Prostate Cancer Severity Associations with Neighborhood Deprivation

Background. The goal of this paper was to examine neighborhood deprivation and prostate cancer severity. Methods. We studied African American and Caucasian prostate cancer cases from the Pennsylvania State Cancer Registry. Census tract-level variables and deprivation scores were examined in relatio...

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Main Authors: Charnita M. Zeigler-Johnson, Ann Tierney, Timothy R. Rebbeck, Andrew Rundle
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2011/846263
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author Charnita M. Zeigler-Johnson
Ann Tierney
Timothy R. Rebbeck
Andrew Rundle
author_facet Charnita M. Zeigler-Johnson
Ann Tierney
Timothy R. Rebbeck
Andrew Rundle
author_sort Charnita M. Zeigler-Johnson
collection DOAJ
description Background. The goal of this paper was to examine neighborhood deprivation and prostate cancer severity. Methods. We studied African American and Caucasian prostate cancer cases from the Pennsylvania State Cancer Registry. Census tract-level variables and deprivation scores were examined in relation to diagnosis stage, grade, and tumor aggressiveness. Results. We observed associations of low SES with high Gleason score among African Americans residing in neighborhoods with low educational attainment (OR = 1.34, 95% CI = 1.13–1.60), high poverty (OR = 1.39, 95% CI = 1.15–1.67), low car ownership (OR = 1.46, 95% CI = 1.20–1.78), and higher percentage of residents on public assistance (OR = 1.32, 95% = 1.08–1.62). The highest quartile of neighborhood deprivation was also associated with high Gleason score. For both Caucasians and African Americans, the highest quartile of neighborhood deprivation was associated with high Gleason score at diagnosis (OR = 1.34, 95% CI = 1.19–1.52; OR = 1.71, 95% CI = 1.21–2.40, resp.). Conclusion. Using a neighborhood deprivation index, we observed associations between high-grade prostate cancer and neighborhood deprivation in Caucasians and African-Americans.
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spelling doaj-art-8395e9160cf24360b6441b922045dd7d2025-02-03T01:03:03ZengWileyProstate Cancer2090-31112090-312X2011-01-01201110.1155/2011/846263846263Prostate Cancer Severity Associations with Neighborhood DeprivationCharnita M. Zeigler-Johnson0Ann Tierney1Timothy R. Rebbeck2Andrew Rundle3Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USACenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USACenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USAMailman School of Public Health, Columbia University, New York, NY 10027, USABackground. The goal of this paper was to examine neighborhood deprivation and prostate cancer severity. Methods. We studied African American and Caucasian prostate cancer cases from the Pennsylvania State Cancer Registry. Census tract-level variables and deprivation scores were examined in relation to diagnosis stage, grade, and tumor aggressiveness. Results. We observed associations of low SES with high Gleason score among African Americans residing in neighborhoods with low educational attainment (OR = 1.34, 95% CI = 1.13–1.60), high poverty (OR = 1.39, 95% CI = 1.15–1.67), low car ownership (OR = 1.46, 95% CI = 1.20–1.78), and higher percentage of residents on public assistance (OR = 1.32, 95% = 1.08–1.62). The highest quartile of neighborhood deprivation was also associated with high Gleason score. For both Caucasians and African Americans, the highest quartile of neighborhood deprivation was associated with high Gleason score at diagnosis (OR = 1.34, 95% CI = 1.19–1.52; OR = 1.71, 95% CI = 1.21–2.40, resp.). Conclusion. Using a neighborhood deprivation index, we observed associations between high-grade prostate cancer and neighborhood deprivation in Caucasians and African-Americans.http://dx.doi.org/10.1155/2011/846263
spellingShingle Charnita M. Zeigler-Johnson
Ann Tierney
Timothy R. Rebbeck
Andrew Rundle
Prostate Cancer Severity Associations with Neighborhood Deprivation
Prostate Cancer
title Prostate Cancer Severity Associations with Neighborhood Deprivation
title_full Prostate Cancer Severity Associations with Neighborhood Deprivation
title_fullStr Prostate Cancer Severity Associations with Neighborhood Deprivation
title_full_unstemmed Prostate Cancer Severity Associations with Neighborhood Deprivation
title_short Prostate Cancer Severity Associations with Neighborhood Deprivation
title_sort prostate cancer severity associations with neighborhood deprivation
url http://dx.doi.org/10.1155/2011/846263
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