Evidence map›Paper›PMID 40770199›Full record

ArticleNPJ breast cancer2025

Associations between social drivers of health and breast cancer stage at diagnosis among U.S. Black women.

Mollie E Barnard, Bo Qin, Marc A Emerson, Etienne X Holder, Matthew R Dunn, Shromona Sarkar, Nuo N Xu, Yutong Li, Christine B Ambrosone, Elisa V Bandera and 4 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Mollie E BarnardSlone Epidemiology Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. barnard@bu.edu.
Bo QinRutgers Cancer Institute, New Brunswick, NJ, USA.
Marc A EmersonUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Etienne X HolderSlone Epidemiology Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Matthew R DunnUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Shromona SarkarRutgers Cancer Institute, New Brunswick, NJ, USA.
Nuo N XuSlone Epidemiology Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Yutong LiDivision of Biostatistics/Bioinformatics, Thomas Jefferson University, Philadelphia, PA, USA.
Christine B AmbrosoneRoswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Elisa V BanderaRutgers Cancer Institute, New Brunswick, NJ, USA.
Julie R PalmerSlone Epidemiology Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Melissa A TroesterUniversity of North Carolina Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Terry HyslopDivision of Biostatistics/Bioinformatics, Thomas Jefferson University, Philadelphia, PA, USA.
Breast Cancer Research Foundation’s Health Equity Initiative

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Tissue Procurement & PathologyP50CA058223 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENJAMIN CARLISLE CALHOUN · 1992 to 2026
$59.3M
A Follow-up Study for Causes of Cancer in Black WomenU01CA164974 · NCI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Kimberly A. Bertrand, Yvette C Cozier · 2017 to 2026
$24.0M
Obesity, related comorbidities, and breast cancer outcomes in African AmericansR01CA185623 · NCI · RBHS -CANCER INSTITUTE OF NEW JERSEY · PI BANDERA, ELISA V, DEMISSIE, KITAW · 2014 to 2018
$6.2M
Race &Risk Factors for Early/Aggressive Breast CancerR01CA100598 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI AMBROSONE, CHRISTINE B. · 2004 to 2008
$4.8M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
P53, DNA Repair Imbalance, and Immune Response in Breast Cancer Mortality DisparitiesR01CA253450 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KATHERINE A. HOADLEY, Melissa A. Troester · 2021 to 2026
$3.6M
Cancer Care Quality Training ProgramT32CA116339 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ETHAN M. BASCH, Stephanie Brooke Wheeler · 2018 to 2026
$3.0M
The DARC side of Breast Cancer Disparities - African Ancestry and Cancer- Related Immune ResponseR01CA259396 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI DAVIS, MELISSA B, YATES, CLAYTON · 2021 to 2025
$2.4M
CANCER GRAND CHALLENGES 2024 SOCIETAL, ANCESTRY, MOLECULAR AND BIOLOGICAL ANALYSES OF INEQUALITIES (SAMBAI) Morehouse School of MedicineOT2CA297574 · NCI · MOREHOUSE SCHOOL OF MEDICINE · PI DAVIS, MELISSA B · 2024 to 2024
$614k
American Cancer Society RSG-23-1143513-01-CTPSAmerican Cancer Society RSG-24-1321373-01-ESEDNCI NIH HHS OT2 CA297574NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA058223NCI NIH HHS R01 CA100598NCI NIH HHS R01 CA185623NCI NIH HHS R01 CA253450NCI NIH HHS R01 CA259396NCI NIH HHS T32 CA057726NCI NIH HHS T32 CA116339NCI NIH HHS U01 CA164974NIH HHS P50 CA058223NIH HHS R01 CA100598NIH HHS R01 CA185623NIH HHS T32 CA116339NIH HHS U01 CA164974Susan G. Komen ASP231042218Susan G. Komen OG22873776Susan G. Komen SAC220228U.S. Department of Defense HT94252310235
6 · The paper itself

Abstract

U.S. Black women have disproportionately high breast cancer mortality, partly due to later-stage diagnoses. We examined how social drivers of health (SDOH) relate to stage at diagnosis by analyzing data from 4,995 breast cancer survivors in the Black Women's Health Study, Carolina Breast Cancer Study, and Women's Circle of Health Studies. SDOH were self-reported and stage was ascertained from medical records. We used polytomous logistic regression to estimate odds ratios (ORs) for diagnosis at stages III/IV or II versus stage I (referent), adjusting for age, insurance status, and income. Meta-analyzed results indicated that underutilization of screening mammography (OR = 3.21, 95% CI 1.90-5.43) and income below the federal poverty line (OR = 1.91, 95% CI 1.17-3.10) were significantly associated with later stage diagnosis (III/IV). ORs for lack of insurance and lower education were above 1.0, but not consistently statistically significant. These findings substantiate the importance of the affordability and utilization of breast cancer screening.

Identifiers

PMID40770199
PMCPMC12328792

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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.