Evidence map›Paper›PMID 41809392›Full record

ArticleCancer management and research2026

Impact of Ethnic Differences and HER2 Protein Expression on the Age at Breast Cancer Diagnosis: A Mixed Methods Study.

Martinlina Seranline Karutjaiva, Yapo Guillaume Aboua, Beauty Etinosa Omoruyi, Festus Shafodino, Ramadhani Chambuso, Lamech M Mwapagha, Vincent Ifeanyi Okudoh

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Article in Cancer management and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

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7 authors.

Martinlina Seranline KarutjaivaDepartment of Health Sciences, Namibia University of Science and Technology, Windhoek, Namibia.
Yapo Guillaume AbouaDepartment of Health Sciences, Namibia University of Science and Technology, Windhoek, Namibia.
Beauty Etinosa OmoruyiDepartment of Biotechnology and Consumer Science, Cape Peninsula University of Technology, Cape Town, South Africa.
Festus ShafodinoDepartment of Biology, Chemistry and Physics, Namibia University of Science and Technology, Windhoek, Namibia.
Ramadhani ChambusoDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0001-9178-7539
Lamech M MwapaghaDepartment of Biology, Chemistry and Physics, Namibia University of Science and Technology, Windhoek, Namibia.
Vincent Ifeanyi OkudohDepartment of Biotechnology and Consumer Science, Cape Peninsula University of Technology, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Despite advances in breast cancer (BC) research, a significant research gap remains in understanding the interplay of ethnicity, Human Epidermal Growth Factor Receptor 2 (HER2) protein expression and age at BC diagnosis, particularly in underrepresented minority populations from Africa. We analyzed variations in HER2 protein expression and ethnic differences in age at BC diagnosis across indigenous Namibian and American women diagnosed with BC. Methods: Using a mixed methods study, we analyzed case series cohort from 1,953 women all diagnosed with invasive BC, including 98 indigenous Namibian women and 1855 American women retrieved from the cBioPortal database. HER2 positivity rate was obtained by staining breast tissue biopsies and quantifying HER2 protein expression, with this study accessing the data retrospectively. We stratified participants by ethnicity and compared age at BC diagnosis and HER2 status to elucidate disparities. Chi-square test for proportions, Results: Indigenous Namibian women were diagnosed with BC significantly with a younger age compared to American women (White, p<0.0001, and African American p=0.0035). In a logistic regression analysis, African American women with BC had significantly lower odds of HER2-positive status compared to White women (OR = 0.52, p < 0.001). The cumulative probability analysis further delineated the probabilities for age at BC diagnosis according to ethnic disparities with indigenous Namibian, Asian, and African American women showing significant higher probabilities for younger ages at BC diagnosis compared to White women (p<0.0001, p=0.0035, and p=0.0057, respectively). Conclusion: Ethnic disparities and the variations in HER2 protein expression and age at BC diagnosis between indigenous Namibian and American women diagnosed with BC necessitate tailored population genetics and geographical differences in BC screening approach to address global BC screening equity.

Indexed as

age at breast cancer diagnosisbreast cancerethnicityhuman epidermal growth factor receptor 2immunohistochemistryNamibia

Identifiers

PMID41809392
PMCPMC12968034

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