Impact of socioeconomic status on cancer incidence and stage at diagnosis: selected findings from the surveillance, epidemiology, and end results: National Longitudinal Mortality Study.

Publication Type:

Journal Article


Cancer causes & control : CCC, Volume 20, Issue 4, p.417-35 (2009)


2009, Breast Neoplasms, Center-Authored Paper, Cohort Studies, Ethnic Groups, Female, Healthcare Disparities, Humans, Incidence, Longitudinal Studies, Lung Neoplasms, Male, Medical Record Linkage, MELANOMA, Neoplasm Staging, Neoplasms, Prostatic Neoplasms, Public Health Sciences Division, Registries, SEER Program, Social Class, Survivors, United States, Uterine Cervical Neoplasms


Population-based cancer registry data from the Surveillance, Epidemiology, and End Results (SEER) Program at the National Cancer Institute (NCI) are mainly based on medical records and administrative information. Individual-level socioeconomic data are not routinely reported by cancer registries in the United States because they are not available in patient hospital records. The U.S. representative National Longitudinal Mortality Study (NLMS) data provide self-reported, detailed demographic and socioeconomic data from the Social and Economic Supplement to the Census Bureau's Current Population Survey (CPS). In 1999, the NCI initiated the SEER-NLMS study, linking the population-based SEER cancer registry data to NLMS data. The SEER-NLMS data provide a new unique research resource that is valuable for health disparity research on cancer burden. We describe the design, methods, and limitations of this data set. We also present findings on cancer-related health disparities according to individual-level socioeconomic status (SES) and demographic characteristics for all cancers combined and for cancers of the lung, breast, prostate, cervix, and melanoma.