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- F W Dawkins, A E Laing, D T Smoot, E Perlin, and W B Tuckson.
- Department of Medicine, Howard University Cancer Center, Washington, DC, USA.
- J Natl Med Assoc. 1995 Apr 1; 87 (4): 301303301-3.
AbstractThis study evaluates the impact of health insurance as a substitute for social class on tumor location, presentation, stage, grade, and age-adjusted survival in an African-American population. Patients were stratified by insurance into two groups: group 1 (private insurance and Medicare parts A & B) and group 2 (Medicaid, Medical Charity, self-pay, uninsured, or unemployed). A total of 212 patients were evaluated. Of these, 210 patients were insured or had Medical Charity, and two were uninsured. The type of health insurance did not significantly affect age-adjusted survival. However, age and stage at presentation were positive predictors of age-adjusted survival. Higher socioeconomic status was associated with group 1 health insurance.
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