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Journal of Community Health
Published in: Journal of Community Health 6/2015

01-12-2015 | Original Paper

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

Authors: Salma Shariff-Marco, Juan Yang, Esther M. John, Allison W. Kurian, Iona Cheng, Rita Leung, Jocelyn Koo, Kristine R. Monroe, Brian E. Henderson, Leslie Bernstein, Yani Lu, Marilyn L. Kwan, Richard Sposto, Cheryl L. P. Vigen, Anna H. Wu, Theresa H. M. Keegan, Scarlett Lin Gomez

Published in: Journal of Community Health | Issue 6/2015

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Abstract

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.
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Metadata
Title
Intersection of Race/Ethnicity and Socioeconomic Status in Mortality After Breast Cancer
Authors
Salma Shariff-Marco
Juan Yang
Esther M. John
Allison W. Kurian
Iona Cheng
Rita Leung
Jocelyn Koo
Kristine R. Monroe
Brian E. Henderson
Leslie Bernstein
Yani Lu
Marilyn L. Kwan
Richard Sposto
Cheryl L. P. Vigen
Anna H. Wu
Theresa H. M. Keegan
Scarlett Lin Gomez
Publication date
01-12-2015
Publisher
Springer US
Published in
Journal of Community Health / Issue 6/2015
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-015-0052-y

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