ArticleInternational journal of health geographics2010
Identification of racial disparities in breast cancer mortality: does scale matter?
Article in International journal of health geographics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Assessing spatial disparities: a Bayesian linear regression approach.Biostatistics (Oxford, England) · 2025Article
- A registry-based approach for estimating county-level race disparities in breast cancer mortality: an analysis in Georgia.American journal of epidemiology · 2025Article
- Associations of Household and Neighborhood Contexts and Hair Cortisol Among Mexican-Origin Adolescents From Low-Income Immigrant Families.Developmental psychobiology · 2024Article
- Breast Cancer Treatment Delay in SafetyNet Health Systems, Houston Versus Southeast Brazil.The oncologist · 2022Article
- Finding "Bright Spots": Using Multiple Measures to Examine Local-Area Racial Equity in Cancer Mortality Outcomes.American journal of epidemiology · 2021Article
- Racial/Ethnic Disparities in Mammogram Frequency Among Women With Intellectual Disability.Intellectual and developmental disabilities · 2019Article
- Area-level deprivation and preterm birth: results from a national, commercially-insured population.BMC public health · 2019Article
- Regional Variation in Disparities in Breast Cancer Specific Mortality Due to Race/Ethnicity, Socioeconomic Status, and Urbanization.Journal of racial and ethnic health disparities · 2017Article
- Geospatial relationships of air pollution and acute asthma events across the Detroit-Windsor international border: study design and preliminary results.Journal of exposure science & environmental epidemiology · 2014Article
- Racial disparities in treatment patterns and clinical outcomes in patients with HER2-positive metastatic breast cancer.Breast cancer research and treatment · 2013Observational
- Evaluating socioeconomic and racial differences in traffic-related metrics in the United States using a GIS approach.Journal of exposure science & environmental epidemiology · 2013Article
- The SUCCEED Legacy Grant program: enhancing community capacity to implement evidence-based interventions in breast and cervical cancer.Journal of health care for the poor and underserved · 2012Article
- Geographical, temporal and racial disparities in late-stage prostate cancer incidence across Florida: a multiscale joinpoint regression analysis.International journal of health geographics · 2011Article
- An ecological analysis of colorectal cancer incidence and mortality: differences by sexual orientation.BMC cancer · 2011Article
- Spatial association of racial/ethnic disparities between late-stage diagnosis and mortality for female breast cancer: where to intervene?International journal of health geographics · 2011Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundThis paper investigates the impact of geographic scale (census tract, zip code, and county) on the detection of disparities in breast cancer mortality among three ethnic groups in Texas (period 1995-2005). Racial disparities were quantified using both relative (RR) and absolute (RD) statistics that account for the population size and correct for unreliable rates typically observed for minority groups and smaller geographic units. Results were then correlated with socio-economic status measured by the percentage of habitants living below the poverty level.
resultsAfrican-American and Hispanic women generally experience higher mortality than White non-Hispanics, and these differences are especially significant in the southeast metropolitan areas and southwest border of Texas. The proportion and location of significant racial disparities however changed depending on the type of statistic (RR versus RD) and the geographic level. The largest proportion of significant results was observed for the RD statistic and census tract data. Geographic regions with significant racial disparities for African-Americans and Hispanics frequently had a poverty rate above 10.00%.
conclusionsThis study investigates both relative and absolute racial disparities in breast cancer mortality between White non-Hispanic and African-American/Hispanic women at the census tract, zip code and county levels. Analysis at the census tract level generally led to a larger proportion of geographical units experiencing significantly higher mortality rates for minority groups, although results varied depending on the use of the relative versus absolute statistics. Additional research is needed before general conclusions can be formulated regarding the choice of optimal geographic regions for the detection of racial disparities.
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