The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia
Q3
- Autores:
-
Chayo, Isaac
Uribe Perez, Claudia Janeth
de Vries, Esther
Pinheiro, Paulo S.
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2023
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/65354
- Acceso en línea:
- https://search.ebscohost.com/login.aspx?direct=true&AuthType=sso&db=edselc&AN=edselc.2-52.0-85152131099&lang=es&site=eds-live&scope=site&custid=s6670599
http://hdl.handle.net/10554/65354
https://doi.org/10.1016/j.canep.2023.102375
- Palabra clave:
- Cervical cancer
Survival analysis
Epidemiology
Global health
Socioeconomic disparities
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| title |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| spellingShingle |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia Cervical cancer Survival analysis Epidemiology Global health Socioeconomic disparities |
| title_short |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| title_full |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| title_fullStr |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| title_full_unstemmed |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| title_sort |
The impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia |
| dc.creator.fl_str_mv |
Chayo, Isaac Uribe Perez, Claudia Janeth de Vries, Esther Pinheiro, Paulo S. |
| dc.contributor.author.none.fl_str_mv |
Chayo, Isaac Uribe Perez, Claudia Janeth de Vries, Esther Pinheiro, Paulo S. |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística |
| dc.contributor.javerianateacher.none.fl_str_mv |
de Vries, Esther |
| dc.subject.keyword.spa.fl_str_mv |
Cervical cancer Survival analysis Epidemiology Global health Socioeconomic disparities |
| topic |
Cervical cancer Survival analysis Epidemiology Global health Socioeconomic disparities |
| description |
Q3 |
| publishDate |
2023 |
| dc.date.accessioned.none.fl_str_mv |
2023-08-30T18:48:03Z |
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2023-08-30T18:48:03Z |
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2023-05-05 |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_6501 |
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1877-7821 / 1877-783X (Electrónico) |
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http://hdl.handle.net/10554/65354 |
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https://doi.org/10.1016/j.canep.2023.102375 |
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instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
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1877-7821 / 1877-783X (Electrónico) instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
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eng |
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eng |
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1 |
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6 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
Cancer Epidemiology |
| dc.relation.citationvolume.spa.fl_str_mv |
85 |
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Atribución-NoComercial 4.0 Internacional |
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PDF |
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application/pdf |
| dc.coverage.spatial.spa.fl_str_mv |
Colombia |
| dc.coverage.temporal.spa.fl_str_mv |
2008-2021 |
| dc.coverage.city.spa.fl_str_mv |
Bucaramanga (Colombia) |
| institution |
Pontificia Universidad Javeriana |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Chayo, IsaacUribe Perez, Claudia Janethde Vries, EstherPinheiro, Paulo S.Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadísticade Vries, EstherColombia2008-2021Bucaramanga (Colombia)2023-08-30T18:48:03Z2023-08-30T18:48:03Z2023-05-05https://search.ebscohost.com/login.aspx?direct=true&AuthType=sso&db=edselc&AN=edselc.2-52.0-85152131099&lang=es&site=eds-live&scope=site&custid=s66705991877-7821 / 1877-783X (Electrónico)http://hdl.handle.net/10554/65354https://doi.org/10.1016/j.canep.2023.102375instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengThe impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, ColombiaArtículo de revistahttp://purl.org/coar/resource_type/c_6501Q3Q2Pacientes con Cáncer de cuello uterinoCervical cancer is still an important cause of death in countries like Colombia. We aimed to determine whether socioeconomic status of residential address (SES) and type of health insurance affiliation (HIA) might be associated with cervical cancer survival among women in Bucaramanga, Colombia. All patients residing in the Bucaramanga Metropolitan Area diagnosed with invasive cervical cancer (ICD-0–3 codes C53.X) between 2008 and 2016 (n = 725) were identified through the population-based cancer registry, with 700 women having follow-up data for >5 years (date of study closure: Dec 31, 2021), yielding an overall 5-year survival estimate (95 % CI) of 56.4 % (52.7 – 60.0 %). KM estimates of 5-year overall survival were obtained to assess differences in cervical cancer survival by SES and HIA. Multivariable Cox-proportional hazards modeling was also conducted, including interaction effects between SES and HIA. Five-year overall survival was lower when comparing low vs. high SES (41.9 % vs 57.9 %, p < 0.0001) and subsidized vs. contributive HIA (45.1 % vs 63.0 %, p < 0.0001). Multivariable Cox modeling showed increased hazard ratios (HR) of death for low vs. high SES (HR = 1.78; 95 % CI = 1.18–2.70) and subsidized vs. contributive HIA (HR = 1.44; 95 % CI = 1.13–1.83). The greatest disparity in HR was among women of low SES affiliated to subsidized HIA (vs. contributive HIA and high SES) (HR=2.53; 95 % CI = 1.62–3.97). Despite Colombia’s universal healthcare system, important disparities in cervical cancer survival by health insurance affiliation and socioeconomic status remain.https://orcid.org/0000-0002-5560-2258Revista Internacional - IndexadaA2NoCervical cancerSurvival analysisEpidemiologyGlobal healthSocioeconomic disparities16Cancer Epidemiology85ORIGINALThe impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia.pdfThe impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia.pdfArtículoapplication/pdf982900http://repository.javeriana.edu.co/bitstream/10554/65354/1/The%20impact%20of%20health%20insurance%20affiliation%20and%20socioeconomic%20status%20on%20cervical%20cancer%20survival%20in%20Bucaramanga%2c%20Colombia.pdf12852e16a8ab70d94ecfc536f7adac90MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/65354/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILThe impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia.pdf.jpgThe impact of health insurance affiliation and socioeconomic status on cervical cancer survival in Bucaramanga, Colombia.pdf.jpgIM Thumbnailimage/jpeg9639http://repository.javeriana.edu.co/bitstream/10554/65354/3/The%20impact%20of%20health%20insurance%20affiliation%20and%20socioeconomic%20status%20on%20cervical%20cancer%20survival%20in%20Bucaramanga%2c%20Colombia.pdf.jpg22dddbed978c8c0904310cca30e2dbd4MD53open access10554/65354oai:repository.javeriana.edu.co:10554/653542023-08-31 03:08:40.189Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |