ArticleJournal of urban health : bulletin of the New York Academy of Medicine2017
Impact of Urban Neighborhood Disadvantage on Late Stage Breast Cancer Diagnosis in Virginia.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 33 citations in OpenAlex.
- The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials.PloS one · 2020Trial
- Distinct Sources of Social Adversity, Stress, and Coping Mechanisms among Patients with Breast Cancer to Identify Areas for Intervention.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Structural racism and breast cancer stage at presentation in a South Florida majority-minority population: a retrospective study.Lancet regional health. Americas · 2025Article
- Does Neighborhood Socioeconomic Status Alter Memory Change Associated with a Cancer Diagnosis? Preliminary Evidence from the US Health and Retirement Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Article
- Historical Redlining, Persistent Mortgage Discrimination, and Race in Breast Cancer Outcomes.JAMA network open · 2024Article
- Effects of neighborhood disadvantage on cortisol and interviewer-rated anxiety symptoms in breast cancer patients initiating treatment.Breast cancer research and treatment · 2023Article
- Social Risk Factors That Increase Cardiovascular and Breast Cancer Risk.Current cardiology reports · 2023Review
- Racial and regional disparities in deaths in breast cancer.Medical oncology (Northwood, London, England) · 2023Article
- Neighborhood Disadvantage and Breast Cancer-Specific Survival.JAMA network open · 2023Article
- Area-level Socioeconomic Disadvantage and Cancer Survival in Metropolitan Detroit.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023Article
- Redlining-associated methylation in breast tumors: the impact of contemporary structural racism on the tumor epigenome.Frontiers in oncology · 2023Article
- Neighborhood disadvantage and lung cancer risk in a national cohort of never smoking Black women.Lung cancer (Amsterdam, Netherlands) · 2022Article
- Interconnected Clinical and Social Risk Factors in Breast Cancer and Heart Failure.Frontiers in cardiovascular medicine · 2022Review
- Spatial analysis of colorectal cancer outcomes and socioeconomic factors in Virginia.BMC public health · 2021Article
- Disadvantaged neighborhoods and racial disparity in breast cancer outcomes: the biological link.Cancer causes & control : CCC · 2019Review
- Neighborhood Social Determinants of Triple Negative Breast Cancer.Frontiers in public health · 2019Article
- Developing a Priority Scoring Index for Mobile Mammography Sites: Considerations for Screening Access in Rural and Remote Settings.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Research suggests that residents of inner-city urban neighborhoods have higher rates of late stage cancer diagnosis. Identifying urban neighborhoods with high rates of both concentrated disadvantage and late stage cancer diagnosis may assist health care providers to target screening interventions to reduce disparities. The purposes of this study were to (1) create an index to evaluate concentrated disadvantage (CD) using non-racial measures of poverty, (2) determine the impact of neighborhood CD on late stage breast cancer diagnosis in US cities, and (3) to understand the role of obesity on this relationship. We used census block group- (CBG) level poverty indicators from five Virginia cities to develop the index. Breast cancer cases of women aged 18-65 who lived in the five cities were identified from the 2000-2012 Virginia Cancer Registry. A logistic regression model with random intercept was used to evaluate the impact of disadvantage on late stage breast cancer diagnosis. CBG-level maps were developed to geographically identify neighborhoods with both high rates of CD and late breast cancer staging. Over 900 CBGs and 6000 breast cases were included. Global fit of the concentrated disadvantage model was acceptable. The effect of disadvantage on late stage was significant (OR = 1.0083, p = 0.032). Inner-city poverty impacts risk of late stage breast cancer diagnosis. Area-level obesity is highly correlated with neighborhood poverty (ρ = 0.74, p < 0.0001) but the mediating direct and indirect effects are non-significant. Intervening in these high poverty neighborhoods may help combat disparities in late stage diagnosis for urban poor and for minorities living in these underserved neighborhoods, but more study is needed to understanding the complex relationship between concentrated neighborhood poverty, obesity, and late stage diagnosis.
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