The impact of health insurance on an African-American population with colorectal cancer.
This 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.
Dawkins, F. W.; Laing, A. E.; Smoot, D. T.; Perlin, E.; and Tuckson, W. B., "The impact of health insurance on an African-American population with colorectal cancer." (1995). Howard University Cancer Center Faculty Publications. 197.