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Table 4 Geographic remoteness, area-disadvantage and the adjusted odds of all-cause and colorectal cancer mortality in Queensland, 1997–2007

From: Geographic remoteness, area-level socioeconomic disadvantage and inequalities in colorectal cancer survival in Queensland: a multilevel analysis

 

All-cause

p

Colorectal cancer-specific

p

sub group

OR (95% CrI)1

 

OR (95% CrI)1

 

Area-Remoteness Index of Australia (ARIA)

 

=0.004

 

=0.003

Major city

1.00

 

1.00

 

Inner regional

0.95 (0.88, 1.02)

 

0.98 (0.90, 1.06)

 

Outer regional

1.09 (1.01, 1.18)

 

1.15 (1.05, 1.25)

 

Remote2

1.15 (1.02, 1.28)

 

1.24 (1.07, 1.42)

 

p-value

    

Relative socioeconomic advantage and disadvantage (IRSAD)

<0.001

 

<0.001

Quintile 5 (least disadvantaged)

1.00

 

1.00

 

Quintile 4

1.14 (1.03, 1.23)

 

1.12 (1.01, 1.23)

 

Quintile 3

1.18 (1.08, 1.29)

 

1.15 (1.03, 1.27)

 

Quintile 2

1.22 (1.11, 1.34)

 

1.20 (1.07, 1.33)

 

Quintile 1 (most disadvantaged)

1.25 (1.10, 1.36)

 

1.23 (1.09, 1.30)

 

Time (years after diagnosis)

0.45 (0.41, 0.50)

<0.001

0.47 (0.42, 0.52)

<0.001

Time-squared ([years after diagnosis]squared])

1.07 (1.05, 1.08)

<0.001

1.04 (1.02, 1.07)

<0.001

Age group

 

<0.001

 

<0.001

20 to 49

0.24 (0.21, 0.27)

 

0.37 (0.33, 0.43)

 

50 to 59

0.29 (0.26, 0.32)

 

0.45 (0.41, 0.51)

 

60 to 69

0.42 (0.39, 0.46)

 

0.59 (0.54, 0.65)

 

70 to79

0.68 (0.63, 0.73)

 

0.77 (0.70, 0.84)

 

80 to 85

1.00

 

1.00

 

Gender

 

<0.001

 

<0.001

Male

1.00

 

1.00

 

Female

1.08 (1.02, 1.14)

 

1.17 (1.10, 1.25)

 

Marital status

 

<0.001

 

<0.001

Married

1.00

 

1.00

 

Never married/ single

1.33 (1.21, 1.46)

 

1.29 (1.16, 1.43)

 

Widowed

1.11 (1.03, 1.19)

 

1.06 (0.97, 1.14)

 

Divorced

1.18 (1.08, 1.29)

 

1.17 (1.06, 1.29)

 

Separated

0.94 (0.77, 1.13)

 

0.89 (0.71, 1.09)

 

Not stated

1.32 (1.02, 1.68)

 

1.41 (1.03, 1.85)

 

Occupation category

 

<0.001

 

<0.001

Professional

1.00

 

1.00

 

White collar

1.11 (1.02, 1.20)

 

1.07 (0.97, 1.17)

 

Blue collar

1.38 (1.29, 1.49)

 

1.36 (1.25, 1.47)

 

Not in labor force

0.46 (0.43, 0.50)

 

0.50 (0.46, 0.54)

 

Not stated/ Inadequately described

0.35 (0.32, 0.39)

 

0.34 (0.31, 0.38)

 

Country birth 3

 

=0.045

 

=0.040

Australia

1.00

 

1.00

 

Other english-speaking

0.96 (0.90, 1.02)

 

0.99 (0.92, 1.06)

 

Non-english-speaking

0.88 (0.76, 0.97)

 

0.87 (0.74, 0.86)

 

Indigenous status

 

<0.001

 

<0.001

Non indigenous

1.00

 

1.00

 

Indigenous

1.16 (0.89, 1.49)

 

1.09 (0.99, 1.44)

 

Not stated

0.45 (0.39, 0.51)

 

0.43 (0.36, 0.50)

 

Site 4

 

=0.076

 

=0.134

Proximal (R) colon

1.02 (1.01, 1.08)

 

1.01 (0.99, 1.13)

 

Distal (L) colon

1.03 (0.96, 1.10)

 

0.97 (0.93, 1.00)

 

Colon NOS

1.04 (1.01, 1.16)

 

1.02 (0.99, 1.07)

 

Rectal

1.00

 

1.00

 

Stage

 

<0.001

 

<0.001

Stage A

1.00

 

1.00

 

Stage B

1.61 (1.47, 1.77)

 

2.44 (2.15, 2.77)

 

Stage C

3.17 (2.91, 3.45)

 

6.09 (5.40, 6.85)

 

Stage D

11.41 (10.30, 12.57)

 

23.25 (20.39, 26.43)

 

Unknown stage

2.09 (1.86, 2.34)

 

3.59 (3.09, 4.14)

 

Differentiation

 

<0.001

 

<0.001

Well differentiated

1.00

 

1.00

 

Moderate differentiated

1.14 (1.01, 1.29)

 

1.37 (1.18, 1.60)

 

Poor differentiated

1.64 (1.44, 1.87)

 

2.07 (1.77, 2.43)

 

Not stated differentiation

1.25 (1.09, 1.43)

 

1.46 (1.24, 1.73)

 

Surgical margins

 

<0.001

 

<0.001

Clear

1.00

 

1.00

 

Positive

1.42 (1.19, 1.66)

 

1.55 (1.27, 1.85)

 

Unknown margin

1.84 (1.68, 2.01)

 

1.97 (1.79, 2.17)

 
  1. CrI: credible interval for posterior distributions from Markov Chain Monte Carlo multilevel models.
  2. 1 Estimates derived from best fitting fully adjusted Models 5 and 11 (see text for details).
  3. 2 Includes remote and very remote categories.
  4. 3 Other English-speaking: those born in New Zealand, United Kingdom, Ireland, or North America; non-English-speaking: those not born in Australia, New Zealand, United Kingdom, Ireland or North America.
  5. 4 Colorectal sites defined as: proximal colon (ICDO3: C180 to C184), distal colon (ICDO3: C185-C187), unspecified colon (ICDO3: C188-C189) and rectal (ICDO3: C19-C20, C218).