Research Article

Socioeconomic Impacts on Survival Differ by Race/Ethnicity among Adolescents and Young Adults with Non-Hodgkin's Lymphoma

Table 1

Demographic and clinical characteristics of adolescents and young adults diagnosed with non-Hodgkin's l y m p h o m a a .

CharacteristicNon-Hispanic White 𝑛 = 1 ,930
n (%)
Non-Hispanic Black
n = 281
n (%)
Hispanic/
Latino
𝑛 = 1 ,131
n (%)
Asian/Pacific Islander
n = 380
n (%)
Other
n = 40
n (%)
Total
N = 3,762
P

Age at Diagnosis
 15–29613 (31.8)108 (38.4)461 (40.8)168 (44.2)10 (25)1360 (36.2) < .0001
 30–391317 (68.2)173 (61.6)670 (59.2)212 (55.8)30 (75)2402 (63.9)
 Mean Age (SD)31.5 (6.5)30.5 (6.7)30.2 (6.7)29.4 (7.0)32.4 (6.4)30.8 (6.6)

Year of Diagnosis
 1996–20001022 (53)138 (49.1)530 (46.9)173 (45.5)16 (40)1879 (50.0).0031
 2001–2005908 (47)143 (50.9)601 (53.1)207 (54.5)24 (60)1883 (50.0)

Gender
 Male1265 (65.5)181 (64.4)741 (65.5)222 (58.4)23 (57.5)2432 (64.7).078
 Female665 (34.5)100 (35.6)390 (34.5)158 (41.6)17 (42.5)1330 (35.4)

Tumor stage
 Local553 (28.7)69 (24.6)346 (30.6)141 (37.1)18 (45)1127 (30.0) < .0001
 Regional372 (19.3)47 (16.7)202 (17.9)89 (23.4)4 (10)714 (19.0)
 Distant905 (46.9)146 (52)526 (46.5)132 (34.7)10 (25)1719 (45.7)
 Unknown100 (5.2)19 (6.8)57 (5)18 (4.7)8 (20)202 (5.4)

Nodality
 Nodal1384 (71.7)187 (66.5)729 (64.5)227 (59.7)19 (47.5)2546 (67.7) < .0001
 Extranodal546 (28.3)94 (33.5)402 (35.5)153 (40.3)21 (52.5)1216 (32.3)

First-course Chemotherapy
 Yes1560 (80.8)229 (81.5)946 (83.6)302 (79.5)21 (52.5)3058 (81.3) < .0001
 No343 (17.8)51 (18.1)175 (15.5)74 (19.5)19 (47.5)662 (17.6)
 Unknown27 (1.4)1 (0.4)10 (0.9)4 (1.1)42 (1.1)

First-course Radiation
 Yes669 (34.7)89 (31.7)317 (28)159 (41.8)11 (27.5)1245 (33.1) < .0001
 No1261 (65.3)192 (68.3)814 (72)221 (58.2)29 (72.5)2517 (66.9)

nSES
 Highest548 (28.4)20 (7.1)95 (8.4)132 (34.7)16 (40)811 (21.6) < .0001
 High489 (25.3)47 (16.7)144 (12.7)92 (24.2)8 (20)780 (20.7)
 Middle425 (22)64 (22.8)201 (17.8)71 (18.7)10 (25)771 (20.5)
 Low302 (15.6)76 (27)288 (25.5)43 (11.3)1 (2.5)710 (18.9)
 Lowest166 (8.6)74 (26.3)403 (35.6)42 (11.1)5 (12.5)690 (18.3)

Insurance
 Managed Care or Private  Insurance (including  Military/Veterans  Affairs)1376 (71.3)156 (55.5)539 (47.7)283 (74.5)27 (67.5)2381 (56.2) < .0001
 Medicaid/Medicare/ Government Assistance333 (17.3)84 (29.9)356 (31.5)54 (14.2)4 (10)831 (19.6)
 Not Insured65 (3.4)12 (4.3)98 (8.7)15 (3.9)1 (2.5)191 (4.5)
 Unknown333 (17.3)84 (29.9)356 (31.5)54 (14.2)4 (10)831 (19.6)

a S o u r c e : California Cancer Registry. Individuals diagnosed between January 1, 1996 and December 31, 2005.
Abbreviations: SD: standard deviation; nSES: neighborhood socioeconomic status.