Impact of socioeconomic status on survival in patients with ovarian cancer

ObjectiveSocioeconomic status may impact survival in cancer patients. This study assessed whether low socioeconomic status has an impact on survival in patients with ovarian cancer and investigated whether differences in survival may be explained by type of therapy received.MethodsThe study population comprised 318 patients with ovarian cancer diagnosed between 2011 and 2015 in the François Baclesse regional cancer care center in Caen, North-West France. Socioeconomic status was assessed by using the European deprivation index and overall survival was calculated at 3 years.ResultsThe unadjusted 3-year overall survival rate was 52% (95% CI 47 to 58). In a multivariable logistic regression model, a low socioeconomic status was associated with a lower probability of surgical resection (OR 0.34, 95% CI 0.16 to 0.74). A high socioeconomic status was associated with improved survival, adjusted for age, performance status, grade, and International Federation of Gynecology and Obstetrics (FIGO) stage (adjusted HR 1.53, 95% CI 1.04 to 2.26). When adjusting for treatment variables, there was no longer any significant difference in survival according to socioeconomic status (adjusted HR 1.24, 95% CI 0.83 to 1.84).ConclusionsHigher socioeconomic status is associated with a greater probability of undergoing surgical resection and with improved survival in patients with ovarian cancer.

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Environment, Genes, and Alcohol

PEDIATRICS ◽

10.1542/peds.71.6.989a ◽

1983 ◽

Vol 71 (6) ◽

pp. 989-990

Author(s):

NANCY L. GOLDEN

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Gestational Age ◽

Control Groups ◽

Low Socioeconomic ◽

Significant Difference ◽

Infant Outcome ◽

Gestational Age At Birth ◽

And Control ◽

Age At Birth

In Reply.— Casey's point is well taken. An association between socioeconomic status and infant outcome has been documented. Our study and control groups were not matched on that factor, but on age, race, and gestational age at birth. A retrospective analysis of the socioeconomic status of study and control mothers indicates that they are all of low socioeconomic status (Hollingshead groups 4 and 5) and that there is no significant difference between the study and control groups.

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Patients With Low Socioeconomic Status More Likely to Present for Non-Elective Ovarian Cancer Surgery [34H]

Obstetrics and Gynecology ◽

10.1097/01.aog.0000664072.05755.8a ◽

2020 ◽

Vol 135 ◽

pp. 90S

Author(s):

Sarah E. Rudasill ◽

Rachel Budker ◽

Alexandra L. Mardock ◽

Nikhil Bellamkonda ◽

Joshua G. Cohen

Keyword(s):

Ovarian Cancer ◽

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Cancer Surgery ◽

Low Socioeconomic

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A cross-sectional analysis of local government health and wellbeing plans and priorities in Victoria, Australia

Australian Journal of Primary Health ◽

10.1071/py17025 ◽

2017 ◽

Vol 23 (5) ◽

pp. 440 ◽

Cited By ~ 2

Author(s):

Mark Anthony Alindogan ◽

Eli Ristevski ◽

Anske Robinson

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Local Governments ◽

Local Level ◽

State Level ◽

Health Priorities ◽

Local Health ◽

Low Socioeconomic ◽

Health And Wellbeing ◽

Significant Difference

The aim of this study is to explore local health and wellbeing plans and priorities by Victorian local governments (LGs), specifically to: (1) analyse how LG priority areas are described in comparison to the State-level plan; (2) identify differences between regional and metropolitan health priorities; and (3) identify differences between LGs with high and low socioeconomic status. Content analysis of 79 LG health and wellbeing plans was undertaken. Differences in health and wellbeing priorities between LGs were examined using the t-test for two proportions. In total, 20% of the plans did not specify actions to address health priorities. One in three (34%) did not specify how evaluation will be done. Alcohol and other drugs, gambling and housing were prioritised more by metropolitan LGs, whereas disease prevention was prioritised more in regional LGs. There was no significant difference in health and wellbeing priorities of LGs with high and low socioeconomic status except for gambling. State-level health and wellbeing plans should be sensitive to differences in priorities of LGs. There is a need for local plans to commit to specific actions and evaluation. This analysis provides basis for more community-reflective, State-level planning and calls for more emphasis on identifying actions and evaluation in local level planning.

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Consumption of Comfortable Foods by Urban Adolescents in Different Socio-Economic Categories

Current Journal of Applied Science and Technology ◽

10.9734/cjast/2020/v39i4131121 ◽

2020 ◽

pp. 71-77

Author(s):

Isha Chhabra ◽

Harpreet Kaur ◽

Shruti Jain

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Urban Adolescents ◽

Eating Behaviors ◽

Age Group ◽

Mean Values ◽

Low Socioeconomic ◽

Unhealthy Eating ◽

Significant Difference ◽

The Mean

Comfortable foods are chemically processed and made from heavily refined ingredients and artificial additives. These foods are manufactured and distributed in ways that encourage consumption. This study focused on adolescents since they have greater access to comfortable foods, are more free and lesser concerned for their health. Fewer studies have been conducted on adolescents but in present scenario they are more inclined towards unhealthy eating behaviors. Therefore, the present study after careful considerations was attempted to assess the consumption of comfortable foods by urban adolescents in different socio-economic categories. Two hundred subjects in the age group of 16 to 18 years were purposely selected in equal number in the ratio of 1:1 of boys and girls. Findings revealed that majority belonged to high socioeconomic status whereas 52% boys and 44% girls belonged to low socioeconomic status. Respondents from the entire income category mostly consumed comfortable foods because it was either liked by them or they found it good in taste. Consumption of all the comfortable foods was found to be significantly (p≤0.05, p≤0.01) higher in adolescents who had high income and greater access of these food products. Significant difference was observed in the mean values of consumption of comfortable foods by all the adolescents in different socioeconomic categories.

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Epidemiologic analysis of dental cellulitis in Kinshasa city (the Democratic Republic of the Congo)

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2018038 ◽

2019 ◽

Vol 25 (2) ◽

pp. 12

Author(s):

Paul Bobe Alifi Leta ◽

Jean-Paul Sekele Isouradi Bourley ◽

Fidele Nyimi Bushabu ◽

Frans Vinckier ◽

Octavie Lunguya Metila ◽

...

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Democratic Republic ◽

Univariate Analysis ◽

Multivariate Logistic Regression Analysis ◽

Education Level ◽

Sample Population ◽

Sugar Consumption ◽

Low Socioeconomic ◽

Significant Difference

Introduction: The study aimed to determine the prevalence, describe the sociodemographic profile of individuals with dental cellulitis, and identify its associated factors in a population of Kinshasa. Materials and methods: This was a cross-sectional analytical study conducted in October 2017 in five hospital departments in Kinshasa. The sample population consisted of patients with dental cellulitis. Sociodemographic data and factors associated with dental cellulitis were evaluated. Results: Dental cellulitis was found in 12.5% of the subjects, with a slight female predominance (58.2%). A significant difference between patients with cellulitis and those without cellulitis was observed for the following variables: education level, unemployment, and low socioeconomic status (p < 0.05). Dental carious lesions (93.7%) were the most common causative factor, and self-medication (100%) and poor oral hygiene (83.5%) were risk or contributing factors. Univariate analysis showed that for people of ages 16–59 and ≥60 years, education level, unemployment, sugar consumption, and low socioeconomic status were significantly associated with dental cellulitis. A multivariate logistic regression analysis showed that people of ages ≥60 years [odds ratio (OR) 3.12, 95% confidence interval (CI) 1.169–4.14, p = 0.014], non-university status (OR 2.79, 95% CI 1.68–4.64, p < 0.001), unemployment (OR 2.27, 95% CI 1.73–4.20, p = 0.005), sugar consumption (OR 3.17, 95% CI 1.71–4.94, p = 0.036), and low socioeconomic status (OR 2.60, 95% CI 1.85–3.01, p = 0.014) were independently associated with dental cellulitis in the study population. Conclusion: Dental cellulitis is a public health problem in the city of Kinshasa, the Democratic Republic of Congo.

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Effect of Socio Economic Status on Academic Performance of Secondary School Students

International Journal of Indian Psychology ◽

10.25215/0304.004 ◽

2016 ◽

Vol 3 (4) ◽

Author(s):

Mushtaq Ahmad Bhat ◽

Dr. Jyotsna Joshi ◽

Irfan Ahmad Wani

Keyword(s):

Academic Achievement ◽

Socioeconomic Status ◽

Secondary School ◽

Low Socioeconomic Status ◽

Secondary School Students ◽

Economic Status ◽

School Students ◽

Low Socioeconomic ◽

Socio Economic Status ◽

Significant Difference

Aim: – The most important task of the educational system is to prepare students to acquire knowledge and career and cognitive skills to enter the community. Therefore, identifying the factors leading to the students’ academic achievement is very important. The present study aimed to investigate the relationship between socio economic status and academic achievement of secondary school students belonging to different educational zones of Ganderbal district of Jammu and Kashmir State. Methods: – This descriptive analytical study was done on 120 students of secondary Schools in 2012-13 through random sampling. Socio economic status scale constructed and standardized by Rajbir Singh et al., and Previous Academic Progress Record from schools were used to collect data. Data were analyzed by using Mean, S.D, M.D and students t-test. Results: – Result proves it beyond any shadow of doubt that there is a significant difference in the academic achievement of high socioeconomic status of students in comparison to low socioeconomic status of students. Significant differences were found between the students with (high and low) and (high and middle) socioeconomic status. On the other hand insignificant difference was found between the students with middle and low socioeconomic status in respect to academic achievement.

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Investigating the Impact of Body Mass Index on Intraperitoneal Chemotherapy Outcomes in Ovarian and Fallopian Tube Cancer

International Journal of Gynecological Cancer ◽

10.1097/igc.0000000000000729 ◽

2016 ◽

Vol 26 (6) ◽

pp. 1033-1040 ◽

Cited By ~ 3

Author(s):

Michelle Davis ◽

Emeline Aviki ◽

J. Alejandro Rauh-Hain ◽

Michael Worley ◽

Ross Berkowitz ◽

...

Keyword(s):

Ovarian Cancer ◽

Body Mass Index ◽

Overall Survival ◽

Body Mass ◽

Disease Free Survival ◽

Normal Weight ◽

Obese Women ◽

Gynecology And Obstetrics ◽

Significant Difference ◽

The Impact

ObjectivesThe aim of this study was to investigate the impact of body mass index (BMI) on completion, complications, and clinical outcomes of intraperitoneal (IP) chemotherapy in patients with advanced-stage ovarian cancer.MethodsPatients with optimally cytoreduced International Federation of Gynecology and Obstetrics stage IIIC ovarian cancer treated with IP chemotherapy were retrospectively identified using an institutional review board–approved database. Clinical data were abstracted from the longitudinal medical record. Survival estimates were calculated using the Kaplan-Meier method.ResultsNinety-two patients (35.5%) completed at least one cycle of IP chemotherapy. For these patients, there was no difference in histology, surgical complexity, or degree of cytoreduction based on BMI. Sixty-five percent of normal weight, 70% of overweight, and 59.1% of obese women completed 6 cycles (P= 0.697). There was also no significant difference in IP chemotherapy complications (P= 0.303). Body mass index had no impact on disease-free survival (P= 0.44) or overall survival, with a median overall survival of 68.5 months for normal weight, 65.9 months for overweight, and 61.7 months for obese women (P= 0.25). However, on multivariate analysis, obesity had an odds ratio of 2.92 (P= 0.02) for mortality. There was a trend toward treatment with intravenous chemotherapy (84.2%) over IP (15.8%) in patients with class II obesity (P= 0.06).DiscussionThere was no difference in completion of IP chemotherapy or complications with respect to BMI; however, there was a trend away from treatment with IP therapy in extreme obesity. These data suggest that IP chemotherapy is feasible in obese patients without incurring increased morbidity.

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