Color or money?: The impact of socioeconomic status and race/ethnicity on breast cancer mortality - 08/12/22
, Oluwasegun Akinyemi, Joseph Tran, Hana Baig, Edward E. Cornwell, Wayne A. Frederick, Lori L. WilsonAbstract |
Background |
Although the incidence of breast cancer is highest in White women, Black women die at a higher rate. Our aim was to compare the relative association between race/ethnicity and socioeconomic status on breast cancer mortality.
Methods |
We identified female breast cancer patients diagnosed between 2007 - 2011 and followed through 2016 in the SEER database. Patients were grouped into socioeconomic quartiles by a prosperity index. The primary outcome of interest was 5-year cancer-specific survival.
Results |
A total of 286,520 patients were included. Five-year survival was worst for Black women compared to other races/ethnicities in each socioeconomic quartile. When compared to White women in the lowest quartile, Black women in the lowest quartile, 2nd quartile, and 3rd quartile experienced the lowest 5-year survival rates (Hazard ratio 1.33, 1.23, 1.20; P < 0.01).
Conclusion |
Regarding cancer mortality, only in the most prosperous quartile do Black women achieve a similar outcome to the poorest quartile White women.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Mortality is worst in Black females regardless of socioeconomic or insurance status. |
• | Only in the richest quartile did Blacks have survival like Whites in the poorest. |
• | Outcome disparities improved with higher socioeconomic status. |
Keywords : Breast cancer, Mortality, Survival, Disparity, Socioeconomic, Race/ethnicity
Plan
Vol 224 - N° 6
P. 1403-1408 - décembre 2022 Retour au numéro
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