Table 2. Factors associated with diagnosis of cancer at stage IV*.
Variable | Stage IV (%) | Crude odds ratios for stage IV | 95% confidence intervals | p* | Adjusted odds ratios for stage IV | 95% confidence intervals | p* | |
---|---|---|---|---|---|---|---|---|
Fatalism (per one unit increase 4-16 scale) | 1.05 | 1.02-1.08 | 0.001 | 1.05 | 1.02-1.08 | 0.003 | ||
| ||||||||
Sex | Men | 22.6 | - | 0.015 | - | <0.001 | ||
Women | 19.6 | 0.83 | 0.72-0.97 | 0.73 | 0.61-0.86 | |||
| ||||||||
Age at diagnosis | <55 | 24.6 | - | <0.001 | - | <0.001 | ||
55-59 | 24.1 | 0.97 | 0.76-1.24 | 0.93 | 0.72-1.20 | |||
60-64 | 23.7 | 0.95 | 0.75-1.21 | 0.88 | 0.69-1.14 | |||
65-69 | 20.0 | 0.76 | 0.60-0.97 | 0.72 | 0.56-0.93 | |||
70-74 | 21.8 | 0.85 | 0.67-1.09 | 0.83 | 0.63-1.08 | |||
75-80 | 16.8 | 0.62 | 0.47-0.81 | 0.60 | 0.44-0.80 | |||
80 or more | 13.3 | 0.47 | 0.34-0.64 | 0.48 | 0.34-0.67 | |||
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Race/ethnicity | White | 20.3 | - | 0.204 | - | 0.87 | ||
Hispanic | 23.6 | 1.20 | 0.91-1.59 | 1.18 | 0.86-1.62 | |||
Black | 23.5 | 1.20 | 0.97-1.48 | 1.03 | 0.82-1.30 | |||
Asian | 24.5 | 1.27 | 0.91-1.78 | 1.11 | 0.77-1.60 | |||
Other | 23.9 | 1.24 | 0.80-1.91 | 1.09 | 0.70-1.72 | |||
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Education | <High school | 20.4 | - | 0.019 | - | 0.099 | ||
High school/some college | 22.6 | 1.14 | 0.93-1.40 | 1.23 | 0.98-1.53 | |||
≥College degree | 18.5 | 0.89 | 0.70-1.13 | 1.06 | 0.80-1.41 | |||
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Income (US $) | <20,000 | 23.0 | - | 0.50 | - | 0.82 | ||
20,000 - 39,999 | 21.9 | 0.92 | 0.75-1.12 | 0.97 | 0.78-1.20 | |||
40,000 - 59,999 | 20.4 | 0.86 | 0.69-1.08 | 0.89 | 0.68-1.15 | |||
≥60,000 | 20.3 | 0.88 | 0.71-1.07 | 0.91 | 0.70-1.19 | |||
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Study site | 5 Integrated health-care delivery systems | 20.1 | - | 0.001 | - | 0.134 | ||
8 counties in Northern California | 23.1 | 1.19 | 0.93-1.53 | 1.20 | 0.93-1.56 | |||
Los Angeles County | 20.6 | 1.03 | 0.80-1.32 | 0.97 | 0.74-1.26 | |||
State of Alabama | 23.3 | 1.20 | 0.90-1.61 | 1.11 | 0.82-1.51 | |||
22 counties in North Carolina | 13.5 | 0.62 | 0.44-0.86 | 0.85 | 0.59-1.21 | |||
State of Iowa | 23.2 | 1.20 | 0.89-1.63 | 0.82 | 0.59-1.13 | |||
15 Veterans Affairs Medical Centers | 23.8 | 1.24 | 0.93-1.65 | 1.00 | 0.73-1.37 | |||
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Married/living with partner | Yes | 20.7 | - | 0.28 | - | 0.134 | ||
No | 22.1 | 1.09 | 0.94-1.26 | 1.13 | 0.95-1.34 | |||
| ||||||||
Smoking status | Never smoker | 18.8 | - | <0.001 | - | 0.109 | ||
Ex-smoker | 21.2 | 1.16 | 0.98-1.37 | 0.89 | 0.73-1.09 | |||
Current smoker | 27.5 | 1.63 | 1.28-2.09 | 1.13 | 0.85-1.49 | |||
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Co-morbidities | 0 | 23.9 | - | 0.004 | - | 0.003 | ||
1 | 20.2 | 0.81 | 0.68-0.97 | 0.78 | 0.65-0.94 | |||
2 | 18.8 | 0.74 | 0.59-0.92 | 0.70 | 0.56-0.89 | |||
≥3 | 17.9 | 0.69 | 0.53-0.90 | 0.65 | 0.48-0.87 | |||
| ||||||||
Cancer site | Lung | 27.6 | - | <0.001 | - | <0.001 | ||
Colorectal | 16.2 | 0.51 | 0.44-0.59 | 0.44 | 0.36-0.52 | |||
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Symptoms at diagnosis | Yes | 23.4 | 2.33 | 1.85-2.94 | <0.001 | |||
No | 11.6 | - | ||||||
| ||||||||
Health status a year before interview (0-100) | 1.00 | 1.00-1.01 | 0.028 | 1.00 | 1.00-1.01 | 0.223 |
From univariable or multivariable regression, as applicable. Multivariable regression models adjusted for all variables in the table except symptom status at diagnosis.