| Titre : | Endometrial cancer : Socioeconomic status and racial/ethnic differences in stage at diagnosis, treatment, and survival. (2004) |
| Auteurs : | Terri MADISON ; GRUBER (Stephen-B) : USA. Departments of Internal Medicine. Epidemiology. And Human Genetics. University of Michigan. ; Sherman-A JAMES ; SCHOTTENFELD (David) : USA. School of Public Health. University of Michigan. ; SCHWARTZ (Ann-G) : USA. Population Studies and Prevention Program of the Barbara Ann Karmanos Cancer Institute and the Department of Internal Medicine. Wayne Sta'e University School of Medicine. Detroit. MI. ; University of Michigan. School of Public Health. Ann Arbor. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 12, 2004) |
| Pagination : | 2104-2111 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Facteur socioéconomique ; Ethnie ; Epidémiologie ; Diagnostic ; Thérapeutique ; Survie ; Homme ; Femme ; Etat santé ; Race ; Utérus [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS vqATeR0x. Diffusion soumise à autorisation]. Objective : We evaluated the association between socioeconomic status and racial/ethnic differences in endometrial cancer stage at diagnosis, treatment, and survival. Methods : We conducted a population-based study among 3656 women. Results : Multivariate analyses showed that either race/ethnicity or income, but not both, was associated with advanced-stage disease. Age, stage at diagnosis, and income were independent predictors of hysterectomy. African American ethnicity, increased age, aggressive histology, poor tumor grade, and advanced-stage disease were associated with increased risk for death ; higher income and hysterectomy were associated with decreased risk for death. Conclusions : Lower income was associated with advanced-stage disease, lower likelihood of receiving a hysterectomy, and lower rates of survival. Earlier diagnosis and removal of barriers to optimal treatment among lower-socioeconomic status women will diminish racial/ethnic differences in endometrial cancer survival. |
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