Health Place. 2010 Jan;16(1):156-63. Epub 2009 Sep 30.

Breast cancer care in the Canada and the United States: ecological comparisons of extremely impoverished and affluent urban neighborhoods.

Gorey KM, Luginaah IN, Hamm C, Fung KY, Holowaty EJ.

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School of Social Work, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, Canada N9B 3P4. gorey@uwindsor.ca

Abstract

This study examined the differential effect of extreme impoverishment on breast cancer care in urban Canada and the United States. Ontario and California registry-based samples diagnosed between 1998 and 2000 were followed until 2006. Extremely poor and affluent neighborhoods were compared. Poverty was associated with non-localized disease, surgical and radiation therapy (RT) waits, non-receipt of breast conserving surgery, RT and hormonal therapy, and shorter survival in California, but not in Ontario. Extremely poor Ontario women were consistently advantaged on care indices over their California counterparts. More inclusive health insurance coverage in Canada seems the most plausible explanation for such Canadian breast cancer care advantages.

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Cited by 3 PubMed Central articles

The supply of physicians and care for breast cancer in Ontario and California, 1998 to 2006. [Can J Rural Med. 2011]
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Associations of physician supplies with colon cancer care in Ontario and California, 1996 to 2006. [Dig Dis Sci. 2011]
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Effects of socioeconomic status on colon cancer treatment accessibility and survival in Toronto, Ontario, and San Francisco, California, 1996-2006. [Am J Public Health. 2011]
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Breast cancer care in the Canada and the United States: ecological comparisons o...
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Breast cancer care in the Canada and the United States: ecological comparisons of extremely impoverished and affluent urban neighborhoods.

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