Rural-Urban Geographical Disparities in Hepatocellular Carcinoma Incidence Among US Adults, 2004-2017

被引:19
作者
Wong, Robert J. [1 ,2 ]
Saab, Sammy [3 ,4 ]
Konyn, Peter [2 ]
Sundaram, Vinay [5 ,6 ]
Khalili, Mandana [7 ]
机构
[1] Vet Affairs Palo Alto Healthcare Syst, Div Gastroenterol & Hepatol, Palo Alto, CA 94304 USA
[2] Stanford Univ, Sch Med, Div Gastroenterol & Hepatol, Stanford, CA 94305 USA
[3] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA 90095 USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Los Angeles, CA 90095 USA
[5] Cedars Sinai Med Ctr, Dept Med, Los Angeles, CA 90048 USA
[6] Cedars Sinai Med Ctr, Comprehens Transplant Ctr, Los Angeles, CA 90048 USA
[7] Univ Calif San Francisco, Div Gastroenterol & Hepatol, San Francisco, CA 94143 USA
基金
美国国家卫生研究院;
关键词
SOCIOECONOMIC-STATUS; CANCER INCIDENCE; SURVIVAL; DIAGNOSIS; ACCESS; STAGE;
D O I
10.14309/ajg.0000000000000948
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
INTRODUCTION: To evaluate impact of urbanicity and household income on hepatocellular carcinoma (HCC) incidence among US adults. METHODS: HCC incidence was evaluated by rural-urban geography and median annual household income using 2004-2017 Surveillance, Epidemiology, and End Results data. RESULTS: Although overall HCC incidence was highest in large metropolitan regions, average annual percent change in HCC incidence was greatest among more rural regions. Individuals in lower income categories had highest HCC incidence and greatest average annual percent change in HCC incidence. DISCUSSION: Disparities in HCC incidence by urbanicity and income likely reflect differences in risk factors, health-related behaviors, and barriers in access to healthcare services.
引用
收藏
页码:401 / 406
页数:6
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