Affluence Does Not Influence Breast Cancer Outcomes in African American Women

The aim of this study was to determine the impact of race and socioeconomic status on breast tumor clinicopathological features and survival outcomes. This study used breast cancer data from the Washington D.C. Cancer Registry (2000- 2010). Logistic regression and survival analysis assessed the asso...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2018-02, Vol.29 (1), p.509-529
Main Authors: Ricks-Santi, Luisel J, Barley, Brittany, Winchester, Danyelle, Sultan, Dawood, McDonald, John, Kanaan, Yasmine, Pearson-Fields, Amari, Sutton, Arnethea L, Sheppard, Vanessa, Williams, Carla
Format: Article
Language:English
Subjects:
Affluence
African Americans
Aged
Biology
Black or African American - statistics & numerical data
Breast cancer
Breast Neoplasms - ethnology
Breast Neoplasms - pathology
Breast Neoplasms - therapy
Cancer
District of Columbia - epidemiology
Female
Geography
Health risk assessment
Hispanic or Latino - statistics & numerical data
Humans
Middle Aged
Mortality
Neoplasm Staging
Patients
Race
Recurrence
Registries
Regression analysis
Social Class
Social factors
Socioeconomic factors
Socioeconomic status
Socioeconomics
Survival
Survival Analysis
Treatment Outcome
Trends
Variables
White People - statistics & numerical data
Women
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Summary:The aim of this study was to determine the impact of race and socioeconomic status on breast tumor clinicopathological features and survival outcomes. This study used breast cancer data from the Washington D.C. Cancer Registry (2000- 2010). Logistic regression and survival analysis assessed the association between race, socioeconomic (SES) variables, clinicopathological variables, recurrence-free survival and overall survival. African American (AA) breast cancer patients had an increased risk for stage III, ER-, and PR-breast cancer compared with White and Hispanic breast cancer patients. Additionally, D.C. geographical areas of lower socioeconomic status had higher incidences of stage III and stage IV breast cancer. A nested analysis demonstrated that AAs with higher median incomes compared with AAs with lower incomes revealed no differences for clinicopathological variables, nor were differences found between overall and recurrence-free survival. This study suggests that the biology of breast cancer in AAs could be driving breast cancer disparities.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2018.0034