Determinants of stage at diagnosis of HPV-related cancer including area deprivation and clinical factors
| Autor: | Rohini Chakravarthy, J. Sunil Rao, Erin Kobetz, Douglas Conway, Digna R. Velez Edwards, Sifang Kathy Zhao, Melinda C. Aldrich, Sarah C. Stallings, Consuelo H. Wilkins |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Population Alphapapillomavirus 03 medical and health sciences 0302 clinical medicine Neoplasms Epidemiology medicine Humans 030212 general & internal medicine Social determinants of health Stage (cooking) education Papillomaviridae education.field_of_study business.industry Papillomavirus Infections Public Health Environmental and Occupational Health Cancer Censuses General Medicine Census medicine.disease 030220 oncology & carcinogenesis Population study Female Ordered logit business Demography |
| Zdroj: | Journal of Public Health. 44:18-27 |
| ISSN: | 1741-3850 1741-3842 |
| DOI: | 10.1093/pubmed/fdaa246 |
| Popis: | Background Collecting social determinants of health in electronic health records is time-consuming. Meanwhile, an Area Deprivation Index (ADI) aggregates sociodemographic information from census data. The objective of this study was to ascertain whether ADI is associated with stage of human papillomavirus (HPV)-related cancer at diagnosis. Methods We tested for the association between the stage of HPV-related cancer presentation and ADI as well as the association between stage and the value of each census-based measure using ordered logistic regression, adjusting for age, race and sex. Results Among 3247 cases of HPV-related cancers presenting to an urban academic medical center, the average age at diagnosis was 57. The average stage at diagnosis was Surveillance, Epidemiology and End Results Stage 3. In the study population, 43% of patients were female and 87% were white. In this study population, there was no association between stage of HPV-related cancer presentation and either aggregate or individual census variables. Conclusions These results may reflect insufficient sample size, a lack of socio-demographic diversity in our population, or suggest that simplifying social determinants of health into a single geocoded index is not a reliable surrogate for assessing a patient’s risk for HPV-related cancer. |
| Databáze: | OpenAIRE |
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