Format

Send to

Choose Destination
See comment in PubMed Commons below
Int J Equity Health. 2013 Apr 15;12:26. doi: 10.1186/1475-9276-12-26.

Socioeconomic deprivation as a determinant of cancer mortality and the Hispanic paradox in Texas, USA.

Author information

1
F. Marie Hall Institute for Rural and Community Health, Texas Tech University Health Sciences Center, Lubbock, TX, 79430, USA. billy.philips@ttuhsc.edu

Abstract

INTRODUCTION:

We have recently reported that delayed cancer detection is associated with the Wellbeing Index (WI) for socioeconomic deprivation, lack of health insurance, physician shortage, and Hispanic ethnicity. The current study investigates whether these factors are determinants of cancer mortality in Texas, the United States of America (USA).

METHODS:

Data for breast, colorectal, female genital system, lung, prostate, and all-type cancers are obtained from the Texas Cancer Registry. A weighted regression model for non-Hispanic whites, Hispanics, and African Americans is used with age-adjusted mortality (2004-2008 data combined) for each county as the dependent variable while independent variables include WI, percentage of the uninsured, and physician supply.

RESULTS:

Higher mortality for breast, female genital system, lung, and all-type cancers is associated with higher WI among non-Hispanic whites and/or African Americans but with lower WI in Hispanics after adjusting for physician supply and percentage of the uninsured. Mortality for all the cancers studied is in the following order from high to low: African Americans, non-Hispanic whites, and Hispanics. Lung cancer mortality is particularly low in Hispanics, which is only 35% of African Americans' mortality and 40% of non-Hispanic whites' mortality.

CONCLUSIONS:

Higher degree of socioeconomic deprivation is associated with higher mortality of several cancers among non-Hispanic whites and African Americans, but with lower mortality among Hispanics in Texas. Also, mortality rates of all these cancers studied are the lowest in Hispanics. Further investigations are needed to better understand the mechanisms of the Hispanic Paradox.

PMID:
23587269
PMCID:
PMC3639133
DOI:
10.1186/1475-9276-12-26
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Support Center