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

المؤلفون المشاركون

Soliman, Amr S.
Welch, Kathy
Altekruse, Sean F.
Banerjee, Mousumi
Schwartz, Kendra
Johnson, Norman J.
Akinyemiju, Tomi F.
Merajver, Sofia D.

المصدر

Journal of Cancer Epidemiology

العدد

المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-13، 13ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2013-02-20

دولة النشر

مصر

عدد الصفحات

13

التخصصات الرئيسية

الأمراض
الطب البشري

الملخص EN

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.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Akinyemiju, Tomi F.& Soliman, Amr S.& Johnson, Norman J.& Altekruse, Sean F.& Welch, Kathy& Banerjee, Mousumi…[et al.]. 2013. Individual and Neighborhood Socioeconomic Status and Healthcare Resources in Relation to Black-White Breast Cancer Survival Disparities. Journal of Cancer Epidemiology،Vol. 2013, no. 2013, pp.1-13.
https://search.emarefa.net/detail/BIM-475768

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Akinyemiju, Tomi F.…[et al.]. Individual and Neighborhood Socioeconomic Status and Healthcare Resources in Relation to Black-White Breast Cancer Survival Disparities. Journal of Cancer Epidemiology No. 2013 (2013), pp.1-13.
https://search.emarefa.net/detail/BIM-475768

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Akinyemiju, Tomi F.& Soliman, Amr S.& Johnson, Norman J.& Altekruse, Sean F.& Welch, Kathy& Banerjee, Mousumi…[et al.]. Individual and Neighborhood Socioeconomic Status and Healthcare Resources in Relation to Black-White Breast Cancer Survival Disparities. Journal of Cancer Epidemiology. 2013. Vol. 2013, no. 2013, pp.1-13.
https://search.emarefa.net/detail/BIM-475768

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-475768