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. Author manuscript; available in PMC: 2019 Oct 15.
Published in final edited form as: Cancer. 2018 Aug 20;124(20):4090–4097. doi: 10.1002/cncr.31560

Table 4.

Mediation by SES of ethnic (Hispanic versus white) survival disparities among childhood cancer cases, ages 0 to 19 years, SEER 18 registries, 2000-2011 diagnoses

Total Effect of ethnicity on survival through all mediating pathways Direct Effect of ethnicity on survival after blocking the SES pathway Indirect Effect of ethnicity on survival operating through the SES pathway Percent Reduction from total to direct effect
Cancer Type Mortality HRa 95% CI P Mortality HRa 95% CI P Mortality HRa 95% CI P %b
Acute Lymphoblastic Leukemia 1.63 1.43, 1.86 <0.001 1.40 1.21, 1.63 <0.001 1.16 1.08, 1.26 <0.001 31
Acute Myeloid Leukemia 1.19 0.99, 1.43 0.071 1.05 0.85, 1.29 0.66 1.13 1.03, 1.25 0.011 73
Neuroblastoma 1.31 1.04, 1.65 0.021 1.15 0.89, 1.49 0.27 1.14 1.03, 1.26 0.011 48
Non-Hodgkin Lymphoma 1.65 1.29, 2.12 <0.001 1.44 1.08, 1.92 0.013 1.15 1.01, 1.31 0.04 28
Astrocytoma 1.34 1.10, 1.64 <0.01 1.26 1.01, 1.56 0.041 1.07 0.98, 1.16 0.12 23
Non-Rhabdomyosarcoma Soft Tissue Sarcomas 1.22 0.96, 1.55 0.10 1.13 0.87, 1.46 0.38 1.08 0.95, 1.24 0.25 41
Wilms Tumor 1.60 1.04, 2.45 0.032 1.57 0.95, 2.52 0.061 1.02 0.83, 1.24 0.883 3
Germ Cell Tumor 1.63 1.19, 2.24 <0.01 1.70 1.19, 2.42 <0.01 0.96 0.81, 1.15 0.685 -8

Abbreviations: CI, confidence interval; HR, hazard ratio; SES, socioeconomic status

a

Adjusted for age at diagnosis, sex, and stage at diagnosis (stage not applicable for leukemias)

b

Percent reduction from the total to the direct effect ((βtotal − βdirect)/βtotal)