Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2003 Oct;93(10):1753-9.
doi: 10.2105/ajph.93.10.1753.

Stage at diagnosis and survival in a multiethnic cohort of prostate cancer patients

Ingrid Oakley-Girvan  1 , Laurence N Kolonel, Richard P Gallagher, Anna H Wu, Anna Felberg, Alice S Whittemore
Affiliations
Comparative Study

Stage at diagnosis and survival in a multiethnic cohort of prostate cancer patients

Ingrid Oakley-Girvan et al. Am J Public Health. 2003 Oct.

Abstract

Objectives: We evaluated the effects of socioeconomic status and comorbidity on stage of disease and survival among 1509 population-based prostate cancer patients.

Methods: We applied logistic regression and Cox proportional hazards regression to data from Whites, African Americans, and Asian Americans who were diagnosed from 1987 to 1991.

Results: Patients with existing comorbid conditions were less likely than those without these conditions to be diagnosed with advanced cancer. Compared with Whites, African Americans (odds ratio [OR] = 1.5; 95% confidence interval [CI] = 1.1, 2.2) and foreign-born Asian Americans (OR = 1.6; 95% CI = 1.0, 2.4) were more likely to be diagnosed with advanced cancer. Among men with localized disease, prostate cancer death rates were higher for African Americans than for Whites (death rate ratio = 2.3; 95% CI = 1.2, 4.7).

Conclusions: These findings support the need for further investigation of factors that affect access to and use of health care among African Americans and Asian Americans.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Ndubuisi SC, Kofie VY, Andoh JY, Schwartz EM. Black-white differences in the stage at presentation of prostate cancer in the District of Columbia. Urology. 1995;46:71–77. - PubMed
    1. Hoffman RM, Gilliland FD, Eley JW, et al. Racial and ethnic differences in advanced-stage prostate cancer: the Prostate Cancer Outcomes Study. J Natl Cancer Inst. 2001;93:388–395. - PubMed
    1. Ries LAG, Miller BA, Hankey BF, et al., eds. SEER Cancer Statistics Review, 1973–1991. Bethesda, Md: National Cancer Institute; 1994. NIH publication 94-2789.
    1. Pienta KJ, Demers R, Hoff M, Kau TY, Montie JE, Severson RK. Effect of age and race on the survival of men with prostate cancer in the Metropolitan Detroit tricounty area, 1973–1987. Urology. 1995;45:93–101. - PubMed
    1. Merrill RM, Brawley OW. Prostate cancer incidence and mortality rates among white and black men. Epidemiology. 1997;8:126–131. - PubMed

Publication types

MeSH terms