The Influence of Social Determinants on Late Stage Breast Cancer for Women in Mississippi

• Published in: Journal of racial and ethnic health disparities 2017-02, Vol.4 (1), p.104-111
• Main Author: Fortune, Melody L.
• Format: Article
• Language: English
• Subjects: African Americans; African Americans - statistics & numerical data; Bivariate analysis; Breast cancer; Breast Neoplasms - diagnosis; Breast Neoplasms - ethnology; Chronic illnesses; Delayed Diagnosis - statistics & numerical data; Diagnosis; Economic hardship; Epidemiology; European Continental Ancestry Group - statistics & numerical data; Female; Health behavior; Health care policy; Health disparities; Health insurance; Health status; Health Status Disparities; Humans; Impact analysis; Income; Income - statistics & numerical data; Insurance; Insurance coverage; Insurance, Health - statistics & numerical data; Medical diagnosis; Medicine; Medicine & Public Health; Mississippi - epidemiology; Mortality; Neoplasm Staging; Premature mortality; Quality of Life Research; Race; Risk factors; Social Determinants of Health - ethnology; Social factors; Social Inequality; Social Structure; Statistical analysis; Women; Womens health
• ISSN: 2197-3792; 2196-8837
• DOI: 10.1007/s40615-016-0207-2

Introduction Breast cancer is the most common diagnosed cancer in women exacting an emotional and economic hardship for them and their families. There are no known causes of breast cancer, but there are certain genetic, social, and environment risk factors that pre-dispose women to this disease. Also, diagnosis at later stages of disease has been shown to have adverse outcomes for many as compared to early stages. The social determinants researched to examine their influence on breast cancer outcomes were race, health insurance, and income. The results of this study confirmed that race and health insurance were the two major factors that negatively impacted stages of breast cancer diagnoses. Purpose The purpose of this study was to investigate the influence that social determinants have on stage of breast cancer diagnoses. This research focused on three social determinants that research demonstrated had an influence on stages of breast cancer diagnoses (race, income, and lack of health insurance). Methods Bivariate analyses were conducted to examine the relationships between race and income, race and health insurance, and race and stage of diagnosis. The findings confirmed what was suspected for Mississippians; more African Americans had lower incomes, had less health insurance coverage, and were diagnosed at later stages of breast cancer disease. Results Only race and health insurance directly affected late stage diagnosis in analyses for this study. The influence of income on stage of breast cancer diagnosis was not statistically significant. The results of these analyses demonstrated that African American women in Mississippi were disproportionately diagnosed at late stage breast cancer as opposed to early stage. Conclusions An individual cannot alter the genetic factor of race, but some of the disparate health outcomes that appear to be associated with race may be behavioral or socio-economically based and can be addressed, which could impact health outcomes. Adequate health insurance could positively impact stage of breast cancer diagnoses, ultimately reducing health disparities and premature death.