Social Class and Black-White Differences in Breast Cancer Survival.
Abstract: In the United States, Blacks have poorer survival rates than Whites for breast cancer. The root of this difference--social or genetic--is unclear. Utilizing the Western Washington Cancer Surveillance System and 1980 Census block group data, we examined social class and race as predictors o...
| Publicado en: | American Journal of Public Health Vol. 76; no. 12; pp. 1400 - 1404 |
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| Autores principales: | , |
| Formato: | Journal Article |
| Publicado: |
American Public Health Association
Dec1986
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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=4693118&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 4693118 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec1986 vid: 76 iid: 12 pid: 44 pub: American Public Health Association place: Washington, District of Columbia artinfo: ui: 4693118 4693118 10.2105/AJPH.76.12.1400 4693118 ppf: 1400 ppct: 4 formats: tig: atl: Social Class and Black-White Differences in Breast Cancer Survival. aug: au: Bassett, Mary T. Krieger, Nancy affil: Robert Wood Johnson Clinical Scholars Program, University of Washington sug: ab: Abstract: In the United States, Blacks have poorer survival rates than Whites for breast cancer. The root of this difference--social or genetic--is unclear. Utilizing the Western Washington Cancer Surveillance System and 1980 Census block group data, we examined social class and race as predictors of breast cancer survival in 1,506 women during their first 11 years following diagnosis (251 Blacks, 1,255 Whites). In a Cox regression model, after adjustment for Black-White differences in age, stage, and histology, Black mortality was 1.35 times that of Whites (95%CI = 1.05-1.72). Following additional adjustment for social class, as measured by a variety of block group characteristics, Black mortality was only 1.10 times that of Whites (95%CI = 0.83-1.46). In both Blacks and Whites, poorer social class was a powerful determinant of shortened survival. These results indicate that the observed breast cancer survival differences between Black and White women today in the US today is substantially due to the poorer social class standing of Blacks. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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