Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer

Zhongting YANG; Xingmei DU; Qingyun YE; Benyan LI; Mingfang QIN; Feng JIAO; Ying CHEN; Rui DENG; Yuan HUANG

doi:10.12259/j.issn.2095-610X.S20220727

Volume 43 Issue 7

Jul. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(7): 97-104

Zhongting YANG, Xingmei DU, Qingyun YE, Benyan LI, Mingfang QIN, Feng JIAO, Ying CHEN, Rui DENG, Yuan HUANG. Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer[J]. Journal of Kunming Medical University, 2022, 43(7): 97-104. doi: 10.12259/j.issn.2095-610X.S20220727

Citation:

Zhongting YANG, Xingmei DU, Qingyun YE, Benyan LI, Mingfang QIN, Feng JIAO, Ying CHEN, Rui DENG, Yuan HUANG. Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer[J]. Journal of Kunming Medical University, 2022, 43(7): 97-104. doi: 10.12259/j.issn.2095-610X.S20220727

Citation:

Zhongting YANG, Xingmei DU, Qingyun YE, Benyan LI, Mingfang QIN, Feng JIAO, Ying CHEN, Rui DENG, Yuan HUANG. Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer[J]. Journal of Kunming Medical University, 2022, 43(7): 97-104. doi: 10.12259/j.issn.2095-610X.S20220727

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Influence of Social Determinants of Health on Overall Survivals among People Died of Cancer

doi: 10.12259/j.issn.2095-610X.S20220727

1.
School of Public Health，Kunming Medical University，Kunming Yunnan 650500
2.
Yunnan Institute for Endemic Disease Control and Prevention，Dali Yunnan 671000，China

Received Date: 2022-04-22
Available Online: 2022-06-25
Publish Date: 2022-07-14

Abstract

Abstract

Objective To analyze the differences in overall survival （OS） among people died of cancer in Yunnan from the perspective of social determinants of health, and provide evidence to the strategic plan for cancer prevention and control. Methods Death registry data on cancer in Yunnan from 2015 to 2019 were analyzed using Stata 15.1. Adjusted OS was predicted by multivariate linear regression after controlling the confounding variables. The impacts of social determinants of health （such as age, sex, residential area, ethnicity, educational level, occupation, and marital status） on OS among people died of cancer were estimated, and subgroup analyses were conducted for 17 kinds of malignant tumors. Results Totally 128,356 people with the information OS after a cancer diagnosis were recorded in Yunnan from 2015 to 2019, with an average OS of （17.28±23.33） months. The average OS due to cancer was shorter among people under 65 years old, male, living in rural area, belonging an ethnic minority group, with junior high school education or below, being peasant, or unmarried, compared with their counterparts （P < 0.001）. However, people living in severely impoverished counties and belonging to an “Zhiguo ethnicity” separately have longer OS after a cancer diagnosis than those living in other poor counties and belonging other ethnic minority groups （P < 0.001）. The effects of age, sex, residential area, ethnicity, educational level, occupation, or marital status on OS remained after controlling the confounding factors （P < 0.001）, but varied among different cancers. Conclusions The cancer survivals in the most vulnerable areas and people have been improved in Yunnan. However large differences exist in the OS among different people with cancer. Strategic plan for cancer prevention and control is needed in future to promote health equity.
- Cancer,
- Overall survival,
- Social determinants of health,
- Health equity

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