Racial and ethnic disparities in substance use disorders and outcomes in elderly prostate cancer patients

Bibliographic Data

ID15414963
AuthorsSumedha Chhatre (0000-0002-4718-0198, University of Pennsylvania, corresponding author), Ravishankar Jayadevappa (University of Pennsylvania)
Year2016
Volume17
Issue2
Pages135-149
Publication date2016-04-26
Open AccessNo
TypeARTICLE
VenueJournal of Ethnicity in Substance Abuse (JOURNAL)
Journal identifiersISSN: 1533-2640 • E-ISSN: 1533-2659
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15332640.2016.1160019
PMID27115724
OpenAlexW2342560929
LanguageEN
References cited36

Substance use among cancer patients is an important psychosocial comorbidity. Currently, there is a paucity of information regarding racial disparity in substance use among cancer patients. The objective of this study was to analyze racial and ethnic disparity in prevalence of substance use and its effects on outcomes in Medicare elderly with advanced prostate cancer using Surveillance, Epidemiology, and End Results (SEER)-Medicare linked data. We used ICD-9 diagnosis codes to identify substance use disorder. Outcomes were health service use, cost, and mortality. Prevalence of substance use varied among White, African American, and Hispanic patients with advanced-stage prostate cancer. Racial and ethnic disparity existed in the association between substance use and outcomes. A multidisciplinary coordinated care approach is essential to address racial and ethnic disparities in substance use among prostate cancer patients and to achieve optimal clinical management and improved outcomes of care

Cancer · Comorbidity · Ethnic group · Health equity · Prostate cancer · Psychiatry · Psychosocial · Public health · Substance abuse · Substance use · Cancer survivorship and care · Medicine · Migration, Health and Trauma · Palliative Care and End-of-Life Issues · Epidemiology · Gerontology · Internal Medicine

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