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Cancer Causes & Control
Published in: Cancer Causes & Control 2/2019

01-02-2019 | Breast Cancer | Original Paper

Predictors of breast cancer mortality among white and black women in large United States cities: an ecologic study

Authors: Bijou R. Hunt, Abigail Silva, Derrick Lock, Marc Hurlbert

Published in: Cancer Causes & Control | Issue 2/2019

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Abstract

Purpose

We employed a city-level ecologic analysis to assess predictors of race-specific (black and white) breast cancer mortality rates.

Methods

We used data from the National Center for Health Statistics and the US Census Bureau to calculate 2010–2014 race-specific breast cancer mortality rates (BCMR) for 47 of the largest US cities. Data on potential city-level predictors (e.g., socioeconomic factors, health care resources) of race-specific BCMR were obtained from various publicly available datasets. We constructed race-specific multivariable negative binomial regression models to estimate rate ratios (RR) and 95% confidence intervals (CIs).

Results

Predictors of the white BCMR included white/black differences in education (RR 0.95; CI 0.91–0.99), number of religious congregations (RR 0.87; CI 0.77–0.97), and number of Medicare primary care physicians (RR 1.15; CI 1.04–1.28). Predictors of the black rate included white/black differences in household income (RR 1.03; CI 1.01–1.05), number of mammography facilities (RR 1.07; CI 1.03–1.12), and mammogram use (RR 0.93; CI 0.89–0.97).

Conclusions

Our ecologic analysis found that predictors of breast cancer mortality differ for the black and white rate. The results of this analysis could help inform interventions at the local level.
Appendix
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Metadata
Title
Predictors of breast cancer mortality among white and black women in large United States cities: an ecologic study
Authors
Bijou R. Hunt
Abigail Silva
Derrick Lock
Marc Hurlbert
Publication date
01-02-2019
Publisher
Springer International Publishing
Published in
Cancer Causes & Control / Issue 2/2019
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-018-1125-x

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