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Determinants of late stage diagnosis of breast and cervical cancer: the impact of age, race, social class, and hospital type.

J Mandelblatt, H Andrews, J Kerner, A Zauber and W Burnett

Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.

Previous studies of the relationship between cancer stage, age, and race have not controlled for social class and health care setting. Logistic regression analyses, using information from the New York State Tumor Registry and area-level social class indicators, demonstrated that, in New York City, older Black, lower class women in public hospitals were 3.75 and 2.54 times more likely to have late stage breast or cervical cancer, respectively, than were younger White, high social class women in non-public hospitals.

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Conclusions on cancer and low socioeconomic status questioned.

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AJPH 1992 82: 1418-1420. [PDF]  

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