Differences in Prostate Cancer Outcomes by Insurance Status of African American Males Aged 65 Years or Younger in Georgia

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Presentation given at the Georgia Southern University Research Symposium.

The study examines the disparities in Prostate Cancer (PC) outcomes by insurance status in African American males below 65 years using Surveillance, Epidemiology, and End Results Program (SEER) data from 2007-2016 in Georgia. The outcomes addressed are stage at diagnosis, PC-specific mortality, and all-cause mortality.

Methods: Baseline characteristics across levels of insurance status were analyzed using t-test, chi-2, and log-rank tests as appropriate. Multivariate logistic regression and Cox proportional hazards models adjusted for sociodemographic, pathological, clinical, and county-level variables were also used.

Results: A total of 6,671 cases were included in the final sample with a majority of them having private insurance (85.82%). The adjusted odds ratio (aOR) for presenting with advanced PC was significantly higher in the uninsured (aOR= 2.55, 95% CI: 1.93, 3.36, P

Conclusion: PC outcomes in African American males in Georgia varied by insurance status. The disparity should be considered in future research and case management.

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Georgia Southern University Research Symposium


Statesboro, GA