TABLE 3.
Demographic, clinical characteristics, neighborhood, and individual social determinants of health in patients with HCC by neighborhood SDI quartile
| Q1 (N=867) | Q2 (N=871) | Q3 (N=869) | Q4 (N=853) | p | |
|---|---|---|---|---|---|
| Age at diagnosis | — | — | — | — | <0.0001 |
| Mean (SD) | 66.7 (10.8) | 66.2 (11.2) | 65.1 (11.6) | 62.6 (10.3) | — |
| Median (Q1, Q3) | 66.0 (59.0, 75.0) | 65.0 (59.0, 74.0) | 63.0 (57.0, 73.0) | 61.0 (56.0, 68.0) | — |
| Range | 24.0–94.0 | 19.0–97.0 | 24.0–98.0 | 23.0–96.0 | — |
| Sex, n (%) | — | — | — | — | 0.6463 |
| Female | 206 (23.8) | 230 (26.4) | 218 (25.1) | 217 (25.4) | — |
| Male | 661 (76.2) | 641 (73.6) | 651 (74.9) | 636 (74.6) | — |
| Race, n (%) | — | — | — | — | <0.0001 |
| N-Miss | 1 | 0 | 0 | 0 | — |
| Black | 31 (3.6) | 42 (4.8) | 115 (13.2) | 280 (32.8) | — |
| Other | 36 (4.2) | 15 (1.7) | 15 (1.7) | 11 (1.3) | — |
| White | 799 (92.3) | 814 (93.5) | 739 (85.0) | 562 (65.9) | — |
| Ethnicity, n (%) | — | — | — | — | 0.1242 |
| N-Miss | 11 | 15 | 16 | 31 | — |
| Hispanic | 7 (0.8) | 5 (0.6) | 13 (1.5) | 13 (1.6) | — |
| Non-Hispanic | 849 (99.2) | 851 (99.4) | 840 (98.5) | 809 (98.4) | — |
| Insurance, n (%) | — | — | — | — | <0.0001 |
| N-Miss | 48 | 55 | 62 | 74 | — |
| Medicaid | 62 (7.6) | 82 (10.0) | 111 (13.8) | 179 (23.0) | — |
| Medicare | 466 (56.9) | 460 (56.4) | 423 (52.4) | 364 (46.7) | — |
| Other insurance | 62 (7.6) | 56 (6.9) | 52 (6.4) | 70 (9.0) | — |
| Private | 214 (26.1) | 177 (21.7) | 184 (22.8) | 120 (15.4) | — |
| Uninsured | 15 (1.8) | 41 (5.0) | 37 (4.6) | 46 (5.9) | — |
| SEER stage, n (%) | — | — | — | — | 0.3104 |
| Localized | 418 (48.2) | 408 (46.8) | 386 (44.4) | 366 (42.9) | — |
| Regional | 227 (26.2) | 231 (26.5) | 242 (27.8) | 247 (29.0) | — |
| Distant | 142 (16.4) | 154 (17.7) | 143 (16.5) | 163 (19.1) | — |
| Unstaged | 80 (9.2) | 78 (9.0) | 98 (11.3) | 77 (9.0) | — |
| Marital, n (%) | — | — | — | — | <0.0001 |
| N-Miss | 100 | 135 | 139 | 158 | — |
| Divorced | 57 (7.4) | 73 (9.9) | 82 (11.2) | 115 (16.5) | — |
| Married (including common law) | 484 (63.1) | 382 (51.9) | 341 (46.7) | 244 (35.1) | — |
| Separated | 2 (0.3) | 7 (1.0) | 19 (2.6) | 11 (1.6) | — |
| Single (Never Married) | 82 (10.7) | 106 (14.4) | 121 (16.6) | 186 (26.8) | — |
| Unknown | 71 (9.3) | 91 (12.4) | 93 (12.7) | 85 (12.2) | — |
| Widowed | 71 (9.3) | 77 (10.5) | 74 (10.1) | 54 (7.8) | — |
| County type, n (%) | |||||
| Urban | 758 (87.4) | 593 (68.1) | 624 (71.8) | 799 (93.7) | — |
| Rural-urban adjacent | 93 (10.7) | 224 (25.7) | 205 (23.6) | 37 (4.3) | — |
| Rural-not urban adjacent | 16 (1.8) | 54 (6.2) | 40 (4.6) | 17 (2.0) | — |
| County SDI | |||||
| Mean (SD) | 35.5 (29.2) | 39.9 (24.8) | 51.4 (25.0) | 70.3 (20.7) | — |
| Median (Q1, Q3) | 28.0 (9.0, 56.0) | 40.0 (20.0, 58.0) | 51.0 (34.0, 69.0) | 69.0 (51.0, 90.0) | — |
| Range | 1.0–90.0 | 1.0–90.0 | 1.0–90.0 | 14.0–90.0 | — |
| County SDI by quartile, n (%) | |||||
| Q1 | 405 (46.7) | 332 (38.1) | 171 (19.7) | 26 (3.0) | — |
| Q2 | 153 (17.6) | 227 (26.1) | 263 (30.3) | 175 (20.5) | — |
| Q3 | 207 (23.9) | 216 (24.8) | 238 (27.4) | 234 (27.4) | — |
| Q4 | 102 (11.8) | 96 (11.0) | 197 (22.7) | 418 (49.0) | — |
| Neighborhood SDI | |||||
| Mean (SD) | 16.6 (8.3) | 43.0 (8.1) | 69.2 (7.6) | 91.2 (4.7) | — |
| Median (Q1, Q3) | 17.0 (10.0, 24.0) | 43.0 (36.0, 51.0) | 69.0 (63.0, 76.0) | 92.0 (87.0, 95.0) | — |
| Range | 1.0–29.0 | 30.0–56.0 | 57.0–82.0 | 83.0–100.0 | — |
| Neighborhood FPL 100 score | |||||
| Mean (SD) | 21.7 (13.0) | 46.4 (13.4) | 68.4 (12.5) | 91.4 (6.8) | — |
| Median (Q1, Q3) | 20.0 (11.0, 30.5) | 46.0 (37.0, 55.0) | 70.0 (58.0, 78.0) | 93.0 (88.0, 97.0) | — |
| Range | 1.0–55.0 | 7.0–93.0 | 34.0–97.0 | 66.0–100.0 | — |
| Neighborhood FPL 100 score by quartile | |||||
| Q1 | 714 (82.4) | 174 (20.0) | 2 (0.2) | 0 | — |
| Q2 | 153 (17.6) | 529 (60.7) | 201 (23.1) | 0 | — |
| Q3 | 0 | 166 (19.1) | 575 (66.2) | 110 (12.9) | — |
| Q4 | 0 | 2 (0.2) | 91 (10.5) | 743 (87.1) | — |
Abbreviations: FPL, federal poverty level; SEER, Surveillance, Epidemiology, and End Results; SDI, social deprivation index.