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Factors Associated with Initial Mode of Breast Cancer Detection among Black Women in the Women’s Circle of Health Study
Joint Authors
Szukis, Holly A.
Qin, Bo
Xing, Cathleen Y.
Doose, Michelle
Xu, Baichen
Tsui, Jennifer
Lin, Yong
Hirshfield, Kim M.
Demissie, Kitaw
Hong, Chi-Chen
Bandera, Elisa V.
Llanos, Adana A. M.
Ambrosone, Christine B.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-18, 18 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-04
Country of Publication
Egypt
No. of Pages
18
Main Subjects
Abstract EN
Mammogram-detected breast cancers have a better prognosis than those identified through clinical breast exam (CBE) or through self-detection, primarily because tumors detected by mammography are more likely to be smaller and do not involve regional nodes.
In a sample of 1,322 Black women, aged 40-75 years, diagnosed with breast cancer between 2002 and 2016, we evaluated factors associated with CBE and self-detection versus screening mammogram as the initial mode of breast cancer detection, using multivariable logistic regression models.
Compared with screening mammogram, history of routine screening mammogram (OR 0.20, 95% CI: 0.07, 0.54) and performance of breast self-examination (BSE) (OR 0.31, 95% CI: 0.13, 0.74) before diagnosis were associated with lower odds of CBE as the initial mode of detection, while performance of CBEs before diagnosis (OR 11.04, 95% CI: 2.24, 54.55) was positively associated.
Lower body mass index (<25.0 kg/m2 vs.
≥35.0 kg/m2: OR 2.46, 95% CI: 1.52, 3.98), performance of BSEs before diagnosis (less than once per month: OR 4.08, 95% CI: 2.45, 6.78; at least monthly: OR 4.99, 95% CI: 3.13, 7.97), and larger tumor size (1.0-2.0 cm vs.
<1.0 cm: OR 2.92, 95% CI: 1.84, 4.64; >2.0 cm vs.
<1.0 cm: OR 6.41, 95% CI: 3.30, 12.46) were associated with increased odds of self-detection relative to screening mammogram.
The odds of CBE and self-detection as initial modes of breast cancer detection among Black women are independently associated with breast care and breast cancer screening services before diagnosis and with larger tumors at diagnosis.
American Psychological Association (APA)
Szukis, Holly A.& Qin, Bo& Xing, Cathleen Y.& Doose, Michelle& Xu, Baichen& Tsui, Jennifer…[et al.]. 2019. Factors Associated with Initial Mode of Breast Cancer Detection among Black Women in the Women’s Circle of Health Study. Journal of Oncology،Vol. 2019, no. 2019, pp.1-18.
https://search.emarefa.net/detail/BIM-1184148
Modern Language Association (MLA)
Szukis, Holly A.…[et al.]. Factors Associated with Initial Mode of Breast Cancer Detection among Black Women in the Women’s Circle of Health Study. Journal of Oncology No. 2019 (2019), pp.1-18.
https://search.emarefa.net/detail/BIM-1184148
American Medical Association (AMA)
Szukis, Holly A.& Qin, Bo& Xing, Cathleen Y.& Doose, Michelle& Xu, Baichen& Tsui, Jennifer…[et al.]. Factors Associated with Initial Mode of Breast Cancer Detection among Black Women in the Women’s Circle of Health Study. Journal of Oncology. 2019. Vol. 2019, no. 2019, pp.1-18.
https://search.emarefa.net/detail/BIM-1184148
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1184148