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JNCI Journal of the National Cancer Institute 1999 91(9):802-803; doi:10.1093/jnci/91.9.802
© 1999 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 91, No. 9, 802-803, May 5, 1999
© 1999 Oxford University Press

CORRESPONDENCE

RESPONSE: Re: Race, Prostate Cancer Survival, and Membership in a Large Health Maintenance Organization

Anthony S. Robbins, Alice S. Whittemore, Stephen K. Van Den Eeden

Affiliations of authors: A. S. Robbins, A. S. Whittemore, Division of Epidemiology, Department of Health Research and Policy, Stanford University School of Medicine, CA; S. K. Van Den Eeden, Division of Research, Kaiser Permanente Medical Care Program (Northern California Region), Oakland, CA.

Correspondence to: Anthony S. Robbins, M.D., Division of Epidemiology, Department of Health Research and Policy, HRP Redwood Bldg., Rm. T223, Stanford University School of Medicine, Stanford, CA 94305 (e-mail: robbinsA@leland.stanford.edu).

We appreciate the interest of Roach et al. in our analysis of survival among black and white prostate cancer patients in the San Francisco Bay Area (1). The investigators have raised important issues, and we welcome the opportunity to respond to them. They argue against biologic factors as an explanation for poorer stage-specific survival of black prostate cancer patients compared with white patients. Instead, they argue that the observed higher death rates in blacks can be explained completely by racial differences in socioeconomic barriers, such as inadequate access to health care, to good treatment, and to health education leading to . . . [Full Text of this Article]

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