ArticlePloS one2014
The effect of individual and neighborhood socioeconomic status on gastric cancer survival.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Disparities in overall survival of gastric cancer patients after radical gastrectomy: an age and rural-urban residence-based cohort study with propensity score matching analysis.Scientific reports · 2025Article
- Social Determinants of Health, Blood Pressure Classification, and Incident Stroke Among Chinese Adults.JAMA network open · 2024Article
- Disparities in Overall Survival Rates for Cancers across Income Levels in the Republic of Korea.Cancers · 2024Article
- Socioeconomic disparities and the genomic landscape of gastric cancer.Scientific reports · 2024Article
- Article
- Agreement between individual and neighborhood income measures in patients with colorectal cancer in Canada.Journal of the National Cancer Institute · 2023Article
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- Effect of gastric cancer screening on long-term survival of gastric cancer patients: results of Korean national cancer screening program.Journal of gastroenterology · 2022Article
- Association between gastric cancer and the risk of depression among South Korean adults.BMC psychiatry · 2022Article
- Socioeconomic Disparities in Gastric Cancer and Identification of a Single SES Variable for Predicting Risk.Journal of gastrointestinal cancer · 2022Article
- Associations of Education Level With Survival Outcomes and Treatment Receipt in Patients With Gastric Adenocarcinoma.Frontiers in public health · 2022Article
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- Article
- A Prospective Study of Community Mediators on the Risk of Sepsis After Cancer.Journal of intensive care medicine · 2020Article
- Health inequities and cancer survival in Manizales, Colombia: a population-based study.Colombia medica (Cali, Colombia) · 2018Article
- Socio-economic disparities in long-term cancer survival-10 year follow-up with individual patient data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Relationship between socioeconomic status and accessibility for endoscopic resection among gastric cancer patients: using National Health Insurance Cohort in Korea: poverty and endoscopic resection.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2017Article
- Socioeconomic Factors Are Associated With Readmission After Lobectomy for Early Stage Lung Cancer.The Annals of thoracic surgery · 2016Article
- The effect of individual and neighborhood socioeconomic status on esophageal cancer survival in working-age patients in Taiwan.Medicine · 2016Article
- Socioeconomic risk factors for long-term mortality after pulmonary resection for lung cancer: an analysis of more than 90,000 patients from the National Cancer Data Base.Journal of the American College of Surgeons · 2015Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGastric cancer is a leading cause of death, particularly in the developing world. The literature reports individual socioeconomic status (SES) or neighborhood SES as related to survival, but the effect of both has not been studied. This study investigated the effect of individual and neighborhood SES simultaneously on mortality in gastric cancer patients in Taiwan. MATERIALS AND
methodsA study was conducted of 3,396 patients diagnosed with gastric cancer between 2002 and 2006. Each patient was followed for five years or until death. Individual SES was defined by income-related insurance premium (low, moderate, and high). Neighborhood SES was based on household income dichotomized into advantaged and disadvantaged areas. Multilevel logistic regression model was used to compare survival rates by SES group after adjusting for possible confounding factors.
resultsIn patients younger than 65 years, 5-year overall survival rates were lowest for those with low individual SES. After adjusting for patient characteristics (age, gender, Charlson Comorbidity Index Score), gastric cancer patients with high individual SES had 68% risk reduction of mortality (adjusted odds ratio [OR] of mortality, 0.32; 95% confidence interval [CI], 0.17-0.61). Patients aged 65 and above had no statistically significant difference in mortality rates by individual SES group. Different neighborhood SES did not statistically differ in the survival rates.
conclusionGastric cancer patients aged less than 65 years old with low individual SES have higher risk of mortality, even under an universal healthcare system. Public health strategies, education and welfare policies should seek to correct the inequality in gastric cancer survival, especially in those with lower individual SES.
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