Evidence map›Paper›PMID 34415571›Full record

ArticleCancer2021

Individual- and neighborhood-level socioeconomic status and risk of aggressive breast cancer subtypes in a pooled cohort of women from Kaiser Permanente Northern California.

Rhonda-Lee F Aoki, Stephen P Uong, Scarlett Lin Gomez, Stacey E Alexeeff, Bette J Caan, Lawrence H Kushi, Jacqueline M Torres, Alice Guan, Alison J Canchola, Brittany N Morey and 2 more

Abstract read
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Breast cancer polygenic risk score performance varies by socioeconomic status.medRxiv : the preprint server for health sciences · 2026
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  11. A Neighborhood-Level Hispanic Paradox: The Interaction among Hispanic Density, Neighborhood Disadvantage, and Survival in Patients with Breast Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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  15. Disparities in OncotypeDx Testing and Subsequent Chemotherapy Receipt by Geography and Socioeconomic Status.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rhonda-Lee F AokiDivision of Research, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0003-0403-9968
Stephen P UongDivision of Research, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0002-4771-433X
Scarlett Lin GomezDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.ORCID 0000-0002-5143-4867
Stacey E AlexeeffDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Bette J CaanDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Lawrence H KushiDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Jacqueline M TorresDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Alice GuanDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Alison J CancholaDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Brittany N MoreyDepartment of Health, Society, and Behavior, University of California Irvine, Irvine, California.
Katherine LinDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Candyce H KroenkeDivision of Research, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0002-6128-3118

Funding

Prospective Study of Breast Cancer SurvivorshipR01CA105274 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KUSHI, LAWRENCE H · 2004 to 2014
$19.9M
Infrastructure for Pathways, a Prospective Study of Breast Cancer SurvivorshipU01CA195565 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI AMBROSONE, CHRISTINE B., KUSHI, LAWRENCE H · 2016 to 2025
$18.8M
Life-course social adversity, pesticide exposure, and cognitive outcomes among an ongoing cohort of mid-life Latina women in an under served agricultural regionR01AG069090 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TORRES, JACQUELINE MARIE · 2020 to 2024
$7.8M
Social networks and disparities in health behaviors and breast cancer outcomes in immigrant womenR01CA230440 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI KROENKE, CANDYCE H · 2019 to 2024
$3.2M
Long Term Health Outcomes in Breast Cancer SurvivorsR01CA106764 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CAAN, BETTE J · 2004 to 2007
$2.1M
A cross-national perspective on social integration and cognitive aging for Mexican-origin adults in the U.S. and Mexico: Quantifying the effects of both local and cross-border social integrationK01AG056602 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TORRES, JACQUELINE MARIE · 2017 to 2021
$652k
A lifecourse approach to evaluating the effect of structural stigma on cancer risk factors among sexual minoritiesF31CA257351 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GUAN, ALICE · 2021 to 2023
$114k
NCI NIH HHS F31 CA257351NCI NIH HHS R01 CA105274NCI NIH HHS R01 CA106764NCI NIH HHS R01 CA230440NCI NIH HHS U01 CA195565NIA NIH HHS K01 AG056602NIA NIH HHS R01 AG069090
6 · The paper itself

Abstract

backgroundLow socioeconomic status (SES) has been associated with a higher risk of aggressive breast cancer (BC) subtypes, but few studies have examined the independent effects of both neighborhood-level socioeconomic status (nSES) and individual-level SES measures.

methodsThis study included 5547 women from the Pathways and Life After Cancer Epidemiology cohorts who were diagnosed with invasive BC. Generalized estimating equation models were used to examine associations of nSES (a composite score based on income, poverty, education, occupation, employment, rent, and house value) and individual-level SES (income and education) with BC subtypes: luminal B (LumB), Her2-enriched (Her2-e), and triple-negative breast cancer (TNBC) relative to luminal A (LumA). Models controlled for age, race, nativity, stage, days from diagnosis to survey, and study cohort and simultaneously for nSES and individual-level SES.

resultsIn fully adjusted models, low nSES was significantly associated with the LumB (odds ratio for quartile 1 vs quartile 4 [OR

conclusionsnSES and individual-level SES are independently associated with different BC subtypes; specifically, low nSES and individual-level education are independent predictors of more aggressive BC subtypes relative to LumA.

Indexed as

Breast NeoplasmsTriple Negative Breast NeoplasmsCaliforniaFemaleHumansOncogenesResidence CharacteristicsSocial Classbreast neoplasmsCaliforniaestrogen receptorsprogesterone receptorsocial classwomen

Identifiers

PMID34415571
PMCPMC8997171

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.