Black residential segregation, disparities in spatial access to health care facilities, and late-stage breast cancer diagnosis in metropolitan Detroit.
This study evaluates the role of black residential segregation and spatial access to health care in explaining the variation in late-stage diagnosis of breast cancer in metropolitan Detroit. Data pertaining to female breast cancer from 1998 to 2002 are obtained from the Michigan Cancer Surveillance...
| Publicado en: | Health & Place Vol. 16; no. 5; pp. 1038 - 1053 |
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| Autor principal: | |
| Formato: | research Journal Article |
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Elsevier B.V.
Sep2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104915874&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104915874 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13538292 GZ5 jtl: Health & Place issn: 13538292 maglogo: N pubinfo: dt: Sep2010 vid: 16 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 104915874 2010751001 10.1016/j.healthplace.2010.06.012 NLM20630792 104915874 ppf: 1038 ppct: 15 formats: tig: atl: Black residential segregation, disparities in spatial access to health care facilities, and late-stage breast cancer diagnosis in metropolitan Detroit. aug: au: Dai D affil: Department of Geosciences, Core Faculty in Partnership for Urban Health Research, Institute of Public Health, 33 Gilmer Street, Georgia State University, Atlanta, GA 30303, USA. ddai@gsu.edu sug: subj: Black Persons Statistics and Numerical Data Breast Neoplasms Ethnology Health Services Accessibility Prejudice Residence Characteristics Breast Neoplasms Diagnosis Breast Neoplasms Epidemiology Breast Neoplasms Pathology Diagnosis, Delayed Statistics and Numerical Data Female Human Michigan Neoplasm Staging Social Class Female ab: This study evaluates the role of black residential segregation and spatial access to health care in explaining the variation in late-stage diagnosis of breast cancer in metropolitan Detroit. Data pertaining to female breast cancer from 1998 to 2002 are obtained from the Michigan Cancer Surveillance Program. An isolation index is used to assess black segregation. The 2-step floating catchment area approach integrated with a Gaussian function is used to estimate the health care access. While socioeconomic factors at ZIP code level are controlled, ordinary least squares and spatial lag models are used to explore the association between the rates of late-stage diagnosis and segregation and health care access. Results suggest that living in areas with greater black segregation and poorer mammography access significantly increases the risk of late diagnosis of breast cancer. Disadvantaged populations including those with low socioeconomic status or sociocultural barriers tend to experience high rates of late diagnosis. Findings emphasize the need for heightened screening, surveillance, and intervention programs in these areas. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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