Income, lifestyle may contribute to disparity in cancer deaths

November 9, 2018

(HealthDay)—Socioeconomic and health-related behaviors contribute to county-level disparities in cancer deaths, according to a study published online Oct. 5 in JAMA Network Open.

Jeremy M. O'Connor, M.D., from the Yale University School of Medicine in New Haven, Connecticut, and colleagues used county-level median household income and records from the 2014 National Center for Health Statistics to identify mediators between county-level median incomes and cancer death rates.

The researchers found that low-income counties (median income, $33,445) had higher proportions of residents who were non-Hispanic black, lived in rural areas, or reported poor or fair health versus high-income counties (median income, $55,780). In high-income counties, the mean cancer death rate was 185.9 per 100,000 person-years compared with 204.9 and 229.7 per 100,000 person-years in medium- and low-income counties, respectively. Health risk behaviors (smoking, obesity, and ), clinical care factors (unaffordable care and low-quality care), health environments (), and health policies (state smoke-free laws and Medicaid payment rates) together accounted for more than 80 percent of the -related disparity. Food insecurity (explaining 19.1 percent of the association between county incomes and cancer deaths), low-quality care (17.9 percent), smoking (12.7 percent), and physical inactivity (12.2 percent) were the strongest mediators.

"The paper suggests all of these factors are interplaying to lead to disparities," O'Connor said in a statement. "It's not just behaviors or quality of care; it's all of the factors together."

One author disclosed financial ties to the medical device industry.

Explore further: Cancer death disparities linked to poverty, lifestyle factors nationwide

More information: Abstract/Full Text

Related Stories

Cancer death disparities linked to poverty, lifestyle factors nationwide

October 5, 2018
Yale researchers have identified factors that may contribute to widening cancer death disparities among counties across the United States. These factors, which include both socioeconomic and behavioral traits, may provide ...

Cardiovascular-related deaths higher for US Hispanics who live in counties with higher Hispanic populations

September 19, 2018
Hispanics living in the U.S. face more cardiovascular-related death in counties heavily populated by Hispanics than those living in more diverse areas, according to new research in Journal of the American Heart Association, ...

Overall well-being of a population associated with less per capita medicare spending

September 14, 2018
A new study in JAMA Network Open finds that the overall well-being of a population on a county level is associated with lower healthcare spending for each Medicare fee-for-service beneficiary.

Socioeconomic status may affect survival of patients with anal cancer

March 12, 2018
In a study of patients with anal cancer, living in low median household income areas was linked with an increased risk of early death. Published early online in Cancer, a peer-reviewed journal of the American Cancer Society, ...

More cancers caught in wealthy people

June 8, 2017
(HealthDay)—Wealthy Americans are more likely to be diagnosed with some types of cancer than poor people, a new study finds.

Recommended for you

Emotional abuse may be linked with menopause misery

November 19, 2018
Smoking, obesity and a sedentary lifestyle have long been linked to heightened symptoms of menopause. Now, a study headed by UC San Francisco has identified another factor that may add to menopause torment: an emotionally ...

How AI could help veterinarians code their notes

November 19, 2018
A team led by scientists at the School of Medicine has developed an algorithm that can read the typed-out notes from veterinarians and predict specific diseases that the animal may have.

Bullying and violence at work increases the risk of cardiovascular disease

November 19, 2018
People who are bullied at work or experience violence at work are at higher risk of heart and brain blood vessel problems, including heart attacks and stroke, according to the largest prospective study to investigate the ...

A low-gluten, high-fiber diet may be healthier than gluten-free

November 16, 2018
When healthy people eat a low-gluten and fibre-rich diet compared with a high-gluten diet, they experience less intestinal discomfort including less bloating. Researchers at University of Copenhagen show that this is due ...

Youth dating violence shaped by parents' conflict-handling views, study finds

November 16, 2018
Parents who talk to their children about nonviolent ways of resolving conflict may reduce children's likelihood of physically or psychologically abusing their dating partners later—even when parents give contradictory messages ...

Why we shouldn't like coffee, but we do

November 15, 2018
Why do we like the bitter taste of coffee? Bitterness evolved as a natural warning system to protect the body from harmful substances. By evolutionary logic, we should want to spit it out.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.