Temporal trends in area socioeconomic disparities in breast-cancer incidence and mortality, 1988-2005

Mario Schootman; Min Lian; Anjali D Deshpande; Elizabeth A Baker; Sandi L Pruitt; Rebecca Aft; Donna B Jeffe

doi:10.1007/s10549-009-0729-y

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Temporal trends in area socioeconomic disparities in breast-cancer incidence and mortality, 1988-2005

Journal article

Peer reviewed

Temporal trends in area socioeconomic disparities in breast-cancer incidence and mortality, 1988-2005

Mario Schootman, Min Lian, Anjali D Deshpande, Elizabeth A Baker, Sandi L Pruitt, Rebecca Aft and Donna B Jeffe

Breast cancer research and treatment, Vol.122(2), pp.533-543

07/2010

DOI: 10.1007/s10549-009-0729-y

PMCID: PMC2888952

PMID: 20054637

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Abstract

Since an overarching goal of Healthy People 2010 was to eliminate health disparities, we determined temporal trends in socioeconomic disparities in five breast-cancer indicators (in situ, stage I, lymph-node positive, and locally advanced breast-cancer incidence, and breast-cancer mortality) by county socioeconomic deprivation using 1988-2005 population-based breast-cancer data. Using 1988-2005 data from women aged 40 and older from 200 counties in the Surveillance, Epidemiology, and End Results program, we examined trends in temporal disparities in the five breast-cancer indicators across quartiles of county socioeconomic deprivation. County-level trends were summarized using the estimated annual percentage change. Observed county rates were smoothed using Bayesian hierarchical spatiotemporal methods to calculate measures of absolute and relative disparity (using absolute and relative concentration indices) and their changes over time. Large increases in in situ breast cancer rates since 1988 were observed for each of the deprivation quartiles. Absolute and relative disparity both increased over time, suggesting increasing disparities across levels of county deprivation. Absolute and relative concentration indices were near zero for the other four breast-cancer indicators, suggesting no disparities among the four quartiles of county deprivation during 1988-2005. Efforts to target counties aimed at increasing breast-cancer screening based on their level of deprivation will not likely be beneficial.

Residence Characteristics

United States - epidemiology

Markov Chains

Health Status Disparities

Health Status Indicators

Humans

Socioeconomic Factors

Incidence

Time Factors

Adult

Female

Breast Neoplasms - epidemiology

SEER Program

Poverty

Risk Assessment

Neoplasm Invasiveness

Risk Factors

Lymphatic Metastasis

Mass Screening

Breast Neoplasms - pathology

Bayes Theorem

Breast Neoplasms - mortality

Healthcare Disparities - trends

Neoplasm Staging

Monte Carlo Method

Details

Title: Subtitle: Temporal trends in area socioeconomic disparities in breast-cancer incidence and mortality, 1988-2005
Creators: Mario Schootman - Division of Health Behavior Research, Department of Medicine, Washington University School of Medicine, Box 8504, 4444 Forest Park Avenue, St Louis, MO 63108, USA. mschootm@wustl.edu
Min Lian
Anjali D Deshpande
Elizabeth A Baker
Sandi L Pruitt
Rebecca Aft
Donna B Jeffe
Resource Type: Journal article
Publication Details: Breast cancer research and treatment, Vol.122(2), pp.533-543
DOI: 10.1007/s10549-009-0729-y
PMID: 20054637
PMCID: PMC2888952
NLM abbreviation: Breast Cancer Res Treat
ISSN: 1573-7217
eISSN: 1573-7217
Publisher: Netherlands
Grant note: R01 CA109675-02 / NCI NIH HHS CA91842 / NCI NIH HHS P30 CA091842 / NCI NIH HHS P30 CA091842-08 / NCI NIH HHS CA109675 / NCI NIH HHS R01 CA109675 / NCI NIH HHS
Language: English
Date published: 07/2010
Academic Unit: Epidemiology
Record Identifier: 9983995033902771

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