Racial/ethnic and socioeconomic differences in short-term breast cancer survival among women in an integrated health system.

American Journal of Public Health
Theresa H M KeeganScarlett L Gomez

Abstract

We examined the combined influence of race/ethnicity and neighborhood socioeconomic status (SES) on short-term survival among women with uniform access to health care and treatment. Using electronic medical records data from Kaiser Permanente Northern California linked to data from the California Cancer Registry, we included 6262 women newly diagnosed with invasive breast cancer. We analyzed survival using multivariable Cox proportional hazards regression with follow-up through 2010. After consideration of tumor stage, subtype, comorbidity, and type of treatment received, non-Hispanic White women living in low-SES neighborhoods (hazard ratio [HR] = 1.28; 95% confidence interval [CI] = 1.07, 1.52) and African Americans regardless of neighborhood SES (high SES: HR = 1.44; 95% CI = 1.01, 2.07; low SES: HR = 1.88; 95% CI = 1.42, 2.50) had worse overall survival than did non-Hispanic White women living in high-SES neighborhoods. Results were similar for breast cancer-specific survival, except that African Americans and non-Hispanic Whites living in high-SES neighborhoods had similar survival. Strategies to address the underlying factors that may influence treatment intensity and adherence, such as comorbidities and logistical barrie...Continue Reading

References

Jun 1, 1992·Journal of Clinical Epidemiology·R A DeyoM A Ciol
Aug 30, 2000·Nature·C M PerouD Botstein
Sep 21, 2000·Journal of the National Cancer Institute·H Yu, T Rohan
Sep 13, 2001·Proceedings of the National Academy of Sciences of the United States of America·T SørlieA L Børresen-Dale
Sep 7, 2005·Annals of Oncology : Official Journal of the European Society for Medical Oncology·L M WoodsM P Coleman
Oct 13, 2005·JAMA : the Journal of the American Medical Association·C Martin TammemagiDavid Nathanson
Nov 17, 2005·Journal of the National Cancer Institute. Monographs·Edward H WagnerThomas M Vogt
Dec 21, 2005·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Melinda L IrwinRachel Ballard-Barbash
Mar 22, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Lisa A NewmanGraham A Colditz
Jun 20, 2006·Cancer Causes & Control : CCC·Scarlett L Gomez, Sally L Glaser
Dec 13, 2006·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer J GriggsGary H Lyman
Nov 17, 2007·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Amy B DaileyBeth A Jones
Apr 9, 2008·American Journal of Clinical Oncology·Xianglin L DuTamra E Meyer
Nov 8, 2008·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Mary A Gerend, Manacy Pai
Dec 17, 2008·The Journal of Surgical Research·Anjali D DeshpandeJulie A Margenthaler
Dec 23, 2008·Journal of General Internal Medicine·Christopher M Masi, Sarah Gehlert
Apr 11, 2009·Breast Cancer Research and Treatment·Mahasin S MujahidSteven J Katz
Jun 12, 2009·Journal of Women's Health·Linda Vona-Davis, David P Rose
Aug 14, 2009·Epidemiologic Reviews·Fiona McKenzie, Mona Jeffreys
Feb 23, 2010·Journal of Health Care for the Poor and Underserved·Xiaoling NiuLisa M Roche
Mar 20, 2010·American Journal of Public Health·Scarlett Lin GomezSally L Glaser
Jun 30, 2010·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Dawn L HershmanAlfred I Neugut
Nov 16, 2010·Breast Cancer Research and Treatment·Siew Loon OoiChristopher I Li
Feb 25, 2011·Journal of the National Cancer Institute·Leslie Bernstein, James V Lacey
Jul 2, 2011·Journal of the National Cancer Institute·Jennifer L PatnaikDana Dabelea
Nov 2, 2011·Women's Health·Gertraud MaskarinecShannon M Conroy
Nov 4, 2011·Journal of the National Medical Association·Samantha HendrenKevin Fiscella
May 10, 2012·Health Services Research·David R WilliamsJohn Z Ayanian
Jul 10, 2012·Journal of the National Cancer Institute·Christina A ClarkeJames V Lacey
Nov 10, 2012·Breast Cancer Research and Treatment·Allison W KurianScarlett L Gomez
Jan 22, 2013·CA: a Cancer Journal for Clinicians·Rebecca SiegelAhmedin Jemal
Feb 7, 2013·CA: a Cancer Journal for Clinicians·Carol DeSantisAhmedin Jemal

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Citations

Oct 13, 2015·Liver International : Official Journal of the International Association for the Study of the Liver·Kika AnyiweHla-Hla Thein
Dec 17, 2015·Annual Review of Public Health·Joan A CaseyNancy E Adler
Aug 2, 2015·Cancer Epidemiology·Tomi F AkinyemijuHenna Budhwani
Sep 5, 2015·Journal of Cancer Epidemiology·Carol A Parise, Vincent Caggiano
Jan 13, 2009·Journal of Experimental & Clinical Cancer Research : CR·Heather E KleinerBenjamin D L Li
Jun 28, 2016·Breast Cancer Research and Treatment·K A NyropS S Shachar
Jun 28, 2016·Breast Cancer Research and Treatment·Christine LeopoldJ Frank Wharam
Feb 26, 2016·CA: a Cancer Journal for Clinicians·Carol E DeSantisAhmedin Jemal
Dec 19, 2019·International Journal of Environmental Research and Public Health·Arnethea L SuttonVanessa B Sheppard
Aug 8, 2015·Breast Cancer Research and Treatment·Tomi AkinyemijuSean F Altekruse
Oct 9, 2019·JMIR Public Health and Surveillance·Elizabeth GolembiewskiJoshua R Vest
Apr 12, 2020·Cancers·Elena VagiaMassimo Cristofanilli
Oct 22, 2020·International Journal of Environmental Research and Public Health·Angel G OrtizShannon M Lynch
Sep 25, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Alice GuanUNKNOWN San Francisco Cancer Initiative Breast Cancer Task Force
May 20, 2016·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Richard SpostoAnna H Wu
May 1, 2021·Cancer Control : Journal of the Moffitt Cancer Center·Nina AfsharRoger L Milne
May 18, 2021·Chemistry & Biodiversity·Han ChenXiaoling Lu
Dec 24, 2020·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Esther M JohnAnna H Wu
Sep 3, 2021·Cancer Control : Journal of the Moffitt Cancer Center·Hafiz KhanP Hemachandra Reddy

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