Abstract
This study evaluates the impact of health insurance as a substitute for social class on tumor location, presentation, stage, grade, and age-adjusted survival in an African-American population. Patients were stratified by insurance into two groups: group 1 (private insurance and Medicare parts A & B) and group 2 (Medicaid, Medical Charity, self-pay, uninsured, or unemployed). A total of 212 patients were evaluated. Of these, 210 patients were insured or had Medical Charity, and two were uninsured. The type of health insurance did not significantly affect age-adjusted survival. However, age and stage at presentation were positive predictors of age-adjusted survival. Higher socioeconomic status was associated with group 1 health insurance.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ahlquist D. A., Wieand H. S., Moertel C. G., McGill D. B., Loprinzi C. L., O'Connell M. J., Mailliard J. A., Gerstner J. B., Pandya K., Ellefson R. D. Accuracy of fecal occult blood screening for colorectal neoplasia. A prospective study using Hemoccult and HemoQuant tests. JAMA. 1993 Mar 10;269(10):1262–1267. [PubMed] [Google Scholar]
- Auvinen A. Social class and colon cancer survival in Finland. Cancer. 1992 Jul 15;70(2):402–409. doi: 10.1002/1097-0142(19920715)70:2<402::aid-cncr2820700206>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
- Bang K. M., Perlin E., Sampson C. C. Increased cancer risks in blacks: a look at the factors. J Natl Med Assoc. 1987 Apr;79(4):383–388. [PMC free article] [PubMed] [Google Scholar]
- Boring C. C., Squires T. S., Tong T. Cancer statistics, 1993. CA Cancer J Clin. 1993 Jan-Feb;43(1):7–26. doi: 10.3322/canjclin.43.1.7. [DOI] [PubMed] [Google Scholar]
- Hoffman A., Abcarian H. Six years of occult blood screening in an urban public hospital: concepts, methods, and reflections on approaches to reducing avoidable mortality among black Americans. J Natl Med Assoc. 1991 Nov;83(11):994–999. [PMC free article] [PubMed] [Google Scholar]
- Keirn W., Metter G. Survival of cancer patients by economic status in a free care setting. Cancer. 1985 Apr 1;55(7):1552–1555. doi: 10.1002/1097-0142(19850401)55:7<1552::aid-cncr2820550723>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
- Kinlay S., Heller R. F. Selective screening for high cholesterol in Australian general practice: the Newcastle Cholesterol Prediction Study. J Gen Intern Med. 1990 Jan-Feb;5(1):1–8. doi: 10.1007/BF02602300. [DOI] [PubMed] [Google Scholar]
- Lurie N., Christianson J., Finch M., Moscovice I. The effects of capitation on health and functional status of the Medicaid elderly. A randomized trial. Ann Intern Med. 1994 Mar 15;120(6):506–511. doi: 10.7326/0003-4819-120-6-199403150-00010. [DOI] [PubMed] [Google Scholar]
- Weaver P., Harrison B., Eskander G., Jahan M. S., Tanzo V., Williams W., Weaver W. L., Walker C. R., Turner E., Hoover E. L. Colon cancer in blacks: a disease with a worsening prognosis. J Natl Med Assoc. 1991 Feb;83(2):133–136. [PMC free article] [PubMed] [Google Scholar]