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Journal article
Social Determinants of Racial Disparities in Breast Cancer Mortality Among Black and White Women
Journal of racial and ethnic health disparities, v 8(1), pp 147-156
01 Feb 2021
PMID: 32385849
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction Mortality from breast cancer among Black women is 60% greater than that of White women in South Carolina (SC). The aim of this study was to assess racial differences in mortality among Black and White breast cancer patients based on variations in social determinants and access to state-based early detection programs. Methods We obtained a retrospective record for breast cancer patients diagnosed between 2002 and 2010 from the SC Central Cancer Registry. Mortality was the main outcome while race-stratified Cox proportional hazard models were performed to assess disparities in mortality. We assessed effect modification, and we used an automated backward elimination process to obtain the best fitting models. Results There were 3286 patients of which the majority were White women (2186, 66.52%). Compared with married White women, the adjusted hazard ratio (aHR) for mortality was greatest among Black unmarried women (aHR 2.31, CI 1.83, 2.91). Compared with White women who lived in the Low Country region mortality was greatest among Black women who lived in the Midland (aHR 2.17 CI 1.47, 3.21) and Upstate (aHR 2.96 CI 1.96, 2.49). Mortality was higher among Black women that were not receiving services in the Best Chance Network (BCN) program (aHR 1.70, CI 1.40, 2.04) compared with White women. Conclusions To reduce the racial disparity gap in survival in SC, Black breast cancer patients who live in the Upstate, are unmarried, and those that are not enrolled in the BCN program may benefit from more intense navigation efforts directed at early detection and linkage to breast cancer treatments.
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Details
- Title
- Social Determinants of Racial Disparities in Breast Cancer Mortality Among Black and White Women
- Creators
- Oluwole Adeyemi Babatunde - University of South CarolinaJan M. Eberth - University of South CarolinaTisha Felder - University of South CarolinaRobert Moran - University of South CarolinaSamantha Truman - University of South CarolinaJames R. Hebert - University of South CarolinaJiajia Zhang - University of South CarolinaSwann Arp Adams - University of South Carolina
- Publication Details
- Journal of racial and ethnic health disparities, v 8(1), pp 147-156
- Publisher
- Springer Nature
- Number of pages
- 10
- Grant note
- R15CA179355 / National Cancer Institute's R15 grant GTDR17500160 / Interdisciplinary Graduate Training Program in Cancer Disparities (IGniTE-CD) program - Susan G. Komen 1 F99 CA 222722 / National Cancer Institute's F99/K00 Fellowship grant
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000531147700002
- Scopus ID
- 2-s2.0-85084438599
- Other Identifier
- 991021855181204721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health