Impact of socio-economic position on cancer stage at presentation: Findings from a large hospital-based study in Germany.

作者: Susanne Singer , Julia Roick , Susanne Briest , Sylvia Stark , Ines Gockel

DOI: 10.1002/IJC.30212

关键词:

摘要: We explored the relationship between socio-economic characteristics and cancer stage at presentation. Patients admitted to a university hospital for diagnosis treatment of provided data on their education, vocational training, income, employment, job, health insurance postcode. Tumor was classified according Union International Contre le Cancer (UICC). To analyze disparities in likelihood late-stage (UICC III/IV vs. I/II) diagnoses, logistic regression models adjusting age gender were used. Out 1,012 patients, 572 (59%) had cancer. Separately tested, increased odds advanced disease associated with post-compulsory education compared college degrees, apprenticeship no unemployment, disability pension, jobs low hierarchy level, blue collar income. Health community size not related Jointly modelled, there evidence an independent effect unemployment (odds ratio (OR) 1.7, CI 1.0-2.8), pension (OR 1.8, 1.0-3.2) very income 2.6, 1.1-6.1) stage. It is great concern that these gradients occur even systems equal access care.

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