Young adults and uninsured adolescents are more likely to be diagnosed with late-stage cancer

For their study, researchers led by Anthony Robbins, M.D., Ph.D., American Cancer Society director of health services research, analyzed data from nearly 260,000 cancer patients ages 15 to 39 in the National Cancer Database.

After adjusting for age, race/ethnicity, facility type, ZIP code-based income and education levels, and U.S. Census region, it was found that uninsured males were 1.51 times more likely to be diagnosed at a distant stage of disease compared with patients with private insurance. Among females, the effect of insurance was even stronger, with uninsured patients found to be 1.86 times more likely to be diagnosed at a distant stage.

Uninsured patients were younger, more likely to be male, more likely to be black or Hispanic, more likely to reside in the South, more likely to be treated in teaching/research facilities, and less likely to be treated in NCI-designated facilities. Uninsured patients were also more likely to reside in ZIP codes with the lowest median income, as well as in ZIP codes with the highest percentage of residents without a high school diploma.

"We believe that this observation holds the promise of improved cancer control efforts in the AYA population, after decades in which AYA patients have experienced far less victory in the War on Cancer than their younger and older counterparts," conclude the authors. "However, the success of these efforts may be directly tied to the fate of the Medicaid expansion component of the Patient Protection and Affordable Care Act, which, at the time of this writing, remains quite unclear."

Source: American Cancer Society