ArticleSocial science & medicine (1982)2010
Racial differences in stage at diagnosis and survival from epithelial ovarian cancer: a fundamental cause of disease approach.
Article in Social science & medicine (1982), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Impact of Marginalization Dimensions on Survival Disparities in Epithelial Ovarian Cancer: An Ontario Population-Based Study.Cancers · 2026Article
- Timing of depression in relation to risk of ovarian cancer.Journal of the National Cancer Institute · 2025Article
- Geographically weighted accelerated failure time model for spatial survival data: application to ovarian cancer survival data in New Jersey.BMC medical research methodology · 2024Article
- Menopausal hormone therapy use and risk of ovarian cancer by race: the ovarian cancer in women of African ancestry consortium.British journal of cancer · 2023Article
- Racial Disparities in Lung Cancer Stage of Diagnosis Among Adults Living in the Southeastern United States.Chest · 2023Observational
- Racial disparities in epithelial ovarian cancer survival: An examination of contributing factors in the Ovarian Cancer in Women of African Ancestry consortium.International journal of cancer · 2022Article
- Associations of Healthcare Affordability, Availability, and Accessibility with Quality Treatment Metrics in Patients with Ovarian Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Health Power Resources Theory: A Relational Approach to the Study of Health Inequalities.Journal of health and social behavior · 2021Article
- Racial Differences in Population Attributable Risk for Epithelial Ovarian Cancer in the OCWAA Consortium.Journal of the National Cancer Institute · 2021Article
- Article
- Race, Socioeconomic Status, and Health-Care Access Disparities in Ovarian Cancer Treatment and Mortality: Systematic Review and Meta-Analysis.JNCI cancer spectrum · 2019Article
- Ovarian Cancer in Women of African Ancestry (OCWAA) consortium: a resource of harmonized data from eight epidemiologic studies of African American and white women.Cancer causes & control : CCC · 2019Article
- The effect of metabolic risk factors on cancer mortality among blacks and whites.Translational cancer research · 2019Article
- Regional Disparities in Ovarian Cancer in the United States.Cancer health disparities · 2019Article
- Disparities in treatment and survival among elderly ovarian cancer patients.Gynecologic oncology · 2018Article
- Tubal ligation and ovarian cancer risk in African American women.Cancer causes & control : CCC · 2017Article
- Health Care Disparities in Hereditary Ovarian Cancer: Are We Reaching the Underserved Population?Current treatment options in oncology · 2016Review
- The influence of neighborhood socioeconomic status and race on survival from ovarian cancer: a population-based analysis of Cook County, Illinois.Annals of epidemiology · 2015Article
- Sociodemographic disparities in advanced ovarian cancer survival and adherence to treatment guidelines.Obstetrics and gynecology · 2015Article
- The effect of neighborhood disadvantage on the racial disparity in ovarian cancer-specific survival in a large hospital-based study in cook county, illinois.Frontiers in public health · 2015Article
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3 authors.
Funding
Abstract
Associations between race, socioeconomic status (SES) and health outcomes have been well established. One of the ways in which race and SES affect health is by influencing one's access to resources, which confers ability to avoid or mitigate adverse outcomes. The fundamental cause of disease approach argues that when a new screening tool is introduced, individuals with greater resources tend to have better access to the innovation, thus benefiting from early detection and leading to better survival. Conversely, when there is no established screening tool, racial and SES differences in early detection may be less pronounced. Most ovarian cancer is diagnosed at advanced stages, because of the lack of an effective screening tool and few early symptoms. However, once detected, racial differences may still be observed in mortality and survival outcomes. We examined the racial differences in diagnosis and survival among ovarian cancer cases diagnosed during 1994-1998, in Cook County, Illinois (N = 351). There were no racial differences in the stage at diagnosis: 51.7% of white and 52.9% of black women were diagnosed at later stages (III and IV). Only age was associated with the stage at diagnosis. Tumor characteristics also did not differ between white and black women. Compared to white women, black women were less likely to be married, less educated, more frequently used genital powder, had tubal ligation, and resided in higher poverty census tracts. As of December 31, 2005, 44.3% of white and 54.5% of black women had died of ovarian cancer. Controlling for known confounding variables, the hazard ratio for ovarian cancer death between black and white women was 2.2. The findings show that fundamental cause perspective provides a potential framework to explore subtleties in racial disparities, with which broader social causes may be accounted for in explaining post diagnosis racial differences.
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