Individual and Neighborhood Socioeconomic Status and Healthcare Resources in Relation to Black-White Breast Cancer Survival Disparities
Joint Authors
Soliman, Amr S.
Welch, Kathy
Altekruse, Sean F.
Banerjee, Mousumi
Schwartz, Kendra
Johnson, Norman J.
Akinyemiju, Tomi F.
Merajver, Sofia D.
Source
Journal of Cancer Epidemiology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-20
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-475768