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Health equity

Widening NSW cancer survival gaps

Tervonen HE, Aranda S, Roder D, et al. · BMC public health · 2017

Open access · cc by · source: Europe PMC

Among 651,245 NSW cancer cases, people in more disadvantaged areas had higher cancer death risk, and disparities appeared to widen over time.

Study at a glance

Design
Cohort — Population-based NSW cancer registrations; SEIFA quintiles and remoteness
N
N=651245 · Mean follow-up 5.5 years
Population
People with cancer registered in New South Wales, Australia
Outcome
Cancer-death risk (SHR) by socio-economic disadvantage and remoteness

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

Vs least disadvantaged areas, all other SEIFA quintiles had higher cancer-death risk, highest in most disadvantaged (SHR 1.15); authors conclude disparities appear to have increased and need active policy attention.

Methodology

Population-based survival analyses of NSW cancer registrations related SEIFA socio-economic quintiles and remoteness to cancer death, adjusting for stage and demographics.

Limitations

Cannot isolate a single causal pathway (screening, treatment access, comorbidity) driving the widening gap.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsHealth Equityconcept

    Multiple studies in this library examine health equity with empirical patient or population outcomes rather than opinion alone.

    Evidence for the claim as stated.

  • SupportsHealth Equityconcept

    Vs least disadvantaged areas, all other SEIFA quintiles had higher cancer-death risk, highest in most disadvantaged (SHR 1.15); authors conclude disparities appear to have increased and need active policy attention.

    Evidence for the claim as stated.

  • SupportsHealth Equityconcept

    Effect sizes and settings differ across health equity studies — digital vs clinic, trial vs observational — so results should not be pooled casually.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

Related papers in this topic

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