ASPO Abstracts
Persistent poverty and oral cavity and pharynx cancer incidence and relative survival rates: A SEER analysis
Category: Cancer Health Disparities
Conference Year: 2023
Abstract Body:
Background In the United States, cancers of the oral cavity and pharynx account for 3% of cancers diagnosed each year. The purpose of the study was to examine incidence and 5-year relative survival rates for persistent poverty counties versus non-persistent poverty counties by race/ethnicity and sex. Methods Data on county-level cancer incidence and 5-year relative survival came from the National Center for Health Statistics (NCHS), accessed through SEER*Stat. Analysis was based on data obtained from the SEER database linked to American Community Survey (ACS) data. Persistent poverty is defined by census tracts as persistently poor if 20% or more of the population has lived below the poverty level for a period spanning about 30 years based on ACS. Age-adjusted incidence rate ratios (IRR) were calculated by comparing living in persistent poverty counties to living in nonpersistent poverty counties by sex, separately for each race/ethnic group (non-Hispanic (NH)-White, NH-Black, Hispanic, NH-Asian/Pacific Islander). Results We identified 105,103 patients with oral cavity and pharynx cancer diagnosed from 2009-2018. The majority were male (70.5%), NH-White (76.1%), and diagnosed with oral cancers (64.8%). There was a significant trend of higher incidence in counties with persistent poverty for NH-Blacks (IRR persistent poverty vs. non-persistent poverty counties: 1.46, 95%CI 1.39–1.53; p<0.0001) and NH-Whites (IRR poverty vs. non-persistent poverty counties: 1.12, 95%CI 1.08–1.16; p<0.0001), while Hispanics had lower incidence (IRR persistent poverty vs. non-persistent poverty counties: 0.91,95%CI 0.85-0.98; p<0.001), and there was no association among NH-Asian/PI patients. The 5-year relative survival among NH-Blacks was lower in persistent poverty counties 41.0% [standard error (SE)=1.4] compared to 54.1% (SE=1.0) in nonpersistent poverty counties; NH-Whites in persistent poverty counties also had lower survival rates of 55.1% (SE=1.2) compared to 69.6% (SE=0.3) in non-persistent poverty counties. Similar survival rates were seen among NH-Asian/PI and Hispanics. Conclusion Oral and pharynx incidence and 5-year survival rates were worse among patients living in persistent poverty counties, suggesting the necessity for multilevel research to reduce disparities
Keywords: Oral cavity and Pharynx, Persistent Poverty