ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2021
Racial/Ethnic Disparities in Childhood Cancer Survival in the United States.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Shifting burden of childhood cancer mortality in the United States: progress and persistent inequities.American journal of epidemiology · 2026Article
- Advances and disparities in survival of childhood and adolescent cancers.Journal of the National Cancer Institute · 2026Observational
- Disparities in Rural-Urban Cancer Care Outcomes among Pediatric, Adolescent, and Young Adult Populations: A Comprehensive Narrative Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Review
- Molecular Pathogenesis, Tumor Microenvironment and Health Disparities in Select Pediatric Solid Tumors: An Integrative Narrative Review.Diseases (Basel, Switzerland) · 2026Review
- Cancer survival and its social determinants among children with a migrant background: systematic review protocol.BMJ open · 2026Article
- The Mediating Effect of Socioeconomic Status and Persistent Poverty on Racial and Ethnic Disparities in Pediatric Cancer Mortality in the United States.Cancer medicine · 2026Article
- Area Deprivation and Pediatric Cancer Mortality: An Analysis of 2000 to 2020 State Cancer Registry Data.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Impact of Social Determinants of Health on Outcomes of Nontraumatic Subarachnoid Hemorrhage.Journal of the American Heart Association · 2025Article
- Associations between central nervous system tumor diagnosis stage and survival and Medicaid enrollment among children, adolescents, and young adults.Neuro-oncology practice · 2025Article
- Health insurance continuity and mortality in children, adolescents, and young adults with blood cancer.Journal of the National Cancer Institute · 2025Article
- Association of Family Member Incarceration During Childhood and Smoking and Unhealthy Drinking Behaviors, Access to Care, and Functional Status Among Adults in the United States.Journal of general internal medicine · 2025Article
- Continued prioritization of biomedical research over sociomedical research may widen disparities in cancer outcomes.Journal of the National Cancer Institute · 2024Article
- Trends in 5-year cancer survival disparities by race and ethnicity in the US between 2002-2006 and 2015-2019.Scientific reports · 2024Article
- Social Determinants of Health in Cardio-Oncology: Multi-Level Strategies to Overcome Disparities in Care:JACC. CardioOncology · 2024Review
- Incarceration History and Access to and Receipt of Health Care in the US.JAMA health forum · 2024Article
- Article
- Geographic Access to Pediatric Cancer Care in the US.JAMA network open · 2023Article
- Association of Ethnicity, Sex, and Age With Cancer Diagnoses and Health Care Utilization Among Children in Inner Mongolia, China.JAMA network open · 2022Article
- Race, Zoonoses and Animal Assisted Interventions in Pediatric Cancer.International journal of environmental research and public health · 2022Review
- Moving Beyond Patient-Level Drivers of Racial/Ethnic Disparities in Childhood Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-white patients with childhood cancer have worse survival than Non-Hispanic (NH) White patients for many childhood cancers in the United States. We examined the contribution of socioeconomic status (SES) and health insurance on racial/ethnic disparities in childhood cancer survival.
methodsWe used the National Cancer Database to identify NH White, NH Black, Hispanic, and children of other race/ethnicities (<18 years) diagnosed with cancer between 2004 and 2015. SES was measured by the area-level social deprivation index (SDI) at patient residence and categorized into tertiles. Health insurance coverage at diagnosis was categorized as private, Medicaid, and uninsured. Cox proportional hazard models were used to compare survival by race/ethnicity. We examined the contribution of health insurance and SES by sequentially adjusting for demographic and clinical characteristics (age group, sex, region, metropolitan statistical area, year of diagnosis, and number of conditions other than cancer), health insurance, and SDI.
resultsCompared with NH Whites, NH Blacks and Hispanics had worse survival for all cancers combined, leukemias and lymphomas, brain tumors, and solid tumors (all
conclusionsBoth SES and health insurance contributed to racial/ethnic disparities in childhood cancer survival. IMPACT: Improving health insurance coverage and access to care for children, especially those with low SES, may mitigate racial/ethnic survival disparities.
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