ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Identifying risk factors for disparities in breast cancer mortality among African-American and Hispanic women.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Influence of geographic access and socioeconomic characteristics on breast cancer outcomes: A systematic review.PloS one · 2022Pooled it
- Geographic Access to Mammography and Its Relationship to Breast Cancer Screening and Stage at Diagnosis: A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- Zip-Code Level Disadvantage as a Predictor of Metastatic Breast Cancer at Diagnosis and Delayed Treatment Initiation.Annals of surgical oncology · 2026Article
- Critical analyses of Latina mortality: disentangling the heterogeneity of ethnic origin, place, nativity, race, and socioeconomic status.BMC public health · 2024Review
- Social Justice and Equity: Why Older Adults With Cancer Belong-A Life Course Perspective.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2022Article
- Racial Disparities in Diagnostic Delay Among Women With Breast Cancer.Journal of the American College of Radiology : JACR · 2021Article
- Attendance at National Cancer Institute and Children's Oncology Group Facilities for Children, Adolescents, and Young Adults with Cancer in Pennsylvania: A Population-Based Study.Journal of adolescent and young adult oncology · 2020Article
- Ethnic and biological differences in the association between physical activity and survival after breast cancer.NPJ breast cancer · 2020Article
- Multiple mediation analysis with survival outcomes: With an application to explore racial disparity in breast cancer survival.Statistics in medicine · 2019Article
- Patterns of Cancer Related Health Disparities in Arizona.Cancer health disparities · 2019Article
- Breast Cancer Incidence and Mortality by Molecular Subtype: Statewide Age and Racial/Ethnic Disparities in New Jersey.Cancer health disparities · 2019Article
- Literature review of data-based models for identification of factors associated with racial disparities in breast cancer mortality.Health systems (Basingstoke, England) · 2019Review
- Article
- "For lack of knowledge, our people will perish": Using focus group methodology to explore African-American communities' perceptions of breast cancer and the environment.Environment international · 2018Article
- Racial and geographic disparities in adherence and discontinuation to adjuvant endocrine therapy in Texas Medicaid-insured patients with breast cancer.Medical oncology (Northwood, London, England) · 2018Article
- Is there an association between spatial accessibility of outpatient care and utilization? Analysis of gynecological and general care.BMC health services research · 2018Article
- Latina young adults' use of health care during initial months in the United States.Health care for women international · 2018Article
- Cultural and emotional determinants of cervical cancer screening among older Hispanic women.Health care for women international · 2017Article
- Relationships between social isolation, neighborhood poverty, and cancer mortality in a population-based study of US adults.PloS one · 2017Article
- Availability of Advanced Breast Imaging at Screening Facilities Serving Vulnerable Populations.Journal of medical screening · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThis study evaluated the risk factors associated with racial disparities in female breast cancer mortality for African-American and Hispanic women at the census tract level in Texas from 1995 to 2005.
methodsData on female breast cancer cases were obtained from the Texas Cancer Registry. Socioeconomic and demographic data were collected from Census 2000. Network distance and driving times to mammography facilities were estimated using Geographic Information System techniques. Demographic, poverty and spatial accessibility factors were constructed using principal component analysis. Logistic regression models were developed to predict the census tracts with significant racial disparities in breast cancer mortality based on racial disparities in late-stage diagnosis and structured factors from the principal component analysis.
resultsLate-stage diagnosis, poverty factors, and demographic factors were found to be significant predictors of a census tract showing significant racial disparities in breast cancer mortality. Census tracts with higher poverty status were more likely to display significant racial disparities in breast cancer mortality for both African Americans (odds ratio [OR], 2.43; 95% confidence interval [CI], 1.95-3.04) and Hispanics (OR, 5.30; 95% CI, 4.26-6.59). Spatial accessibility was not a consistent predictor of racial disparities in breast cancer mortality for African-American and Hispanic women.
conclusionPhysical access to mammography facilities does not necessarily reflect a greater utilization of mammogram screening, possibly owing to financial constraints. Therefore, a metric measuring access to health care facilities is needed to capture all aspects of access to preventive care. Despite easier physical access to mammography facilities in metropolitan areas, great resources and efforts should also be devoted to these areas where racial disparities in breast cancer mortality are often found.
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