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Racial Disparities in Stage-Specific Colorectal Cancer Mortality

1960–2005

Bibliographic Data

ID11038919
AuthorsSamir Soneji (0000-0001-8735-276X, Robert Wood Johnson Foundation), Shally Shalini Iyer, Katrina Armstrong (0000-0001-5781-5970), David A Asch (0000-0002-7970-286X)
Year2010
Volume100
Issue10
Pages1912-1916
Publication date2010-10-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.184192
PMID20724684
PMCIDPMC2936993
OpenAlexW2052257669
LanguageEN
Citations received11
References cited30

Objectives. We examined whether racial disparities in stage-specific colorectal cancer survival changed between 1960 and 2005. Methods. We used US Mortality Multiple-Cause-of-Death Data Files and intercensal estimates to calculate standardized mortality rates by gender and race from 1960 to 2005. We used Surveillance, Epidemiology, and End Results (SEER) data to estimate stage-specific colorectal cancer survival. To account for SEER sampling uncertainty, we used a bootstrap resampling procedure and fit a Cox proportional hazards model. Results. Between 1960–2005, patterns of decline in mortality rate as a result of colorectal cancer differed greatly by gender and race: 54% reduction for White women, 14% reduction for Black women, 39% reduction for White men, and 28% increase for Black men. Blacks consistently experienced worse rates of stage-specific survival and life expectancy than did Whites for both genders, across all age groups, and for localized, regional, and distant stages of the disease. Conclusions. The rates of stage-specific colorectal cancer survival differed among Blacks when compared with Whites during the 4-decade study period. Differences in stage-specific life expectancy were the result of differences in access to care or quality of care. More attention should be given to racial disparities in colorectal cancer management

Biology · Cancer · Colorectal cancer · Environmental health · Life expectancy · Mortality rate · Population · Proportional hazards model · Race (biology) · Stage (stratigraphy) · Cancer survivorship and care · Colorectal Cancer Screening and Detection · Demography · Epidemiology · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Oncology · Gerontology

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Citations per year0.73
Citation span2011 - 2024 (14)
Highly citedNo

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