ArticleJournal of cancer policy2023
Social vulnerability and lung malignancy mortality.
Article in Journal of cancer policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Clustered Symptom Trajectories After Pulmonary Resection: Implications for Risk Stratification and Recovery.Annals of surgical oncology · 2026Article
- Social Vulnerability is Associated with Significant Delays to Definitive Surgery for Stages IA to IIIA Non-small Cell Lung Cancer and Consequential Increased Rates of Pathologic Upstaging.Annals of surgical oncology · 2026Article
- Towards a Contextualized Social Vulnerability Index: Defining Key Domains and Indicators for Iran's Health System.Medical journal of the Islamic Republic of Iran · 2026Article
- Delay to timely treatment in locally advanced cervical cancer: insurance inequities in access to gynecologic oncology.American journal of obstetrics and gynecology · 2025Article
- Social Vulnerability and Disparities in All-Cause Mortality in the United States.Journal of racial and ethnic health disparities · 2025Article
- Cancer Burden in Neighborhoods With Greater Racial Diversity and Environmental Burden.JAMA network open · 2025Article
- Association of neighborhood social vulnerability with ovarian cancer survival.Gynecologic oncology · 2025Observational
- Gender disparities in lung cancer and social determinants of environmental risk: a geospatial analysis across Illinois counties.Frontiers in public health · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
introductionLung cancer is a major cause of death in the United States. Social determinants of health (SDOH) are important factors that impact the treatment and prognosis of lung cancer. The social vulnerability index (SVI) is a validated measure of SDOH. This cross-sectional study aimed to investigate the impact of the SVI on lung cancer mortality using descriptive epidemiology.
methodsMortality data for lung malignancies from 2014 to 2018 was obtained from the CDC database and was age-adjusted and standardized to the population in the year 2000. The SVI for the same years was obtained from the CDC Agency for Toxic Substances and Disease Registry database. Age-adjusted mortality rates (AAMR) were estimated for each SVI quartile (SVI-Q) and demographic subgroup.
resultsWe found that counties in SVI-Q4 (most vulnerable) had a higher cumulative AAMR compared to counties in SVI-Q1 (least vulnerable), accounting for a 4.48 excess death rate per 100,000 person-years. AAMR among males in SVI-Q4 was higher compared to SVI-Q1, accounting for a 9.96 excess death rate per 100,000 person-years, whereas no mortality differences were observed for female populations between SVI-Q4 and SVI-Q1. AAMR in SVI-Q4 was higher for both Hispanic and non-Hispanic populations, except for American Indian/Alaska Native populations. Similar trends were observed in both metropolitan and non-metropolitan counties.
conclusionOur study suggests that the SVI may play a significant role in lung cancer mortality and highlights the need for interventions targeting vulnerable populations to improve outcomes.
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