Anniina Tolkkinen|Laura Madanat?Harjuoja|Mervi Taskinen|Matti Rantanen|Nea Malila|Janne Pitkäniemi
Impact of parental socioeconomic factors on childhood cancer mortality: a population-based registry study
Finnish Cancer Registry|Helsinki University Hospital|University of Helsinki|Finnish Cancer Registry|Helsinki University Hospital|University of Helsinki|Helsinki University Hospital|Finnish Cancer Registry|Finnish Cancer Registry|Tampere University|Finnish Cancer Registry|University of Helsinki
parental socioeconomic status proposed influence childhood cancer mortality even highincome countries study investigated influence parental socioeconomic factors childhood cancer mortalitywe identified 4437 patients diagnosed cancer age 20 1990 2009 parents finnish cancer central population registers information death primary cancer fiveyear followup parental socioeconomic factors obtained statistics finland poisson regression modeling used estimate hazard ratios hrs factors related causespecific mortality recursive tree based survival analysis identify important risk factors interactionsmortality lower highest quartile combined parental disposable income hr 068 ci 95 052089 compared lowest quartile recent diagnostic period 2000 2009 highest attained education either parent postsecondary predicted lower mortality hr 073 ci 95 060088 compared parents attained primary lower educationdespite high quality public health care comprehensive social security high parental income education associated lower mortality childhood cancer lower health literacy financial pressures limiting treatment adherence may explain higher mortality children less educated parents parents lower income motivation support treatment followup period needed concerning families patients