Intersection of Race/Ethnicity and Socioeconomic Status in Mortality After Breast Cancer

Details

• Alternative Title:
  J Community Health
• Personal Author:
  Shariff-Marco, Salma ; Yang, Juan ; John, Esther M. ; Kurian, Allison W. ; Cheng, Iona ; Leung, Rita ; Koo, Jocelyn ; Monroe, Kristine R. ; Henderson, Brian E. ; Bernstein, Leslie ; Lu, Yani ; Kwan, Marilyn L. ; Sposto, Richard ; Vigen, Cheryl L. P. ; Wu, Anna H. ; Keegan, Theresa H. M. ; Gomez, Scarlett Lin
• Description:
  We investigated social disparities in breast cancer (BC) mortality, leveraging data from the California Breast Cancer Survivorship Consortium. The associations of race/ethnicity, education, and neighborhood SES (nSES) with all-cause and BC-specific mortality were assessed among 9372 women with BC (diagnosed 1993-2007 in California with follow-up through 2010) from four racial/ethnic groups [African American, Asian American, Latina, and non-Latina (NL) White] using Cox proportional hazards models. Compared to NL White women with high-education/high-nSES, higher all-cause mortality was observed among NL White women with high-education/low-nSES [hazard ratio (HR) (95 % confidence interval) 1.24 (1.08-1.43)], and African American women with low-nSES, regardless of education [high education HR 1.24 (1.03-1.49); low-education HR 1.19 (0.99-1.44)]. Latina women with low-education/high-nSES had lower all-cause mortality [HR 0.70 (0.54-0.90)] and non-significant lower mortality was observed for Asian American women, regardless of their education and nSES. Similar patterns were seen for BC-specific mortality. Individual- and neighborhood-level measures of SES interact with race/ethnicity to impact mortality after BC diagnosis. Considering the joint impacts of these social factors may offer insights to understanding inequalities by multiple social determinants of health.
• Subjects:
  Adult Aged Alcohol Drinking Alkyl And Aryl Transferases Asian Black Or African American Body Mass Index Breast Neoplasms Electron Transport Complex IV Female Health Behavior Health Status Disparities Hispanic Or Latino Humans Membrane Proteins Middle Aged Residence Characteristics Smoking Socioeconomic Factors White People

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• Source:
  J Community Health. 40(6):1287-1299.
• Pubmed ID:
  26072260
• Pubmed Central ID:
  PMC4628564
• Document Type:
  Journal Article
• Funding:
  UM1 CA164973/CA/NCI NIH HHS/United States ; R01 CA63446/CA/NCI NIH HHS/United States ; R01 CA77305/CA/NCI NIH HHS/United States ; HHSN26120100035C/PHS HHS/United States ; HD33175/HD/NICHD NIH HHS/United States ; HHSN26120100034C/PHS HHS/United States ; UM1CA164973/CA/NCI NIH HHS/United States ; U58 DP000807/DP/NCCDPHP CDC HHS/United States ; 1U58 DP000807-01/DP/NCCDPHP CDC HHS/United States ; K05 CA136967/CA/NCI NIH HHS/United States ; R01 CA077398/CA/NCI NIH HHS/United States ; R01 CA054281/CA/NCI NIH HHS/United States ; R01 CA77398/CA/NCI NIH HHS/United States ; R37CA54281/CA/NCI NIH HHS/United States ; R01 CA54281/CA/NCI NIH HHS/United States ; HHSN261201000140C/PHS HHS/United States ; HHSN261201000140/CA/NCI NIH HHS/United States ; U01 CA164973/CA/NCI NIH HHS/United States ; R37 CA054281/CA/NCI NIH HHS/United States ; N01-HD-3-3175/HD/NICHD NIH HHS/United States
• Place as Subject:
  California
• Volume:
  40
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:33d51693da609a231188f2042f21e0b696afa3caf333094f112ecf7b6be63003
• Download URL:
  https://stacks.cdc.gov/view/cdc/37793/cdc_37793_DS1.pdf
• File Type:
  [PDF - 553.70 KB ]