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Quantifying Social Determinants of Health in the Glioma Population

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title
Quantifying Social Determinants of Health in the Glioma Population
author
Hutchinson, Angelica
abstract
A previous study by Bower et al., found that glioma patients from low-income communities had lower survival rates than patients coming from high-income communities, despite having similar demographic features and clinical and treatment characteristics. Social determinants of health could influence this difference in survival. This study is part one of a larger mixed-methods study that looks to describe social determinants of health across five factors: economic, education, neighborhood environment, social context, and health/healthcare. Social determinants of health were quantified using two validated instruments and supplementary questions developed for the study. The survey was given to 100 glioma patients at the Comprehensive Cancer Center at Wake Forest Baptist Medical Center. Risk scores from the individual instruments were combined to provide an overall social determinant of health risk, and comparison of risks was done between low-income (LIC) and high income (HIC) communities, urban and rural groups, and those in active treatment versus those in surveillance. The factor that presented the highest health risk was the health and healthcare factor, with the mean health risk being significantly higher in the HIC group when compared to the LIC group. Overall, the health and health care factor, alongside the economic factors, presents the highest social determinant of health risks, while the social factor for the total sample, and most of the groups, presents the lowest risk.
subject
AHC
Glioma
PRAPARE
Social determinants of health
contributor
Strowd, Roy E (committee chair)
Weaver, Kathryn (committee member)
Hsu, Fang Chi (committee member)
date
2020-05-29T08:36:15Z (accessioned)
2020-05-29T08:36:15Z (available)
2020 (issued)
degree
Health Disparities in Neuroscience-related Disorders – MS (discipline)
identifier
http://hdl.handle.net/10339/96868 (uri)
language
en (iso)
publisher
Wake Forest University
type
Thesis

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