Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan

This study examined the impact of socioeconomic status on colorectal cancer risk, staging, and survival under the National Health Insurance (NHI) system in Taiwan. Monthly salary and education level were used as measures of socioeconomic status to observe the risk of colorectal cancer among individu...

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Autores principales:	Wei-Yin Kuo, Han-Sheng Hsu, Pei-Tseng Kung, Wen-Chen Tsai
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	colorectal cancer socioeconomic status cancer stage risk of mortality survival analysis Medicine R
Acceso en línea:	https://doaj.org/article/6ed6c94f02bb4f178aee508fd9f03798
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spelling	oai:doaj.org-article:6ed6c94f02bb4f178aee508fd9f037982021-11-25T17:51:38ZImpact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan10.3390/ijerph1822121641660-46011661-7827https://doaj.org/article/6ed6c94f02bb4f178aee508fd9f037982021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12164https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This study examined the impact of socioeconomic status on colorectal cancer risk, staging, and survival under the National Health Insurance (NHI) system in Taiwan. Monthly salary and education level were used as measures of socioeconomic status to observe the risk of colorectal cancer among individuals aged 40 years or above in 2006–2015 and survival outcomes of patients with colorectal cancer until the end of 2016. Data from 286,792 individuals were used in this study. Individuals with a monthly salary ≤Q1 were at a significantly lower incidence risk of colorectal cancer than those with a monthly salary >Q3 (HR = 0.80, 95% CI = 0.74–0.85), while those with elementary or lower education were at a significantly higher risk than those with junior college, university, or higher education (HR = 1.18, 95% CI = 1.06–1.31). The results show that socioeconomic status had no significant impact on colorectal cancer stage at diagnosis. Although salary was not associated with their risk of mortality, patients with colorectal cancer who had elementary or lower education incurred a significantly higher risk of mortality than those who had junior college, university, or higher education (HR = 1.39, 95% CI = 1.07–1.77). Education level is a significant determinant of the incidence risk and survival in patients with colorectal cancer, but only income significantly impacts incidence risk.Wei-Yin KuoHan-Sheng HsuPei-Tseng KungWen-Chen TsaiMDPI AGarticlecolorectal cancersocioeconomic statuscancer stagerisk of mortalitysurvival analysisMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12164, p 12164 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	colorectal cancer socioeconomic status cancer stage risk of mortality survival analysis Medicine R
spellingShingle	colorectal cancer socioeconomic status cancer stage risk of mortality survival analysis Medicine R Wei-Yin Kuo Han-Sheng Hsu Pei-Tseng Kung Wen-Chen Tsai Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan
description	This study examined the impact of socioeconomic status on colorectal cancer risk, staging, and survival under the National Health Insurance (NHI) system in Taiwan. Monthly salary and education level were used as measures of socioeconomic status to observe the risk of colorectal cancer among individuals aged 40 years or above in 2006–2015 and survival outcomes of patients with colorectal cancer until the end of 2016. Data from 286,792 individuals were used in this study. Individuals with a monthly salary ≤Q1 were at a significantly lower incidence risk of colorectal cancer than those with a monthly salary >Q3 (HR = 0.80, 95% CI = 0.74–0.85), while those with elementary or lower education were at a significantly higher risk than those with junior college, university, or higher education (HR = 1.18, 95% CI = 1.06–1.31). The results show that socioeconomic status had no significant impact on colorectal cancer stage at diagnosis. Although salary was not associated with their risk of mortality, patients with colorectal cancer who had elementary or lower education incurred a significantly higher risk of mortality than those who had junior college, university, or higher education (HR = 1.39, 95% CI = 1.07–1.77). Education level is a significant determinant of the incidence risk and survival in patients with colorectal cancer, but only income significantly impacts incidence risk.
format	article
author	Wei-Yin Kuo Han-Sheng Hsu Pei-Tseng Kung Wen-Chen Tsai
author_facet	Wei-Yin Kuo Han-Sheng Hsu Pei-Tseng Kung Wen-Chen Tsai
author_sort	Wei-Yin Kuo
title	Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan
title_short	Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan
title_full	Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan
title_fullStr	Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan
title_full_unstemmed	Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan
title_sort	impact of socioeconomic status on cancer incidence risk, cancer staging, and survival of patients with colorectal cancer under universal health insurance coverage in taiwan
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6ed6c94f02bb4f178aee508fd9f03798
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Impact of Socioeconomic Status on Cancer Incidence Risk, Cancer Staging, and Survival of Patients with Colorectal Cancer under Universal Health Insurance Coverage in Taiwan

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