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. 2010:2010:824691.
doi: 10.1155/2010/824691. Epub 2010 Jun 22.

Socioeconomic Impacts on Survival Differ by Race/Ethnicity among Adolescents and Young Adults with Non-Hodgkin's Lymphoma

Erin E Kent  1 , Rebecca A Morris, Joan A Largent, Argyrios Ziogas, Leonard S Sender, Hoda Anton-Culver
Affiliations

Socioeconomic Impacts on Survival Differ by Race/Ethnicity among Adolescents and Young Adults with Non-Hodgkin's Lymphoma

Erin E Kent et al. J Cancer Epidemiol. 2010.

Abstract

Shorter survival has been associated with low socioeconomic status (SES) among elderly non-Hodgkin's lymphoma (NHL) patients; however it remains unknown whether the same relationship holds for younger patients. We explored the California Cancer Registry (CCR), to investigate this relationship in adolescent and young adult (AYA) NHL patients diagnosed from 1996 to 2005. A case-only survival analysis was conducted to examine demographic and clinical variables hypothesized to be related to survival. Included in the final analysis were 3,489 incident NHL cases. In the multivariate analyses, all-cause mortality (ACM) was higher in individuals who had later stage at diagnosis (P < .05) or did not receive first-course chemotherapy (P < .05). There was also a significant gradient decrease in survival, with higher ACM at each decreasing quintile of SES (P < .001). Overall results were similar for lymphoma-specific mortality. In the race/ethnicity stratified analyses, only non-Hispanic Whites (NHWs) had a significant SES-ACM trend (P < .001). Reduced overall and lymphoma-specific survival was associated with lower SES in AYAs with NHL, although a significant trend was only observed for NHWs.

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Figures

Figure 1
Figure 1
Racial/ethnic breakdown of frequency of neighborhood-level socioeconomic status (nSES).
Figure 2
Figure 2
Unadjusted Kaplan-Meier survival curves (N = 3,489) by neighborhood-level socioeconomic status (nSES).
See this image and copyright information in PMC

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