Full Citation
Title: Living alone and cancer mortality by race/ethnicity and socioeconomic status among US working-age adults
Citation Type: Journal Article
Publication Year: 2023
ISBN:
ISSN: 1097-0142
DOI: 10.1002/CNCR.35042
NSFID:
PMCID:
PMID:
Abstract: Background Previous studies have shown an association between living alone and cancer mortality; however, findings by sex and race/ethnicity have generally been inconsistent, and data by socioeconomic status are sparse. The association between living alone and cancer mortality by sex, race/ethnicity, and socioeconomic status in a nationally representative US cohort was examined. Methods Pooled 1998–2019 data for adults aged 18–64 years at enrollment from the National Health Interview Survey linked to the National Death Index (N = 473,648) with up to 22 years of follow-up were used to calculate hazard ratios (HRs) for the association between living alone and cancer mortality. Results Compared to adults living with others, adults living alone were at a higher risk of cancer death in the age-adjusted model (HR, 1.32; 95% CI, 1.25–1.39) and after additional adjustments for multiple sociodemographic characteristics and cancer risk factors (HR, 1.10; 95% CI, 1.04–1.16). Age-adjusted models stratified by sex, poverty level, and educational attainment showed similar associations between living alone and cancer mortality, but the association was stronger among non-Hispanic White adults (HR, 1.33; 95% CI, 1.25–1.42) than non-Hispanic Black adults (HR, 1.18; 95% CI, 1.05–1.32; p value for difference < .05) and did not exist in other racial/ethnic groups. These associations were attenuated but persisted in fully adjusted models among men (HR, 1.13; 95% CI, 1.05–1.23), women (HR, 1.09; 95% CI, 1.01–1.18), non-Hispanic White adults (HR, 1.13; 95% CI, 1.05–1.20), and adults with a college degree (HR, 1.22; 95% CI, 1.07–1.39). Conclusions In this nationally representative study in the United States, adults living alone were at a higher risk of cancer death in several sociodemographic groups.
Url: https://acsjournals-onlinelibrary-wiley-com.ezp1.lib.umn.edu/doi/full/10.1002/cncr.35042
User Submitted?: No
Authors: Lee, Hyunjung; Gopal, |; Singh, K; Ahmedin, |; Dvm, Jemal; Farhad Islami, |
Periodical (Full): Cancer
Issue:
Volume: 129
Pages: 1-10
Data Collections: IPUMS Health Surveys - NHIS
Topics: Fertility and Mortality, Gender, Health, Race and Ethnicity
Countries: