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Home > jLPHA > Vol. 4 (2024) > No. 2 (2024)

 

Journal of the Louisiana Public Health Association

Journal of the Louisiana Public Health Association

Abstract

Background: Childhood cancer patients have experienced an increase in survivorship in the last twenty years due to improvements in treatment and supportive care. Increasing evidence shows that neighborhood socioeconomic status (nSES) significantly affects healthcare outcomes. However, limited information demonstrates the relationship between neighborhood and pediatric cancer survivorship. Methods: Participants include 308 survivors and deceased patients from Children’s Hospital of New Orleans. Area Deprivation Index (ADI) scores were obtained based on participant’s home address. Univariable logistic regression models were used to assess associations between neighborhood socioeconomic status and survival odds. Results: Living in parishes that are both rural and non-Acadian was associated with lower odds of survival compared to living in parishes that are suburban/urban and Acadian (OR = 0.254, 95% CI = 0.075-0.864, p=0.0283). Patients residing in the most deprived neighborhoods had statistically significant lower odds of survival (OR = 0.856, 95%CI = 0.746-0.981, p = 0.0233) compared to those living in the least deprived neighborhoods. Conclusion: To date, this is the first report exploring the relationship between ADI and pediatric cancer survivorship in Louisiana. Measurements of neighborhood disparities are vital in determining survival odds and thus should be included in future studies on childhood cancer survival. Furthermore, these findings support the development of interventions targeting survival odds in children with cancer.

DOI

10.59020/00543

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