Document Detail


Fundamental Causes of Colorectal Cancer Mortality in the United States: Understanding the Importance of Socioeconomic Status in Creating Inequality in Mortality.
MedLine Citation:
PMID:  23153135     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. We used the fundamental cause hypothesis as a framework for understanding the creation of health disparities in colorectal cancer mortality in the United States from 1968 to 2005. Methods. We used negative binomial regression to analyze trends in county-level gender-, race-, and age-adjusted colorectal cancer mortality rates among individuals aged 35 years or older. Results. Prior to 1980, there was a stable gradient in colorectal cancer mortality, with people living in counties of higher socioeconomic status (SES) being at greater risk than people living in lower SES counties. Beginning in 1980, this gradient began to narrow and then reversed as people living in higher SES counties experienced greater reductions in colorectal cancer mortality than those in lower SES counties. Conclusions. Our findings support the fundamental cause hypothesis: once knowledge about prevention and treatment of colorectal cancer became available, social and economic resources became increasingly important in influencing mortality rates. (Am J Public Health. Published online ahead of print November 15, 2012: e1-e6. doi:10.2105/AJPH.2012.300743).
Authors:
Nallely Saldana-Ruiz; Sean A P Clouston; Marcie S Rubin; Cynthia G Colen; Bruce G Link
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-15
Journal Detail:
Title:  American journal of public health     Volume:  -     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Nallely Saldana-Ruiz is with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Sean A. P. Clouston is with the Center for the Study of Social Inequalities and Health, Mailman School of Public Health, Columbia University, and the Department of Sociology, McGill University, Montreal, Quebec, Canada. Marcie S. Rubin is with the Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University. Cynthia G. Colen is with the Department of Sociology and Initiative for Population Research, Ohio State University, Columbus. Bruce G. Link is with the Center for the Study of Social Inequalities and Health, Mailman School of Public Health, Columbia University, and the New York Psychiatric Institute, New York.
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