Table 1:
Characteristics of adolescents and young adults with lymphomas in California, 2005–2017, overall and by era of diagnosis
| Total (Mar 2005–Dec 2017) N=11,337 |
Pre-ACA (Mar 2005–Sep 2010) N=4,968 |
Early ACA (Oct 2010–Dec 2013) N=2,785 |
Full ACA (Jan 2014–Dec 2017) N=3,584 |
p-valueε | |||||
|---|---|---|---|---|---|---|---|---|---|
| N | % | N | % | N | % | N | % | ||
| Age at diagnosis | 0.106 | ||||||||
| 15–20 years | 1,936 | 17.1 | 860 | 17.3 | 463 | 16.6 | 613 | 17.1 | |
| 21–25 years | 2,284 | 20.1 | 1,047 | 21.1 | 561 | 20.2 | 676 | 18.9 | |
| 26–39 years | 7,117 | 62.8 | 3,061 | 61.6 | 1,761 | 63.2 | 2,295 | 64.0 | |
| Sex | 0.951 | ||||||||
| Female | 5,035 | 44.4 | 2,199 | 44.3 | 1,243 | 44.6 | 1,593 | 44.4 | |
| Male | 6,302 | 55.6 | 2,769 | 55.7 | 1,542 | 55.4 | 1,991 | 55.6 | |
| Health insurance | <0.001 | ||||||||
| Private | 6,395 | 56.4 | 3,004 | 60.5 | 1,622 | 58.2 | 1,769 | 49.4 | |
| Continuous Medicaid | 1,894 | 16.7 | 463 | 9.3 | 369 | 13.3 | 1,062 | 29.6 | |
| Discontinuous Medicaid | 1,129 | 10.0 | 513 | 10.3 | 278 | 10.0 | 338 | 9.4 | |
| Medicaid at diagnosis/uninsured | 1,424 | 12.6 | 667 | 13.4 | 407 | 14.6 | 350 | 9.7 | |
| Other Public* | 141 | 1.2 | 99 | 2.0 | 29 | 1.0 | 13 | 0.4 | |
| Unknown | 354 | 3.1 | 222 | 4.5 | 80 | 2.9 | 52 | 1.5 | |
| Lymphoma type | <0.001 | ||||||||
| Hodgkin Lymphoma | 5,378 | 47.4 | 2,460 | 49.5 | 1,330 | 47.8 | 1,588 | 44.3 | |
| Non-Hodgkin Lymphoma | 5,959 | 52.6 | 2,508 | 50.5 | 1,455 | 52.2 | 1,996 | 55.7 | |
| Stage at diagnosis | 0.085 | ||||||||
| Stage I | 2,496 | 22.0 | 1,086 | 21.9 | 608 | 21.8 | 802 | 22.4 | |
| Stage II | 3,764 | 33.2 | 1,679 | 33.8 | 931 | 33.5 | 1,154 | 32.2 | |
| Stage III | 1,728 | 15.2 | 761 | 15.3 | 438 | 15.7 | 529 | 14.8 | |
| Stage IV | 2,610 | 23.0 | 1,136 | 22.9 | 649 | 23.3 | 825 | 23.0 | |
| Unknown | 739 | 6.5 | 306 | 6.1 | 159 | 5.7 | 274 | 7.6 | |
| Treatment facility | <0.001 | ||||||||
| NCI-DCC | 3,107 | 27.4 | 1,196 | 24.1 | 796 | 28.6 | 1,115 | 31.1 | |
| Non-NCI-DCC | 8,230 | 72.6 | 3,772 | 75.9 | 1,989 | 71.4 | 2,469 | 68.9 | |
| Charlson Comorbidity Index | <0.001 | ||||||||
| None | 6,602 | 58.2 | 3,183 | 64.1 | 1,625 | 58.3 | 1,794 | 50.1 | |
| One | 1,013 | 8.9 | 415 | 8.3 | 245 | 8.8 | 353 | 9.8 | |
| More than one | 325 | 2.9 | 118 | 2.4 | 64 | 2.3 | 143 | 4.0 | |
| Unknown | 3,397 | 30.0 | 1,252 | 25.2 | 851 | 30.6 | 1,294 | 36.1 | |
| Race/ethnicity | <0.001 | ||||||||
| Non-Hispanic White | 5,046 | 44.5 | 2,338 | 47.1 | 1,240 | 44.5 | 1,468 | 41.0 | |
| Non-Hispanic Black | 873 | 7.7 | 403 | 8.1 | 226 | 8.1 | 244 | 6.8 | |
| Hispanic | 3,771 | 33.3 | 1,594 | 32.1 | 922 | 33.1 | 1,255 | 35.0 | |
| Asian/Pacific Islander | 1,376 | 12.1 | 523 | 10.5 | 334 | 12.0 | 519 | 14.5 | |
| American Indian/Alaska Native | 54 | 0.5 | 24 | 0.5 | 11 | 0.4 | 19 | 0.5 | |
| Other/Unknown | 217 | 1.9 | 86 | 1.7 | 52 | 1.9 | 79 | 2.2 | |
| Neighborhood SES | 0.100 | ||||||||
| Highest | 3,979 | 35.1 | 1,795 | 36.1 | 977 | 35.1 | 1,207 | 33.7 | |
| Medium | 3,878 | 34.2 | 1,695 | 34.1 | 926 | 33.2 | 1,257 | 35.1 | |
| Lowest | 3,480 | 30.7 | 1,478 | 29.8 | 882 | 31.7 | 1,120 | 31.2 | |
| Marital status | <0.001 | ||||||||
| Married | 3,533 | 31.2 | 1,667 | 33.5 | 810 | 29.1 | 1,056 | 29.5 | |
| Not Married | 7,163 | 63.2 | 3,015 | 60.7 | 1,813 | 65.1 | 2,335 | 65.1 | |
| Unknown | 641 | 5.2 | 286 | 5.8 | 162 | 5.8 | 193 | 5.4 | |
Abbreviations: SES: socioeconomic status; NCI-DCC, National Cancer Institute-Designated Cancer Center; ACA, Affordable Care Act.
ε
Chi-square p-value; Jan, January; Mar, March Sep, September; Oct, October; Dec, December.
*
Other public includes Indian/Public Health Service, County Funded, not-otherwise specified (NOS), Medicare without supplement, Medicare, NOS.