An international comparison of cancer survival: metropolitan Toronto, Ontario, and Honolulu, Hawaii.
OBJECTIVE
Comparisons of cancer survival in Canadian and US metropolitan areas have shown consistent Canadian advantages. This study tests a health insurance hypothesis by comparing cancer survival in Toronto, Ontario, and Honolulu, Hawaii.


METHODS
Ontario and Hawaii registries provided a total of 9190 and 2895 cancer cases (breast and prostate, 1986-1990, followed until 1996). Socioeconomic data for each person's residence at the time of diagnosis were taken from population censuses.


RESULTS
Socioeconomic status and cancer survival were directly associated in the US cohort, but not in the Canadian cohort. Compared with similar patients in Honolulu, residents of low-income areas in Toronto experienced 5-year survival advantages for breast and prostate cancer. In support of the health insurance hypothesis, between-country differences were smaller than those observed with other state samples and the Canadian advantage was larger among younger women.


CONCLUSIONS
Hawaii seems to provide better cancer care than many other states, but patients in Toronto still enjoy a significant survival advantage. Although Hawaii's employer-mandated health insurance coverage seems an effective step toward providing equitable health care, even better care could be expected with a universally accessible, single-payer system.
Gorey
K M
KM
School of Social Work, University of Windsor, Ontario, Canada. gorey@uwindsor.ca
Holowaty
E J
EJ
Fehringer
G
G
Laukkanen
E
E
Richter
N L
NL
Meyer
C M
CM
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000401:mortality* / Q000628:therapy; D015986:Confounding Factors, Epidemiologic; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D006264:Health Benefit Plans, Employee / Q000706:statistics & numerical data; D006302:Health Services Research; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D019458:Insurance Coverage / Q000706:statistics & numerical data*; D007348:Insurance, Health / Q000145:classification / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data; D009864:Ontario / Q000453:epidemiology; D011471:Prostatic Neoplasms / Q000401:mortality* / Q000628:therapy; D011787:Quality of Health Care; D018855:Single-Payer System / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D016019:Survival Analysis; D019472:Universal Health Insurance / Q000706:statistics & numerical data; D014504:Urban Health / Q000706:statistics & numerical data*