Breast biopsy and race/ethnicity among women without breast cancer

Cancer Detection and Prevention
Judith S JacobsonAlfred I Neugut

Abstract

Breast biopsy is essential for definitive breast cancer diagnosis, but may also play a role in determining eligibility for breast cancer preventive measures or clinical trials. In addition, the prevalence of a history of negative breast biopsy can be viewed as an indicator of the adequacy or intensity of health care in a given population. We therefore analyzed the association of a history of breast biopsy with race/ethnicity and other factors in a cohort of women without a cancer diagnosis who completed a risk assessment form for participation in the Study of Tamoxifen and Raloxifene (STAR) and a sociodemographic questionnaire. Subjects were recruited at our large, urban teaching hospital. We developed a logistic regression model with biopsy (ever/never) as the outcome and age, race/ethnicity, educational attainment, and insurance coverage as the independent variables. Among 805 unaffected predominantly minority subjects, white women were more than three times as likely as black and Hispanic women (OR=3.3, 95% CI 1.9-5.9), and insured women were twice as likely as uninsured women (OR=2.0, 95% CI 1.4-2.9) to have had a biopsy. Biopsy results were also associated with race/ethnicity. We view these observations as hypothesis-gener...Continue Reading

References

Jan 1, 1992·AJR. American Journal of Roentgenology·L J BurhenneH J Burhenne
Sep 24, 1999·Journal of the National Cancer Institute·J P CostantinoH S Wieand
Apr 4, 2002·Journal of the National Cancer Institute·Otis W Brawley
Apr 4, 2002·Journal of the National Cancer Institute·Cathy J BradleyCaralee Roberts
Oct 15, 2003·Archives of Internal Medicine·Victor R Grann, Judith S Jacobson
Oct 15, 2003·Archives of Internal Medicine·Kathleen McDavidMichel P Coleman
Oct 23, 2003·JAMA : the Journal of the American Medical Association·Rebecca Smith-BindmanKarla Kerlikowske
Oct 25, 2003·Journal of Public Health Medicine·Aliki Taylor, K K Cheng
Jun 7, 2005·Cancer·Victor R GrannAlfred I Neugut

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