Sociodemographic and Geographic Disparities of Prostate Cancer Treatment Delay in Tennessee: A Population-Based Study
The relationship of social determinants of health, Appalachian residence, and prostate cancer treatment delay among Tennessee adults is relatively unknown. We used multivariate logistic regression on 2005–2015 Tennessee Cancer Registry data of adults aged ≥18 diagnosed with prostate cancer. The outc...
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Published in | American journal of men's health Vol. 15; no. 6; p. 15579883211057990 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Los Angeles, CA
SAGE Publications
01.11.2021
SAGE PUBLICATIONS, INC SAGE Publishing |
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Abstract | The relationship of social determinants of health, Appalachian residence, and prostate cancer treatment delay among Tennessee adults is relatively unknown. We used multivariate logistic regression on 2005–2015 Tennessee Cancer Registry data of adults aged ≥18 diagnosed with prostate cancer. The outcome of treatment delay was more than 90 days without surgical or nonsurgical intervention from date of diagnosis. Social determinants in the population-based registry were race (White, Black, Other) and marital status (single, married, divorced/separated, widow/widower). Tennessee residence was classified as Appalachian versus non-Appalachian (urban/rural). Covariates include age at diagnosis (18–54, 54–69, ≥70), health insurance type (none, public, private), derived staging of cancer (localized, regional, distant), and treatment type (non-surgical/surgical). We found that Black and divorced/separated patients had 32% (95% confidence interval [CI]: 1.22–1.42) and 15% (95% CI: 1.01–1.31) increased odds to delay prostate cancer treatment. Patients were at decreased odds of treatment delay when living in an Appalachian county, both urban (odds ratio [OR] = 0.89, 95% CI: 0.82–0.95) and rural (OR = 0.83, 95% CI: 0.78–0.89), diagnosed at ≥70 (OR = 0.59, 95% CI: 0.53–0.66), and received surgical intervention (OR = 0.72, 95% CI: 0.68–0.76). Our study was among the first to comprehensively examine prostate cancer treatment delay in Tennessee, and while we do not make clinical recommendations, there is a critical need to further explore the unique factors that may propagate disparities. Prostate cancer treatment delay in Black patients may be indicative of ongoing health and access disparities in Tennessee, which may further affect quality of life and survivorship among this racial group. Divorced/separated patients may need tailored interventions to improve social support. |
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AbstractList | The relationship of social determinants of health, Appalachian residence, and prostate cancer treatment delay among Tennessee adults is relatively unknown. We used multivariate logistic regression on 2005–2015 Tennessee Cancer Registry data of adults aged ≥18 diagnosed with prostate cancer. The outcome of treatment delay was more than 90 days without surgical or nonsurgical intervention from date of diagnosis. Social determinants in the population-based registry were race (White, Black, Other) and marital status (single, married, divorced/separated, widow/widower). Tennessee residence was classified as Appalachian versus non-Appalachian (urban/rural). Covariates include age at diagnosis (18–54, 54–69, ≥70), health insurance type (none, public, private), derived staging of cancer (localized, regional, distant), and treatment type (non-surgical/surgical). We found that Black and divorced/separated patients had 32% (95% confidence interval [CI]: 1.22–1.42) and 15% (95% CI: 1.01–1.31) increased odds to delay prostate cancer treatment. Patients were at decreased odds of treatment delay when living in an Appalachian county, both urban (odds ratio [OR] = 0.89, 95% CI: 0.82–0.95) and rural (OR = 0.83, 95% CI: 0.78–0.89), diagnosed at ≥70 (OR = 0.59, 95% CI: 0.53–0.66), and received surgical intervention (OR = 0.72, 95% CI: 0.68–0.76). Our study was among the first to comprehensively examine prostate cancer treatment delay in Tennessee, and while we do not make clinical recommendations, there is a critical need to further explore the unique factors that may propagate disparities. Prostate cancer treatment delay in Black patients may be indicative of ongoing health and access disparities in Tennessee, which may further affect quality of life and survivorship among this racial group. Divorced/separated patients may need tailored interventions to improve social support. |
Author | Montiel Ishino, Francisco A. Odame, Emmanuel A. Mamudu, Hadii Rowan, Claire Whiteside, Martin Williams, Faustine Villalobos, Kevin |
AuthorAffiliation | 5 Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN, USA 2 Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA 4 Tennessee Cancer Registry, Tennessee Department of Health, Nashville, TN, USA 1 Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA 3 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA |
AuthorAffiliation_xml | – name: 1 Division of Intramural Research, National Institute on Minority Health and Health Disparities, Bethesda, MD, USA – name: 3 Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA – name: 4 Tennessee Cancer Registry, Tennessee Department of Health, Nashville, TN, USA – name: 2 Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA – name: 5 Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN, USA |
Author_xml | – sequence: 1 givenname: Francisco A. orcidid: 0000-0002-2837-726X surname: Montiel Ishino fullname: Montiel Ishino, Francisco A. – sequence: 2 givenname: Emmanuel A. surname: Odame fullname: Odame, Emmanuel A. – sequence: 3 givenname: Kevin orcidid: 0000-0002-1872-4416 surname: Villalobos fullname: Villalobos, Kevin – sequence: 4 givenname: Claire surname: Rowan fullname: Rowan, Claire – sequence: 5 givenname: Martin surname: Whiteside fullname: Whiteside, Martin – sequence: 6 givenname: Hadii surname: Mamudu fullname: Mamudu, Hadii – sequence: 7 givenname: Faustine orcidid: 0000-0002-7960-2463 surname: Williams fullname: Williams, Faustine |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34836465$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1200/JCO.2017.74.2049 10.1016/j.urolonc.2016.11.010 10.3747/co.19.1073 10.1016/j.urolonc.2016.04.002 10.1177/107327481602300108 10.1097/01.ju.0000140277.08623.13 10.1111/j.1464-410X.2011.10666.x 10.1111/j.1743-6109.2012.02806.x 10.1016/j.ejca.2017.10.003 10.4081/jphr.2020.1778 10.1016/j.eururo.2013.02.024 10.1002/cncr.27975 10.1080/07347332.2017.1294641 10.3390/medsci8030028 10.3322/caac.21590 10.1200/JCO.2013.49.6489 10.1007/s11255-017-1508-z 10.1111/jrh.12122 10.1007/s10552-007-9083-8 10.5213/inj.1632722.361 10.1007/s00345-018-2251-5 10.1002/cncr.28238 10.7326/M16-2586 10.1007/s00520-011-1219-4 10.1200/JCO.2014.58.1751 10.21101/cejph.a3622 10.1111/jrh.12213 10.1200/JCO.18.01279 10.3949/ccjm.79a.11001 10.1158/1055-9965.EPI-13-1328 10.1200/JCO.2018.36.6_suppl.292 10.1097/JU.0000000000000524 10.1016/j.urolonc.2014.04.014 10.1590/1413-81232018249.31142017 10.1200/EDBK_238879 10.22605/RRH4989 10.1111/bju.13043 10.1007/s11764-015-0425-3 10.1007/s00345-017-2105-6 10.1177/1557988317742257 10.1111/ans.15554 10.1097/NCC.0b013e31824131d9 10.1158/1055-9965.EPI-19-1232 10.1007/s10552-019-01249-0 10.1177/1557988318798279 10.3892/ol.2018.7964 10.1016/j.jpsychores.2010.04.019 10.14740/wjon1191 10.1016/S0022-5347(05)00646-4 10.1353/hpu.2014.0005 |
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Keywords | Appalachia and non-Appalachia epidemiology of men’s health prostate cancer health inequality/disparity Tennessee population-based |
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References_xml | – ident: bibr7-15579883211057990 doi: 10.1200/JCO.2017.74.2049 – ident: bibr9-15579883211057990 doi: 10.1016/j.urolonc.2016.11.010 – ident: bibr12-15579883211057990 doi: 10.3747/co.19.1073 – ident: bibr47-15579883211057990 – ident: bibr28-15579883211057990 doi: 10.1016/j.urolonc.2016.04.002 – ident: bibr21-15579883211057990 doi: 10.1177/107327481602300108 – ident: bibr20-15579883211057990 doi: 10.1097/01.ju.0000140277.08623.13 – ident: bibr22-15579883211057990 doi: 10.1111/j.1464-410X.2011.10666.x – ident: bibr43-15579883211057990 doi: 10.1111/j.1743-6109.2012.02806.x – ident: bibr13-15579883211057990 doi: 10.1016/j.ejca.2017.10.003 – ident: bibr23-15579883211057990 doi: 10.4081/jphr.2020.1778 – ident: bibr34-15579883211057990 – ident: bibr48-15579883211057990 doi: 10.1016/j.eururo.2013.02.024 – ident: bibr42-15579883211057990 doi: 10.1002/cncr.27975 – ident: bibr18-15579883211057990 doi: 10.1080/07347332.2017.1294641 – ident: bibr4-15579883211057990 doi: 10.3390/medsci8030028 – ident: bibr40-15579883211057990 doi: 10.3322/caac.21590 – ident: bibr1-15579883211057990 doi: 10.1200/JCO.2013.49.6489 – ident: bibr31-15579883211057990 doi: 10.1007/s11255-017-1508-z – ident: bibr3-15579883211057990 – ident: bibr39-15579883211057990 doi: 10.1111/jrh.12122 – ident: bibr8-15579883211057990 doi: 10.1007/s10552-007-9083-8 – ident: bibr33-15579883211057990 doi: 10.5213/inj.1632722.361 – ident: bibr27-15579883211057990 doi: 10.1007/s00345-018-2251-5 – ident: bibr45-15579883211057990 doi: 10.1002/cncr.28238 – ident: bibr46-15579883211057990 doi: 10.7326/M16-2586 – ident: bibr6-15579883211057990 doi: 10.1007/s00520-011-1219-4 – ident: bibr41-15579883211057990 doi: 10.1200/JCO.2014.58.1751 – ident: bibr14-15579883211057990 doi: 10.21101/cejph.a3622 – ident: bibr52-15579883211057990 doi: 10.1111/jrh.12213 – ident: bibr11-15579883211057990 doi: 10.1200/JCO.18.01279 – ident: bibr50-15579883211057990 doi: 10.3949/ccjm.79a.11001 – ident: bibr35-15579883211057990 doi: 10.1158/1055-9965.EPI-13-1328 – ident: bibr29-15579883211057990 doi: 10.1200/JCO.2018.36.6_suppl.292 – ident: bibr54-15579883211057990 doi: 10.1097/JU.0000000000000524 – ident: bibr24-15579883211057990 doi: 10.1016/j.urolonc.2014.04.014 – ident: bibr38-15579883211057990 doi: 10.1590/1413-81232018249.31142017 – ident: bibr5-15579883211057990 doi: 10.1200/EDBK_238879 – ident: bibr30-15579883211057990 doi: 10.22605/RRH4989 – ident: bibr16-15579883211057990 doi: 10.1111/bju.13043 – ident: bibr19-15579883211057990 doi: 10.1007/s11764-015-0425-3 – ident: bibr53-15579883211057990 doi: 10.1007/s00345-017-2105-6 – ident: bibr2-15579883211057990 doi: 10.1177/1557988317742257 – ident: bibr36-15579883211057990 doi: 10.1111/ans.15554 – ident: bibr25-15579883211057990 doi: 10.1097/NCC.0b013e31824131d9 – ident: bibr26-15579883211057990 doi: 10.1158/1055-9965.EPI-19-1232 – ident: bibr49-15579883211057990 doi: 10.1007/s10552-019-01249-0 – ident: bibr44-15579883211057990 doi: 10.1177/1557988318798279 – ident: bibr15-15579883211057990 – ident: bibr17-15579883211057990 doi: 10.3892/ol.2018.7964 – ident: bibr55-15579883211057990 doi: 10.1016/j.jpsychores.2010.04.019 – ident: bibr37-15579883211057990 doi: 10.14740/wjon1191 – ident: bibr32-15579883211057990 – ident: bibr10-15579883211057990 doi: 10.1016/S0022-5347(05)00646-4 – ident: bibr51-15579883211057990 doi: 10.1353/hpu.2014.0005 |
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Snippet | The relationship of social determinants of health, Appalachian residence, and prostate cancer treatment delay among Tennessee adults is relatively unknown. We... |
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SubjectTerms | Adult Cancer therapies Divorce Healthcare Disparities Humans Male Original Population-based studies Prostate cancer Prostatic Neoplasms - therapy Quality of Life Rural Population Tennessee - epidemiology Time-to-Treatment |
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Title | Sociodemographic and Geographic Disparities of Prostate Cancer Treatment Delay in Tennessee: A Population-Based Study |
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