Socioeconomic status and chemotherapy use for melanoma in older people

Carlos A. Reyes-Ortiz, James Goodwin, Dong Zhang, Jean L. Freeman

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

The study objective was to examine the association, among older persons with cutaneous melanoma, between areal socioeconomic status (SES) and receiving chemotherapy. SEER-Medicare-linked database (1,239 white men and women aged 66, with invasive melanoma [regional and distant stages]; 1991-1999) was used. SES was measured by census tract poverty level (average of 1990 and 2000 Census data). Covariates were sociodemographics, tumor characteristics, and comorbidity index. Residing in poorer SES areas was associated with a lower likelihood for receiving chemotherapy among patients in the overall sample (adjusted odds ratios = OR 0.97, 95% confidence interval = CI 0.95-0.99), and those with regional stage at diagnosis (OR 0.97, 95% CI 0.94-0.98). These findings reflect socioeconomic disparities in chemotherapy use for melanoma among older white patients in the United States.

Original languageEnglish (US)
Pages (from-to)143-153
Number of pages11
JournalCanadian Journal on Aging
Volume30
Issue number1
DOIs
StatePublished - Mar 2011

Fingerprint

Social Class
social status
Melanoma
Censuses
Drug Therapy
census
comorbidity
Poverty
Medicare
Comorbidity
confidence
Odds Ratio
Databases
Confidence Intervals
poverty
Skin
Neoplasms

Keywords

  • chemotherapy
  • melanoma
  • older people
  • socioeconomic status

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Community and Home Care
  • Health(social science)
  • Medicine(all)

Cite this

Socioeconomic status and chemotherapy use for melanoma in older people. / Reyes-Ortiz, Carlos A.; Goodwin, James; Zhang, Dong; Freeman, Jean L.

In: Canadian Journal on Aging, Vol. 30, No. 1, 03.2011, p. 143-153.

Research output: Contribution to journalArticle

Reyes-Ortiz, Carlos A. ; Goodwin, James ; Zhang, Dong ; Freeman, Jean L. / Socioeconomic status and chemotherapy use for melanoma in older people. In: Canadian Journal on Aging. 2011 ; Vol. 30, No. 1. pp. 143-153.
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