Rebecca Hines|Talar Markossian|Asal M. Johnson|Frank Dong|Rana Bayakly
Geographic Residency Status and Census Tract Socioeconomic Status as Determinants of Colorectal Cancer Outcomes
Georgia Southern University|Georgia Southern University|Georgia Southern University|Georgia Southern University|Georgia Southern University
objectives examined impact geographic residency status census tract ctlevel socioeconomic status ses colorectal cancer crc outcomes methods retrospective cohort study patients diagnosed crc georgia years 2000 2007 study outcomes latestage disease diagnosis receipt treatment survival results colon cancer residents lowermiddleses lowses census tracts decreased odds receiving surgery rural lowermiddleses lowses residents decreased odds receiving chemotherapy patients rectal cancer suburban residents increased odds receiving radiotherapy low ses resulted decreased odds surgery survival rural residents experienced partially adjusted 14 hazard ratio hr 114 95 confidence interval ci 107 122 increased risk death following diagnosis crc somewhat explained treatment differences completely explained ctlevel ses lowermiddle lowses participants adjusted increased risk death following diagnosis crc lowermiddle hr 116 95 ci 110 122 low hr 124 95 ci 116 132 conclusions future efforts focus developing interventions policies target rural residents lower ses areas eliminate disparities crcrelated outcomes