Rural-urban disparities in stage of breast cancer at diagnosis in Australian women

The Australian Journal of Rural Health
Janni LeungDeirdre McLaughlin

Abstract

To examine urban-rural differences and individual risk factors for a late stage of breast cancer at diagnosis in Australian women. Individual-level longitudinal data were linked with cancer registry data from New South Wales (New South Wales Cancer Registry linked by the Centre for Health Record Linkage (CHeReL)), Queensland (Queensland Cancer Registry) and Victoria (The Cancer Council Victoria). Participants were drawn from the Australian Longitudinal Study on Women's Health 1946-1951 cohort (n = 13 715). The sample included 195 women identified from the linked cancer registry data with a breast cancer diagnosis. Rural or urban residence was measured using Accessibility/Remoteness Index of Australia Plus (ARIA+). Individual characteristics and socio-demographic variables examined included survey year, menopausal status, country of birth, education and marital status. A late stage of breast cancer at diagnosis was defined based on the TNM Classification of Malignant Tumours. A late stage of breast cancer diagnosis was observed in 36% of women residing in urban areas and 40% of women residing in rural areas. After adjusting for individual characteristics, we found that obesity was the strongest risk factor for a late stage of br...Continue Reading

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Citations

Oct 11, 2019·International Journal of Cancer. Journal International Du Cancer·Oluwatosin A AyeniLisa K Micklesfield
Mar 16, 2017·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Pam Baker DeGuzmanAnneke T Schroen
Dec 3, 2017·International Journal of Cancer. Journal International Du Cancer·Fiona McKenzieValerie McCormack

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Cancer Disparities

Cancer disparities refers to differences in cancer outcomes (e.g., number of cancer cases, related health complications) across population groups.