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. 2022 Feb 14;11(10):2125–2144. doi: 10.1002/cam4.4601

TABLE 3.

Recommendations for future association studies in cancer to aid in variable selection and studies of health disparities

  • Evaluate more than one nSES index in association studies
    • Consider evaluating associations in both statistical and geospatial studies
    • Include summary statistics on each domain within selected indices by race/ethnicity to evaluate if domains within indices might differentially impact or drive associations by race/ethnicity
  • Expand nSES and cancer‐site specific studies to include additional States and pooled analyses; Data is limited for a number of cancer sites and states beyond California

  • Conduct additional studies focused on nSES, cancer screening, and diagnosis

  • Evaluate the impact of nSES within a single cancer site across the continuum (diagnosis, stage, treatment [type and time to treatment], survival)

  • Implement multilevel studies across the cancer continuum that evaluate nSES in the context of:
    • Clinical data from electronic medical records or health studies
    • Nativity/ethnic enclaves/segregation
    • Urban/rural designations
    • Race/ethnic groups and subgroups
  • Methods recommendations:
    • Explore alternative geographic boundaries using daily activity data
    • Incorporate information about residential history to allow for investigations of the impact of nSES over the lifespan
    • Report nSES associations by race/ethnic group and subgroup