispanic or black race/ethnicity, foreign born, single, of lower SES, and uninsured or to have only public health insurance (P < .05). Multivariate logistic regression analysis demonstrated that there was a significant increase in the odds of having advanced HL in males (odds ratio [OR], 1.57; 95% confidence interval [95% CI], 1.42‐1.74 [P < .0001]), those with the lowest SES (OR, 1.47; 95% CI, 1.23‐1.75 [P = .0003]), those without health insurance (OR, 1.76; 95% CI, 1.34‐2.31 [P < .0001]), and those with public health insurance (OR, 1.45; 95% CI, 1.23‐1.71 [P < .0001]).
CONCLUSIONS:
A strong association was found between male gender, lower SES, and lack of health insurance and advanced stage HL at the time of diagnosis in AYAs (See editorial on pages 000–000, this issue.) Cancer 2012. © 2012 American Cancer Society.
The objective of the current study was to examine the association between possible barriers and characteristics (including gender, socioeconomic status [SES], and insurance status) that may increase the risk of advanced stage Hodgkin lymphoma (HL) being found at the time of diagnosis in a large cohort of adolescents and young adults. Patients with advanced stage HL were more likely to be males, of Hispanic or black race/ethnicity, foreign born, of lower SES, and uninsured or to have only public health insurance.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22736071</pmid><doi>10.1002/cncr.27684</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Cancer, 2012-12, Vol.118 (24), p.6179-6187 |
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| subjects | Adolescent adolescents and young adults Adult advanced stage Biological and medical sciences California Continental Population Groups Ethnic Groups Female Follow-Up Studies health insurance Hematologic and hematopoietic diseases Hodgkin Disease - diagnosis Hodgkin Disease - economics Hodgkin Disease - etiology Hodgkin lymphoma Humans Insurance Coverage Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis Male Medical sciences Prognosis Retrospective Studies Risk Factors Social Class socioeconomic status Tumors Young Adult |
| title | Association between insurance and socioeconomic status and risk of advanced stage Hodgkin lymphoma in adolescents and young adults |
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