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Assessment of Social Vulnerability in Pediatric Head and Neck Cancer Care and Prognosis in the United States

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Key Points Question Are social determinants of health associated with pediatric head and neck cancer (HNC) disparities in clinical contexts across the United States? Findings This cohort study of 37 043… Click to show full abstract

Key Points Question Are social determinants of health associated with pediatric head and neck cancer (HNC) disparities in clinical contexts across the United States? Findings This cohort study of 37 043 patients with pediatric HNC observed statistically significant decreases in the surveillance period as large as 41.2% and in the survival period as large as 61.4% as overall social vulnerability increased. Socioeconomic status, race and ethnicity, proficiency with English, household composition, and housing and transportation vulnerabilities were differentially associated with these overall trends. Meaning These findings could help to inform health care professionals about which social determinants contribute to pediatric HNC disparities, setting foundations toward initiating specific investigations and policies.

Keywords: social vulnerability; neck cancer; head neck; pediatric head; united states

Journal Title: JAMA Network Open
Year Published: 2023

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