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June 1996 (Volume 74)
Howard P. Greenwald
Edgar F. Borgatta
Milbank Memorial Fund
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The fact that socially disadvantaged cancer patients face a greater risk of mortality than the advantaged is well recognized but poorly understood. Existing research and a newly completed 10-year survival study suggest that complex interrelations among biological factors, medical interventions, and specific dimensions of social differentiation determine survival differences. Patterns of interrelations among determinants of survival appear compatible with an “economic” model in some forms of cancer and a “cognitive-behavioral” model in others. Findings presented here suggest that improved access to health care will reduce mortality risk among the disadvantaged in at least some malignancies, but will not alone make their survival chances equal to those of the advantaged.
Author(s): Howard P. Greenwald; Edgar F. Borgatta; Ruth McCorkle; Nayak Polissar
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Volume 74, Issue 2 (pages 215–238) Published in 1996
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.