1. Multiplicative disadvantage of being an unmarried and inadequately insured woman living in poverty with colon cancer: historical cohort exploration in California
- Author
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Madhan K Balagurusamy, Eric J. Holowaty, Kevin M. Gorey, Sindu M. Kanjeekal, Tonya Munro, Caroline Hamm, Sundus Haji-Jama, Naomi R Levitz, Frances C. Wright, Guangyong Zou, Isaac Luginaah, and Emma Bartfay
- Subjects
Gerontology ,United States ,structural inequality ,marriage ,work ,health care ,Unmarried ,Epidemiology ,Social and Behavioral Sciences ,California ,Cohort Studies ,Health insurance ,Risk Factors ,Obstetrics and Gynaecology ,Health care ,Marital status ,Medicine ,Single person ,Registries ,Medicine(all) ,Aged, 80 and over ,Medically Uninsured ,1. No poverty ,Obstetrics and Gynecology ,Single Person ,General Medicine ,Middle Aged ,Colon cancer ,3. Good health ,Colonic Neoplasms ,Female ,Public Health ,Standardized rate ,Research Article ,Cohort study ,Social Work ,Antineoplastic Agents ,Medicare ,Humans ,Chemotherapy ,Women ,Healthcare Disparities ,Poverty ,Socioeconomic status ,Aged ,Neoplasm Staging ,Proportional Hazards Models ,Insurance, Health ,Medicaid ,business.industry ,Logistic Models ,Reproductive Medicine ,business ,Demography - Abstract
Background: Many Americans diagnosed with colon cancer do not receive indicated chemotherapy. Certain unmarried women may be particularly disadvantaged. A 3-way interaction of the multiplicative disadvantages of being an unmarried and inadequately insured woman living in poverty was explored. Methods: California registry data were analyzed for 2,319 women diagnosed with stage II to IV colon cancer between 1996 and 2000 and followed until 2014. Socioeconomic data from the 2000 census classified neighborhoods as high poverty (≥30% of households poor), middle (5–29%) or low poverty (
- Published
- 2015
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