ArticleAnnals of epidemiology2021
Neighborhood archetypes and breast cancer survival in California.
Article in Annals of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Relationships Between Living in Ethnic Enclaves and Cancer Outcomes: A Systematic Review of Literature.Journal of racial and ethnic health disparities · 2026Pooled it
- Built environment (BE) and cancer: a systematic review of the BE's impact during the treatment journey and patient outcomes.Cancer causes & control : CCC · 2026Pooled it
- Impact of neighborhood archetypes on overall mortality among young patients with acute leukemia in California.Cancer · 2025Article
- Reconceptualizing rurality: Exploring community capital to identify distinct rural classes in the United States.SSM - population health · 2025Article
- Article
- Impact of Structural Racism and Social Determinants of Health on Disparities in Breast Cancer Mortality.Cancer research · 2024Review
- Neighborhood Deprivation and Breast Cancer Mortality Among Black and White Women.JAMA network open · 2024Article
- Neighborhood Archetypes and Cardiovascular Health in Black Breast Cancer Survivors.JACC. CardioOncology · 2024Article
- A tale of many neighborhoods: Latent profile analysis to derive a national neighborhood typology for the US.Health & place · 2024Article
- Perceived Neighborhood Characteristics and Later-Life Pain Outcomes: Evidence From the Health and Retirement Study.Journal of aging and health · 2024Article
- Isolation and survival: The impact of local and MSA isolation on survival among non-Hispanic Black women diagnosed with breast cancer in the United States using a SEER-Medicare cohort.Health & place · 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
- Neighborhood disadvantage and biological aging biomarkers among breast cancer patients.Scientific reports · 2022Article
- Breast Cancer Disparities and the Impact of Geography.Surgical oncology clinics of North America · 2022Review
- Evaluating the Impact of Social and Built Environments on Health-Related Quality of Life among Cancer Survivors.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
- Integrating Electronic Health Record, Cancer Registry, and Geospatial Data to Study Lung Cancer in Asian American, Native Hawaiian, and Pacific Islander Ethnic Groups.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposePrevious studies on neighborhoods and breast cancer survival examined neighborhood variables as unidimensional measures (e.g. walkability or deprivation) individually and thus cannot inform how the multitude of highly correlated neighborhood domains interact to impact breast cancer survival. Neighborhood archetypes were developed that consider interactions among a broad range of neighborhood social and built environment attributes and examine their associations with breast cancer survival.
methodsArchetypes were measured using latent class analysis (LCA) fit to California census tract-level data. Thirty-nine social and built environment attributes relevant to eight neighborhood domains (socioeconomic status (SES), urbanicity, demographics, housing, land use, commuting and traffic, residential mobility, and food environment) were included. The archetypes were linked to cancer registry data on breast cancer cases (diagnosed 1996-2005 with follow-up through Dec 31, 2017) to evaluate their associations with overall and breast cancer-specific survival using Cox proportional hazards models. Analyses were stratified by race/ethnicity.
resultsCalifornia neighborhoods were best described by nine archetypal patterns that were differentially associated with overall and breast cancer-specific survival. The lowest risk of overall death was observed in the upper middle class suburb (reference) and high status neighborhoods, while the highest was observed among inner city residents with a 39% greater risk of death (95% CI = 1.35 to 1.44). Results were similar for breast cancer-specific survival. Stratified analyses indicated that differences in survival by neighborhood archetypes varied according to individuals' race/ethnicity.
conclusionsBy describing neighborhood archetypes that differentiate survival following breast cancer diagnosis, the study provides direction for policy and clinical practice addressing contextually-rooted social determinants of health including SES, unhealthy food environments, and greenspace.
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