Socio-economic status influences chance of undergoing surgical treatment for pancreatic cancer in The Netherlands

Pancreatology ◽  
2015 ◽  
Vol 15 (3) ◽  
pp. S101
Author(s):  
Maikel Bakens ◽  
Yvette van Gestel ◽  
Marlies Bongers ◽  
Valery Lemmens ◽  
Ignace de Hingh
Keyword(s):  
Pancreatic Cancer ◽  
Surgical Treatment ◽  
The Netherlands ◽  
Economic Status ◽  
Socio Economic Status

scholarly journals Socio-economic status influences the likelihood of undergoing surgical treatment for pancreatic cancer in the Netherlands

HPB ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 443-448 ◽  
Author(s):  
Maikel J.A.M. Bakens ◽  
Valery E.P.P. Lemmens ◽  
Ignace H.J.T. de Hingh
Keyword(s):  
Pancreatic Cancer ◽  
Surgical Treatment ◽  
The Netherlands ◽  
Economic Status ◽  
Socio Economic Status

scholarly journals The role of religion in the Dutch fertility transition: starting, spacing, and stopping in the heart of the Netherlands, 1845–1945

2005 ◽  
Vol 20 (2) ◽  
pp. 247-263 ◽  
Author(s):  
JAN VAN BAVEL ◽  
JAN KOK
Keyword(s):  
The Netherlands ◽  
Multivariate Regression ◽  
Economic Status ◽  
Fertility Transition ◽  
Birth Intervals ◽  
Descriptive Model ◽  
Socio Economic Status ◽  
Independent Effects ◽  
Role Of Religion

This contribution investigates how religion retarded the Dutch fertility transition by looking at how denominations were associated with the timing of first births (starting), the length of birth intervals (spacing), and the timing of last births (stopping). First, we apply a simple descriptive model of starting, spacing, and stopping to life-course data from the province of Utrecht. Then, we apply multivariate regression to assess the independent effects of religious denominations, net of socio-economic status, on stopping behaviour. The results indicate that liberal Protestants were more prone to adopt stopping behaviour than orthodox Protestants and Catholics.

scholarly journals The role of socio-economic status in the decision making on diagnosis and treatment of oesophageal cancer in The Netherlands

2006 ◽  
Vol 95 (9) ◽  
pp. 1180-1185 ◽  
Author(s):  
E P M van Vliet ◽  
M J C Eijkemans ◽  
E W Steyerberg ◽  
E J Kuipers ◽  
H W Tilanus ◽  
...  
Keyword(s):  
Decision Making ◽  
The Netherlands ◽  
Oesophageal Cancer ◽  
Economic Status ◽  
Diagnosis And Treatment ◽  
Socio Economic Status

scholarly journals Municipality and Adjusted Gross Income Influence Outcome of Patients Diagnosed with Pancreatic Cancer in a Newly Developed Cancer Center in Mercer County New Jersey, USA, a Single Center Study

Cancers ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 1498
Author(s):  
Cataldo Doria ◽  
Patrick De Deyne ◽  
Sherry Dolan ◽  
Jooyeun Chung ◽  
Karen Yatcilla ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Overall Survival ◽  
New Jersey ◽  
Economic Status ◽  
Outcome Variable ◽  
Cancer Center ◽  
Convenience Sample ◽  
Socio Economic Status ◽  
Gross Income ◽  
Zip Code

Socioeconomic status (SES) correlates directly to ZIP code. Mercer County is not atypical as a collection of a dozen municipalities with a suburban/metropolitan population of 370,430 in the immediate vicinity of a major medical center. The purpose of this study for Mercer County, New Jersey, USA is to determine whether a patient’s ZIP code is related to the outlook of pancreatic cancer defined as staging at diagnosis, prevalence, overall survival, type of insurance, and recurrence. Our hypothesis was that specific variables such as socio-economic status or race could be linked to the outcome of patients with pancreatic cancer. We interrogated a convenience sample from our cancer center registry and obtained 479 subjects diagnosed with pancreatic cancer in 1998-2018. We selected 339 subjects by ZIP code, representing the plurality of the cases in our catchment area. The outcome variable was overall survival; predictor variables were socio-economic status (SES), recurrence, insurance, type of treatment, gender, cancer stage, age, and race. We converted ZIP code to municipality and culled data using adjusted gross income (AGI, FY 2017). Comparative statistical analysis was performed using chi-square tests for nominal and ordinal variables, and a two-way ANOVA test was used for continuous variables; the p-value was set at 0.05. Our analysis confirmed that overall survival was significantly higher for Whites and for individuals who live in a municipality with a high SES. Tumor stage at the time of diagnosis was not different among race and SES; however, statistically significant differences for race or SES existed in the type of treatment received, with disparities found in those who received radiation therapy and surgery but not chemotherapy. The data may point to a lack of access to specific care modalities that subsequently may lead to lower survival in an underserved population. Access to care, optimal nutritional status, overall fitness, and co-morbidities could play a major role and confound the results. Our study suggests that low SES has a negative impact on overall pancreatic cancer survival. Surgery for pancreatic cancer should be appropriately decentralized to those community cancer centers that possess the expertise and the infrastructure to carry out specialized treatments regardless of race, ethnicity, SES, and insurance.

Inequalities in uptake of prenatal screening according to ethnicity and socio-economic status in the four largest cities of the Netherlands (2011-2013)

2017 ◽  
Vol 37 (10) ◽  
pp. 959-967 ◽  
Author(s):  
Anke G. Posthumus ◽  
Ingrid A. Peters ◽  
Gerard J. Borsboom ◽  
Maarten F. C. M. Knapen ◽  
Gouke J. Bonsel
Keyword(s):  
The Netherlands ◽  
Prenatal Screening ◽  
Economic Status ◽  
Socio Economic Status

scholarly journals Opportunities for dietitians to promote a healthy dietary intake in pregnant women with a low socio-economic status within antenatal care practices in the Netherlands: a qualitative study

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Sabina Super ◽  
Yvette H. Beulen ◽  
Maria A. Koelen ◽  
Annemarie Wagemakers
Keyword(s):  
The Netherlands ◽  
Antenatal Care ◽  
Dietary Intake ◽  
Pregnant Women ◽  
Healthy Eating ◽  
Economic Status ◽  
Nutrition Support ◽  
Dietary Changes ◽  
Socio Economic Status ◽  
Care Practices

Abstract Background A healthy dietary intake during pregnancy is important for maternal and child health. However, pregnant women with a low socio-economic status often fail to meet dietary guidelines and requirements for healthy nutrition. Dietitians may play an important role in providing nutritional advice during pregnancy because midwives often experience a lack of nutritional knowledge, time and skills to provide adequate advice. However, there is limited research on the support that dietitians can offer in antenatal care practices for pregnant women. Therefore, this study aims to explore the opportunities for dietitians to support pregnant women with a low socio-economic status in concurrent antenatal care practices in the Netherlands. Methods In-depth interviews were conducted with 14 pregnant women with a low socio-economic status and 13 dietitians to identify barriers for healthy eating for pregnant women and the associated opportunities for dietitians to support these women in making healthy dietary changes. Results Four opportunities for dietitians to support pregnant women in making dietary changes could be discerned: (1) creating awareness of healthy and unhealthy eating patterns, (2) providing reliable and personally relevant information, (3) help identifying barriers and solutions for healthy eating and (4) making healthy eating manageable. Dietitians indicated that supporting pregnant women with a low socio-economic status in consuming a healthy diet requires the investment of sufficient time, effort and money. Conclusions Dietitians are trained and well-equipped to provide extensive support to pregnant women to promote a healthy dietary intake, especially when the complex interplay of barriers that pregnant women with a low socio-economic status experience for healthy eating needs to be addressed. In addition, there is a strong need for strengthening the collaboration between dietitians and midwives because midwives are the primary care provider for pregnant women in the Netherlands, but they often lack sufficient opportunities to provide adequate nutrition support. Strengthening this collaboration could promote that nutrition becomes a recurring and standard topic in antenatal care.

scholarly journals Socio-economic status differences in older people's use of informal and formal help: a comparison of four European countries

2006 ◽  
Vol 26 (5) ◽  
pp. 745-766 ◽  
Author(s):  
MARJOLEIN BROESE van GROENOU ◽  
KAREN GLASER ◽  
CECILIA TOMASSINI ◽  
THÉRÈSE JACOBS
Keyword(s):  
Great Britain ◽  
The Netherlands ◽  
Older People ◽  
Marital Status ◽  
Home Ownership ◽  
Multinomial Logistic Regression ◽  
Economic Status ◽  
Low Ses ◽  
Socio Economic Status ◽  
National Differences

This study investigates the variations by older people's socio-economic status (SES) (i.e. educational level and social class) in the use of informal and formal help from outside the household in Great Britain, Italy, Belgium and The Netherlands. In all these countries, it was older people in low SES groups who mostly used such help. Multinomial logistic regression analyses showed that, in each country and for both types of help, there were SES gradients in the utilisation of both formal and informal care, and that differences in age, health and marital status largely accounted for the former but not the latter. Cross-national differences in the use of both informal and formal help remained when variations in sex, age, SES, health, marital status, home ownership and the use of privately-paid help were taken into account. Significant interaction effects were found, which indicated that older people in low SES groups in Great Britain and The Netherlands had higher odds of using informal help from outside the household than their counterparts in Italy, and similarly that those in The Netherlands were more likely to use formal help than their Italian peers. The results are discussed in relation to the cultural differences and variations in the availability of formal services among the countries.

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