scholarly journals Individual and Neighborhood Socioeconomic Status and Healthcare Resources in Relation to Black-White Breast Cancer Survival Disparities

2013 ◽  
Vol 2013 ◽  
pp. 1-13 ◽  
Author(s):  
Tomi F. Akinyemiju ◽  
Amr S. Soliman ◽  
Norman J. Johnson ◽  
Sean F. Altekruse ◽  
Kathy Welch ◽  
...  
Keyword(s):  
Breast Cancer ◽  
White Women ◽  
Cancer Survival ◽  
Demographic Variables ◽  
Cox Proportional Hazards ◽  
Breast Cancer Survival ◽  
County Level ◽  
Healthcare Resources ◽  
Black And White ◽  
The Us

Background.Breast cancer survival has improved significantly in the US in the past 10–15 years. However, disparities exist in breast cancer survival between black and white women.Purpose.To investigate the effect of county healthcare resources and SES as well as individual SES status on breast cancer survival disparities between black and white women.Methods.Data from 1,796 breast cancer cases were obtained from the Surveillance Epidemiology and End Results and the National Longitudinal Mortality Study dataset. Cox Proportional Hazards models were constructed accounting for clustering within counties. Three sequential Cox models were fit for each outcome including demographic variables; demographic and clinical variables; and finally demographic, clinical, and county-level variables.Results.In unadjusted analysis, black women had a 53% higher likelihood of dying of breast cancer and 32% higher likelihood of dying of any cause (P<0.05) compared with white women. Adjusting for demographic variables explained away the effect of race on breast cancer survival (HR, 1.40; 95% CI, 0.99–1.97), but not on all-cause mortality. The racial difference in all-cause survival disappeared only after adjusting for county-level variables (HR, 1.27; CI, 0.95–1.71).Conclusions.Improving equitable access to healthcare for all women in the US may help eliminate survival disparities between racial and socioeconomic groups.

Comorbidity and breast cancer survival: A comparison between black and white women

1996 ◽  
Vol 6 (5) ◽  
pp. 413-419 ◽  
Author(s):  
Dee W. West ◽  
William A. Satariano ◽  
David R. Ragland ◽  
Robert A. Hiatt
Keyword(s):  
Breast Cancer ◽  
White Women ◽  
Cancer Survival ◽  
Breast Cancer Survival ◽  
Black And White

scholarly journals Ethnicity, deprivation and screening: survival from breast cancer among screening-eligible women in the West Midlands diagnosed from 1989 to 2011

2015 ◽  
Vol 113 (3) ◽  
pp. 548-555 ◽  
Author(s):  
M Morris ◽  
L M Woods ◽  
N Rogers ◽  
E O'Sullivan ◽  
O Kearins ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Inequalities ◽  
Cancer Survival ◽  
Breast Cancer Survival ◽  
Net Survival ◽  
Black And White ◽  
Cancer Registry Data ◽  
West Midlands ◽  
Ethnicity Data ◽  
Screening History

Abstract Background: Social inequalities in breast cancer survival are smaller when the cancer is screen-detected. We examined survival from screen-detected and non screen-detected breast cancer by ethnicity and deprivation. Methods: Cancer registry data for 20 283 women aged 50–70 years, diagnosed between 1989–2011 and invited for screening, were linked with screening and ethnicity data. We examined Asian, Black and White groups, less deprived and middle/more deprived women. Net survival was estimated using ethnic- and deprivation-specific life tables. Estimates were corrected for lead-time bias and over-diagnosis. Results: Net survival varied by screening history. No significant differences in survival were found by ethnicity. Five-year net survival was 90.0% (95% CI, 89.3–90.8%) in less deprived groups and 86.7% (85.9–87.4%) among middle/more deprived women. Screening benefitted all ethnic and both deprivation groups. Whether screen-detected or not, more deprived women had significantly poorer outcomes: 5-year net survival was 78.0% (76.7–79.2%) for deprived women who were not screen-detected compared with 94.0% (93.1–95.1%) for less deprived women who were screen-detected. Conclusions: The three ethnic groups differed little in their breast cancer survival. Although screening confers a survival benefit to all, there are still wide disparities in survival by deprivation. More needs to be done to determine what underlies these differences and tackle them.

scholarly journals Association of Health-Related Quality of Life with Breast Cancer Survival among Hispanic Population Using 10 Years of MEPS National Sample Cohort Data

2020 ◽  
pp. 1-9
Author(s):  
Jongwha Chang ◽  
Marie Angayen ◽  
Jihaeng Heo ◽  
Susana Lopez ◽  
Jongwha Chang
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Cancer Survival ◽  
Breast Cancer Survival ◽  
Hispanic Population ◽  
The Us ◽  
Related Quality ◽  
Health Related

Background: Breast cancer is the most commonly diagnosed cancer among women in the United States and it is the leading cause of death among the Hispanic population. Little evidence exists the association of health-related quality of life (HRQoL) by the presence of breast cancer survival among the Latina population. This study was to look at the association of the presence of breast cancer survival on HRQoL measure in the US Hispanic population. Methods: This was a cross-sectional study analyzing data from the 2006-2015 Medical Expenditure Panel Survey (MEPS). The target population was comprised of Hispanic community-dwelling residents with breast cancer in the US. Two multivariate regression models were used to predict HRQoL measure by the presence of breast cancer survival among the Hispanic population. Results: A total 207 breast cancer survivors met the study inclusion criteria, and the estimated population size was 1.200,337 breast cancer survivors. In the multiple regression analysis on the SF-12 PCS scores, age, census region, poverty level, perceived health status, BMI, and employment were associated with SF12 PCS scores. The multiple regression analysis on the SF-12 MCS scores presented that age, census region, insurance type, perceived mental health status, and CCI were associated with SF-12 MCS scores. Conclusion: This study presents data on the HRQoL of Hispanic breast cancer survivors in the U.S. It builds on previous research that examines the HRQoL as expressed through the SF-12 PCS and SF-12 MCS surveys, rather than other types of measurement. This study may also be used as a guide in the implementation of clinical interventions and plans for survivorship care in improving the HRQoL of Hispanic breast cancer survivors.

Abstract A71: Smoking and breast cancer survival among New Mexican Hispanic and non-Hispanic white women.

2012 ◽  
Author(s):  
Kathy B. Baumgartner ◽  
Christina Pinkston ◽  
Avonne Connor ◽  
Stephanie Denkhoff ◽  
Dongyan Yang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
White Women ◽  
Cancer Survival ◽  
Breast Cancer Survival ◽  
New Mexican ◽  
Hispanic White

Breast cancer survival in women of African descent living in the US and in the Caribbean: effect of place of birth

2010 ◽  
Vol 122 (2) ◽  
pp. 515-520 ◽  
Author(s):  
Emanuela Taioli ◽  
Allison Attong-Rogers ◽  
Penelope Layne ◽  
Veronica Roach ◽  
Camille Ragin
Keyword(s):  
Breast Cancer ◽  
Cancer Survival ◽  
African Descent ◽  
Breast Cancer Survival ◽  
Place Of Birth ◽  
The Us ◽  
The Caribbean ◽  
Women Of African Descent

scholarly journals Protein Intake and Breast Cancer Survival in the Nurses’ Health Study

2017 ◽  
Vol 35 (3) ◽  
pp. 325-333 ◽  
Author(s):  
Michelle D. Holmes ◽  
Jun Wang ◽  
Susan E. Hankinson ◽  
Rulla M. Tamimi ◽  
Wendy Y. Chen
Keyword(s):  
Breast Cancer ◽  
Amino Acids ◽  
Amino Acid ◽  
Protein Intake ◽  
Cancer Survival ◽  
Cox Proportional Hazards ◽  
Breast Cancer Survival ◽  
Health Study ◽  
Inverse Association ◽  
Branched Chain

Purpose Greater protein intake has been associated with better breast cancer survival in several prospective studies, including among 1,982 women in the Nurses’ Health Study. We proposed to extend this previous finding. We hypothesized that protein, essential amino acid, branched-chain amino acid, and leucine intakes are associated with improved survival and that these associations are stronger in tumors expressing insulin receptor (IR). Patients and Methods We included 6,348 women diagnosed with stage I to III breast cancer between 1976 and 2004. There were 1,046 distant recurrences. Relative risks (RRs) and 95% CIs were calculated according to quintiles of updated postdiagnostic diet using adjusted Cox proportional hazards models based on follow-up until 2010. Results There was an inverse association between energy-adjusted protein intake and recurrence. Multivariable RRs for increasing quintiles of intake compared with the lowest were 0.95 (95% CI, 0.79 to 1.15), 0.92 (95% CI, 0.76 to 1.11), 0.75 (95% CI, 0.61 to 0.91), and 0.84 (95% CI, 0.69 to 1.03; trend P = .02). For animal protein intake, the RRs were 0.88 (95% CI, 0.73 to 1.06), 0.85 (95% CI, 0.70 to 1.02), 0.75 (95% CI, 0.62 to 0.92), and 0.78 (95% CI, 0.63 to 0.95; trend P = .003). Neither essential amino acids, branched-chain amino acids, nor any individual amino acid stood out as being the source of the association. The association also did not differ by IR status. There was no clear association with any protein-containing foods. Conclusion We found a modest survival advantage with higher intake of protein, regardless of IR status. There was no clear mechanism for this association, although it is consistent with prior studies. Our data suggest that there is likely no advantage for women with a history of breast cancer in restricting protein intake or protein-containing foods.

Sign in / Sign up

Export Citation Format

Share Document