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    Ethnicity, Socioeconomic Status, Income Inequality, and Colorectal Cancer Outcomes: Evidence from the 4C2 Collaboration

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    Thumbnail
    Name:
    Four Corners CRC CACO rr 9.26. ...
    Size:
    315.5Kb
    Format:
    PDF
    Description:
    Final Accepted Manuscript
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    Author
    Bradley, Cathy J.
    Anderson-Mellies, Amy
    Borrayo, Evelinn A.
    Doherty, Jennifer Anne
    Escontrías, Omar A.
    Garcia, David O.
    Mishra, Shiraz I.
    Sussman, Andrew L.
    Thomson, Cynthia A.
    Wetter, David W.
    Cook, Linda S.
    Show allShow less
    Affiliation
    University of Arizona Cancer Center
    Mel & Enid Zuckerman College of Public Health, University of Arizona
    Issue Date
    2022-01-04
    Keywords
    Cancer stage
    Colorectal cancer
    Disparities
    Income inequality
    Mortality
    Rural
    
    Metadata
    Show full item record
    Publisher
    Springer Science and Business Media LLC
    Citation
    Bradley, C. J., Anderson-Mellies, A., Borrayo, E. A., Doherty, J. A., Escontrías, O. A., Garcia, D. O., Mishra, S. I., Sussman, A. L., Thomson, C. A., Wetter, D. W., & Cook, L. S. (2022). Ethnicity, socioeconomic status, income inequality, and colorectal cancer outcomes: Evidence from the 4C2 collaboration. Cancer Causes and Control.
    Journal
    Cancer Causes and Control
    Rights
    © The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Purpose: National Cancer Institute (NCI)-Designated Cancer Centers are required to assess and address the needs of their catchments. In rural regions, catchment areas are vast, populations small, and infrastructure for data capture limited, making analyses of cancer patterns challenging. Methods: The four NCI-Designated Comprehensive Cancer Centers in the southern Rocky Mountain region formed the Four Corners Collaboration (4C2) to address these challenges. Colorectal cancer (CRC) was identified as a disease site where disparities exist. The 4C2 leaders examined how geographic and sociodemographic characteristics were correlated to stage at diagnosis and survival in the region and compared those relationships to a sample from the surveillance, epidemiology, and end results (SEER) program. Results: In 4C2, Hispanics were more likely to live in socioeconomically disadvantaged areas relative to their counterparts in the SEER program. These residency patterns were positively correlated with later stage diagnosis and higher mortality. Living in an area with high-income inequality was positively associated with mortality for Non-Hispanic whites in 4C2. In SEER, Hispanics had a slightly higher likelihood of distant stage disease, and disadvantaged socioeconomic status was associated with poor survival. Conclusion: CRC interventions in 4C2 will target socioeconomically disadvantaged areas, especially those with higher income inequality, to improve outcomes among Hispanics and Non-Hispanic whites. The collaboration demonstrates how bringing NCI-Designated Cancer Centers together to identify and address common population catchment issues provides opportunity for pooled analyses of small, but important populations, and thus, capitalize on synergies among researchers to reduce cancer disparities.
    Note
    12 month embargo; published: 04 January 2022
    ISSN
    0957-5243
    EISSN
    1573-7225
    DOI
    10.1007/s10552-021-01547-6
    Version
    Final accepted manuscript
    Sponsors
    National Cancer Institute
    ae974a485f413a2113503eed53cd6c53
    10.1007/s10552-021-01547-6
    Scopus Count
    Collections
    UA Faculty Publications

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