IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0073889.html
   My bibliography  Save this article

The Combined Effect of Individual and Neighborhood Socioeconomic Status on Nasopharyngeal Cancer Survival

Author

Listed:
  • Ting-Shou Chang
  • Chun-Ming Chang
  • Ta-Wen Hsu
  • Yaoh-Shiang Lin
  • Ning-Sheng Lai
  • Yu-Chieh Su
  • Kuang-Yung Huang
  • Hung-Lung Lin
  • Ching-Chih Lee

Abstract

Background: The relationship between individual and neighborhood socioeconomic status (SES) and mortality rates in patients with nasopharyngeal carcinoma (NPC) is unknown. This population-based study aimed to examine the association between SES and survival of patients with NPC in Taiwan. Materials and Methods: A population-based follow-up study was conducted of 4691 patients diagnosed with NPC between 2002 and 2006. Each patient was traced to death or for 5 years. Individual SES was defined by enrollee job category. Neighborhood SES was based on household income dichotomized into advantaged and disadvantaged areas. Cox proportional hazards model was used to compare the death-free survival rates between the different SES groups after adjusting for possible confounding factors and risk factors. Results: In NPC patients below the age of 65 years, 5-year overall survival rates were worst for those with low individual SES living in disadvantaged neighborhoods. After adjusting for patient characteristics (age, gender, Charlson Comorbidity Index Score), NPC patients with low individual SES residing in disadvantaged neighborhoods were found to have a 2-fold higher risk of mortality than patients with high individual SES residing in advantaged neighborhoods. We found no significant difference in mortality rates between different SES groups in NPC patients aged 65 and above. Conclusions: Our findings indicate that NPC patients with low individual SES who live in disadvantaged neighborhoods have the higher risk of mortality than their more privileged counterparts. Public health strategies and welfare policies would be well advised to try to offset the inequalities in health care and pay more attention to addressing the needs of this vulnerable group.

Suggested Citation

  • Ting-Shou Chang & Chun-Ming Chang & Ta-Wen Hsu & Yaoh-Shiang Lin & Ning-Sheng Lai & Yu-Chieh Su & Kuang-Yung Huang & Hung-Lung Lin & Ching-Chih Lee, 2013. "The Combined Effect of Individual and Neighborhood Socioeconomic Status on Nasopharyngeal Cancer Survival," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-9, September.
    • Handle: RePEc:plo:pone00:0073889
    DOI: 10.1371/journal.pone.0073889
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0073889
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0073889&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0073889?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Roohan, P.J. & Bickell, N.A. & Baptiste, M.S. & Therriault, G.D. & Ferrara, E.P. & Siu, A.L., 1998. "Hospital volume differences and five-year survival from breast cancer," American Journal of Public Health, American Public Health Association, vol. 88(3), pages 454-457.
    2. Chun-Ming Chang & Yu-Chieh Su & Ning-Sheng Lai & Kuang-Yung Huang & Sou-Hsin Chien & Yu-Han Chang & Wei-Cheng Lian & Ta-Wen Hsu & Ching-Chih Lee, 2012. "The Combined Effect of Individual and Neighborhood Socioeconomic Status on Cancer Survival Rates," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-10, August.
    3. Kim, Jinyoung & Durden, Emily, 2007. "Socioeconomic status and age trajectories of health," Social Science & Medicine, Elsevier, vol. 65(12), pages 2489-2502, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ching-Chih Lee & Ting-Shou Chang & Cheng-Jung Wu & Ching-Chieh Yang & Po-Chun Chen, 2015. "Determinants of End-of-Life Expenditures in Patients with Oral Cancer in Taiwan: A Population-Based Study," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-10, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chun-Ming Chang & Wen-Yao Yin & Chang-Kuo Wei & Chun-Hung Lin & Kuang-Yung Huang & Shih-Pin Lin & Cheng-Hung Lee & Pesus Chou & Ching-Chih Lee, 2013. "The Association of Socioeconomic Status and Access to Low-Volume Service Providers in Breast Cancer," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.
    2. Chin-Chia Wu & Ta-Wen Hsu & Chun-Ming Chang & Chia-Hui Yu & Yuh-Feng Wang & Ching-Chih Lee, 2014. "The Effect of Individual and Neighborhood Socioeconomic Status on Gastric Cancer Survival," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-6, February.
    3. Nizalova, Olena Y. & Norton, Edward C., 2017. "Long-Run Effects of Severe Economic Recessions on Male BMI Trajectories and Health Behaviors," IZA Discussion Papers 10776, Institute of Labor Economics (IZA).
    4. Liliya Leopold, 2019. "Health Measurement and Health Inequality Over the Life Course: A Comparison of Self-rated Health, SF-12, and Grip Strength," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 763-784, April.
    5. Ovrum, Arnstein & Gustavsen, Geir Waehler & Rickertsen, Kyrre, 2012. "Health inequalities over the adult life course: the role of lifestyle choices," 2012 Conference, August 18-24, 2012, Foz do Iguacu, Brazil 125862, International Association of Agricultural Economists.
    6. Sinha, Kompal & Davillas, Apostolos & Jones, Andrew M. & Sharma, Anurag, 2021. "Do socioeconomic health gradients persist over time and beyond income? A distributional analysis using UK biomarker data," Economics & Human Biology, Elsevier, vol. 43(C).
    7. Margie E Lachman & Stefan Agrigoroaei, 2010. "Promoting Functional Health in Midlife and Old Age: Long-Term Protective Effects of Control Beliefs, Social Support, and Physical Exercise," PLOS ONE, Public Library of Science, vol. 5(10), pages 1-9, October.
    8. Harry Comber & Marianna De Camargo Cancela & Trutz Haase & Howard Johnson & Linda Sharp & Jonathan Pratschke, 2016. "Affluence and Private Health Insurance Influence Treatment and Survival in Non-Hodgkin’s Lymphoma," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-14, December.
    9. van Kippersluis, Hans & Van Ourti, Tom & O'Donnell, Owen & van Doorslaer, Eddy, 2009. "Health and income across the life cycle and generations in Europe," Journal of Health Economics, Elsevier, vol. 28(4), pages 818-830, July.
    10. Nizalova, Olena & Norton, Edward C., 2021. "Long-term effects of job loss on male health: BMI and health behaviors," Economics & Human Biology, Elsevier, vol. 43(C).
    11. van Kippersluis, Hans & O'Donnell, Owen & van Doorslaer, Eddy & Van Ourti, Tom, 2010. "Socioeconomic differences in health over the life cycle in an Egalitarian country," Social Science & Medicine, Elsevier, vol. 70(3), pages 428-438, February.
    12. Davillas, Apostolos & M. Jones, Andrew & Sinha, Kompal & Sharma, Anurag, 2018. "Distributional analysis of the role of breadth and persistence of multiple deprivation in the health gradient measured by biomarkers," ISER Working Paper Series 2018-14, Institute for Social and Economic Research.
    13. Davillas, Apostolos & Jones, Andrew M, 2020. "Ex ante inequality of opportunity in health, decomposition and distributional analysis of biomarkers," Journal of Health Economics, Elsevier, vol. 69(C).
    14. Shih-Hsien Yang & Su-Feng Chen & Shin Nieh & Chia-Lin Liu & Yaoh-Shiang Lin & Ching-Chih Lee & Fu-Huang Lin, 2017. "The Effect of Individual and Neighbourhood Socioeconomic Status on Diabetes Mellitus Survival in Working Age Patients in Taiwan," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-11, January.
    15. Wifo, 2015. "WIFO-Monatsberichte, Heft 8/2015," WIFO Monatsberichte (monthly reports), WIFO, vol. 88(8), August.
    16. Tsu Jen Kuo & Pei Chen Wu & Pei Ling Tang & Chun-Hao Yin & Chi Hsiang Chu & Yao-Min Hung, 2019. "Effects of continuity of care on the postradiotherapy survival of working-age patients with oral cavity cancer: A nationwide population-based cohort study in Taiwan," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-17, December.
    17. Sheng-Wen Hou & Yi-Kung Lee & Chen-Yang Hsu & Ching-Chih Lee & Yung-Cheng Su, 2013. "Increased Risk of Acute Pancreatitis in Patients with Chronic Hemodialysis: A 4-Year Follow-Up Study," PLOS ONE, Public Library of Science, vol. 8(8), pages 1-6, August.
    18. Tanke, Marit A.C. & Ikkersheim, David E., 2012. "A new approach to the tradeoff between quality and accessibility of health care," Health Policy, Elsevier, vol. 105(2), pages 282-287.
    19. Zhao, Shanyang, 2009. "Parental education and children's online health information seeking: Beyond the digital divide debate," Social Science & Medicine, Elsevier, vol. 69(10), pages 1501-1505, November.
    20. Kovacic, Matija & Orso, Cristina Elisa, 2022. "Trends in inequality of opportunity in health over the life cycle: The role of early-life conditions," Journal of Economic Behavior & Organization, Elsevier, vol. 201(C), pages 60-82.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0073889. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.