Previously, we studied the effect of socioeconomic status (SES) on cancer survival among adults of Toronto, Ontario and Detroit, Michigan. 1 Detroiters' survival was significantly worse among people from lower SES areas for 12 of 15 relatively common types of cancer. In contrast, no such SES-survival associations were found for 12 of 15 cancer types in Toronto Between-country analysis, which compared cases arising from Toronto and Detroit's low-income areas, revealed a significant Toronto survival advantage for 13 of 15 most prevalent cancers. 4] Canadian survival advantages were observed only among the ecologically defined poor (residents of lowincome neighborhoods). The present study aims to advance understanding of the factors associated with such disadvantaged survival among people with cancer in the United States.
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Gorey et al. (2003) studied this question.
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