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An international comparison of cancer survival: Toronto, Ontario, and Detroit, Michigan, metropolitan areas

Author

Listed:
  • Gorey, K.M.
  • Holowaty, E.J.
  • Fehringer, G.
  • Laukkanen, E.
  • Moskowitz, A.
  • Webster, D.J.
  • Richter, N.L.

Abstract

Objectives: This study examined whether socioeconomic status has a differential effect on the survival of adults diagnosed with cancer in Canada and the United States. Methods: The Ontario Cancer Registry and the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program provided a total of 58 202 and 76 055 population-based primary malignant cancer cases for Toronto, Ontario, and Detroit, Mich, respectively. Socioeconomic data for each person's residence at time of diagnosis were taken from population censuses. Results: In the US cohort, there was a significant association between socioeconomic status and survival for 12 of the 15 most common cancer sites; in the Canadian cohort, there was no such association for 12 of the 15 sites. Among residents of low-income areas, persons in Toronto experienced a survival advantage for 13 of 15 cancer sites at 1- and 5-year follow-up. No such between-country differentials were observed in the middle- or high-income groups. Conclusions: The consistent pattern of a survival advantage in Canada observed across various cancer sites and follow-up periods suggests that Canada's more equitable access to preventive and therapeutic health care services is responsible for the difference.

Suggested Citation

  • Gorey, K.M. & Holowaty, E.J. & Fehringer, G. & Laukkanen, E. & Moskowitz, A. & Webster, D.J. & Richter, N.L., 1997. "An international comparison of cancer survival: Toronto, Ontario, and Detroit, Michigan, metropolitan areas," American Journal of Public Health, American Public Health Association, vol. 87(7), pages 1156-1163.
    • Handle: RePEc:aph:ajpbhl:1997:87:7:1156-1163_6
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    Cited by:

    1. Hugh Armstrong & Wallace Clement & Zhiqiu Lin & Steven Prus, 2006. "Contrasting Inequalities: Comparing Correlates of Health in Canada and the United States," Social and Economic Dimensions of an Aging Population Research Papers 167, McMaster University.
    2. Haynes, Robin & Pearce, Jamie & Barnett, Ross, 2008. "Cancer survival in New Zealand: Ethnic, social and geographical inequalities," Social Science & Medicine, Elsevier, vol. 67(6), pages 928-937, September.
    3. Viorela Diaconu & Nadine Ouellette & Robert Bourbeau, 2020. "Modal lifespan and disparity at older ages by leading causes of death: a Canada-U.S. comparison," Journal of Population Research, Springer, vol. 37(4), pages 323-344, December.
    4. Huguet, Nathalie & Kaplan, Mark S. & Feeny, David, 2008. "Socioeconomic status and health-related quality of life among elderly people: Results from the Joint Canada/United States Survey of Health," Social Science & Medicine, Elsevier, vol. 66(4), pages 803-810, February.
    5. Sam Peltzman, 2014. "Socialized medicine and mortality," International Journal of Health Economics and Management, Springer, vol. 14(3), pages 179-205, September.
    6. Jiang, Xiaqing & Lin, Ge & Islam, K.M. Monirul, 2017. "Socioeconomic factors related to surgical treatment for localized, non-small cell lung cancer," Social Science & Medicine, Elsevier, vol. 175(C), pages 52-57.

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