Is place or person more important in determining higher rural cancer mortality? A datalinkage study to compare individual versus area-based measures of deprivation

Peter Murchie* (Corresponding Author), Shona Fielding, Melanie Turner, Lisa Iversen, Chris Dibben

*Corresponding author for this work

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Abstract

Data from Northeast Scotland for 11,803 cancer patients (diagnosed 2007-13) was linked to UK Censuses to explore relationships between hospital travel-time, timely-treatment and one-year-mortality, adjusting for both area and individual-level socioeconomic status (SES). Adjusting for area-based SES, those living >60 minutes from hospital received timelytreatment more often than those living <15 minutes. Substituting individual-level SES changed little. Adjusting for area-based SES those living >60 minutes from hospital died within one year more often than those living <15 minutes. Again, substituting individuallevel SES changed little. In Northeast Scotland distance to services, rather than individual SES, likely explains poorer rural cancer survival.
Original languageEnglish
Article number11
Number of pages24
JournalInternational Journal of Population Data Science
Volume6
Issue number1
DOIs
Publication statusPublished - 1 Apr 2021

Keywords

  • cancer
  • rurality
  • geography
  • Data-linkage
  • Delay
  • Primary care
  • Treatment
  • Mortality
  • Census

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