Disparities in mortality‐to‐incidence ratios by race/ethnicity for female breast cancer in New York City, 2002‐2016

Autor: Jennifer J. Brown, Tamar B. Nobel, Baozhen Qiao, Kellie C. Van Beck, Ruchi Mathur, Charles Asumeng, John P. Jasek
Rok vydání: 2020
Předmět:
Adult
0301 basic medicine
Cancer Research
Native Hawaiian or Other Pacific Islander
breast cancer stage
Ethnic group
Breast Neoplasms
Disease
lcsh:RC254-282
White People
03 medical and health sciences
breast cancer
0302 clinical medicine
Breast cancer
Ethnicity
Humans
Medicine
Radiology
Nuclear Medicine and imaging
Registries
Healthcare Disparities
Aged
Neoplasm Staging
Original Research
Asian
business.industry
Mortality rate
Incidence (epidemiology)
Hispanic or Latino
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
medicine.disease
Health Surveys
Cancer registry
Black or African American
030104 developmental biology
Oncology
030220 oncology & carcinogenesis
racial disparities
Community health
Pacific islanders
Female
New York City
business
Cancer Prevention
breast cancer mortality rate
Mammography
Demography
Zdroj: Cancer Medicine
Cancer Medicine, Vol 9, Iss 21, Pp 8226-8234 (2020)
ISSN: 2045-7634
DOI: 10.1002/cam4.3309
Popis: Background Racial disparities in New York City (NYC) breast cancer incidence and mortality rates have previously been demonstrated. Disease stage at diagnosis and mortality‐to‐incidence ratio (MIR) may present better measures of differences in screening and treatment access. Racial/ethnic trends in NYC MIR have not previously been assessed. Methods Mammogram rates were compared using the NYC Community Health Survey, 2002‐2014. Breast cancer diagnosis, stage, and mortality were from the New York State Cancer Registry, 2000‐2016. Primary outcomes were MIR, the ratio of age‐adjusted mortality to incidence rates, and stage at diagnosis. Joinpoint regression analysis identified significant trends. Results Mammogram rates in 2002‐2014 among Black and Latina women ages 40 and older (79.9% and 78.4%, respectively) were stable and higher than among White (73.6%) and Asian/Pacific‐Islander women (70.4%) (P
Lower incidence of local stage breast cancer at diagnosis and slower decrease in mortality rates among Black and Latina women in NYC as compared to White women raises great concern about unequal access to quality care including quality screening and improvements in therapy. These differences were especially prominent among Black women, who merit additional public health focus.
Databáze: OpenAIRE
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