Poverty and childhood cancer incidence in the United States
- 3 March 2010
- journal article
- Published by Springer Science and Business Media LLC in Cancer Causes & Control
- Vol. 21 (7), 1139-1145
- https://doi.org/10.1007/s10552-010-9528-3
Abstract
This study examined socioeconomic differentials in cancer incidence rates during 2000–2005 among children aged 0–19 in the United States. The data on childhood cancers, which were classified by the International Classification of Childhood Cancer, Third Edition (ICCC-3), were obtained from the Surveillance, Epidemiology, and End Results program. The socioeconomic status of residential area at diagnosis was estimated by county-level poverty rate in Census 2000, i.e., percentage of persons in the county living below the national poverty thresholds. Counties were categorized as low-, medium-, and high-poverty areas when the poverty rates were <10, 10–19.99, and 20% or higher, respectively. The results showed that medium- and high-poverty counties had lower age-adjusted incidence rates than low-poverty counties for total childhood cancers combined, central nervous system neoplasms (ICCC group III), neuroblastoma (group IV), renal tumors (group VI), and other malignant epithelial neoplasms and malignant melanomas (group XI). When the data were stratified by race, these associations were observed among whites, but not blacks. For leukemia (group I), poor counties had higher incidence rates than affluent counties for whites, but lower rates for blacks. This ecologic study provides perspective on area socioeconomic variations in childhood cancer incidence that warrants further research.Keywords
This publication has 18 references indexed in Scilit:
- Birth weight and childhood leukemia: A meta‐analysis and review of the current evidenceInternational Journal of Cancer, 2009
- Childhood leukaemia and socioeconomic status: what is the evidence?Radiation Protection Dosimetry, 2008
- Malignant Conditions in Children Born After Assisted Reproductive TechnologyObstetrical & Gynecological Survey, 2008
- Widening Socioeconomic Disparities in US Childhood Mortality, 1969–2000American Journal of Public Health, 2007
- Persistent Socioeconomic Disparities in Infant, Neonatal, and Postneonatal Mortality Rates in the United States, 1969–2001Published by American Academy of Pediatrics (AAP) ,2007
- Childhood leukaemia and socioeconomic status: fact or artefact? A report from the United Kingdom childhood cancer study (UKCCS)International Journal of Epidemiology, 2006
- Socioeconomic Status and Childhood Solid Tumor and Lymphoma Incidence in CanadaAmerican Journal of Epidemiology, 2006
- Air pollution and childhood cancer: A review of the epidemiological literatureInternational Journal of Cancer, 2006
- Socioeconomic status and childhood leukaemia: a reviewInternational Journal of Epidemiology, 2005
- International Classification of Childhood Cancer, third editionCancer, 2005