ArticlePublic health reports (Washington, D.C. : 1974)2026
Differences in Lung Cancer Survival by Demographic Characteristics and Social Determinants of Health, United States, 2010-2020.
Article in Public health reports (Washington, D.C. : 1974), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesCommon data sources that examine cancer survival provide limited information on health behaviors or social determinants of health. We linked individual-level cancer registry data to county-level data to examine differences in survival among people diagnosed with lung cancer.
methodsWe linked 2010-2020 National Program of Cancer Registries survival data from 40 registries, covering 85% of the US population, to county-level data on current age-adjusted cigarette smoking prevalence, average daily density of fine particulate matter (PM
resultsSurvival was significantly lower among people who lived in counties with a higher prevalence of cigarette smoking of 14.3% to <17.0% (adjusted hazard ratio [AHR] = 1.06), 17.0% to <20.2% (AHR = 1.08), and 20.2% to 34.8% (AHR = 1.14) compared with 6.7% to <14.3%; fine particulate pollution >12.0 µg/m
conclusionsMultiple characteristics were associated with lower 5-year lung cancer survival rates. Interventions that address these characteristics (eg, promoting tobacco cessation, reducing exposure to fine particulate pollution) may lead to longer survival after lung cancer diagnosis.
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