School of Social Work, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, Canada N9B 3P4.
Health Place. 2010 Jan;16(1):156-63. doi: 10.1016/j.healthplace.2009.09.011. Epub 2009 Sep 30.
This study examined the differential effect of extreme impoverishment on breast cancer care in urban Canada and the United States. Ontario and California registry-based samples diagnosed between 1998 and 2000 were followed until 2006. Extremely poor and affluent neighborhoods were compared. Poverty was associated with non-localized disease, surgical and radiation therapy (RT) waits, non-receipt of breast conserving surgery, RT and hormonal therapy, and shorter survival in California, but not in Ontario. Extremely poor Ontario women were consistently advantaged on care indices over their California counterparts. More inclusive health insurance coverage in Canada seems the most plausible explanation for such Canadian breast cancer care advantages.
本研究考察了极端贫困对加拿大和美国城市乳腺癌护理的不同影响。对 1998 年至 2000 年间确诊的安大略省和加利福尼亚州登记处样本进行了随访，直至 2006 年。比较了极度贫困和富裕社区。在加利福尼亚州，贫困与非局部性疾病、手术和放疗 (RT) 等待时间、不保乳手术、RT 和激素治疗以及较短的生存时间相关，但在安大略省则没有。在加利福尼亚州，安大略省的极度贫困女性在护理指数上一直优于其在加利福尼亚州的同行。加拿大更具包容性的健康保险覆盖范围似乎是加拿大乳腺癌护理优势的最合理解释。
