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. 1999 Aug;89(8):1248–1252. doi: 10.2105/ajph.89.8.1248

Ethnicity and birthplace in relation to tumor size and stage in Asian American women with breast cancer.

A N Hedeen 1, E White 1, V Taylor 1
PMCID: PMC1508701  PMID: 10432917

Abstract

OBJECTIVES: This study examined whether Asian American women with breast cancer have tumor characteristics associated with delayed detection of their disease. METHODS: Breast cancer size and stage were examined in relation to subjects' ethnic group and birthplace, on the basis of Surveillance, Epidemiology, and End Results program data. RESULTS: Asian-born Asian American women with breast cancer had a greater proportion of tumors larger than 1 cm at diagnosis (79%) than did US White women (70%) (P < .001). In contrast, the proportion of tumors larger than 1 cm among Asian American women born in the United States (67%) did not differ significantly from that among US White women. CONCLUSIONS: Lower utilization of breast cancer screening by Asian-born Asian American women is probably responsible for their greater proportion of tumors larger than 1 cm relative to US White women in the study population. Interventional measures should be taken to increase the use of mammographic screening by first-generation Asian American women.

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Selected References

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  1. Andersson I., Janzon L., Sigfússon B. F. Mammographic breast cancer screening--a randomized trial in Malmö, Sweden. Maturitas. 1985 May;7(1):21–29. doi: 10.1016/0378-5122(85)90031-3. [DOI] [PubMed] [Google Scholar]
  2. Baker L. H. Breast Cancer Detection Demonstration Project: five-year summary report. CA Cancer J Clin. 1982 Jul-Aug;32(4):194–225. doi: 10.3322/canjclin.32.4.194. [DOI] [PubMed] [Google Scholar]
  3. Dodd G. D. Screening for breast cancer. Cancer. 1993 Aug 1;72(3 Suppl):1038–1042. doi: 10.1002/1097-0142(19930801)72:3+<1038::aid-cncr2820721316>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
  4. Elledge R. M., Clark G. M., Chamness G. C., Osborne C. K. Tumor biologic factors and breast cancer prognosis among white, Hispanic, and black women in the United States. J Natl Cancer Inst. 1994 May 4;86(9):705–712. doi: 10.1093/jnci/86.9.705. [DOI] [PubMed] [Google Scholar]
  5. Hiatt R. A., Pasick R. J. Unsolved problems in early breast cancer detection: focus on the underserved. Breast Cancer Res Treat. 1996;40(1):37–51. doi: 10.1007/BF01806001. [DOI] [PubMed] [Google Scholar]
  6. Higuchi C. M., Serxner S. A., Nomura A. M., Stemmermann G. N. Histopathological predictors of breast cancer death among Caucasians and Japanese in Hawaii. Cancer Epidemiol Biomarkers Prev. 1993 May-Jun;2(3):201–205. [PubMed] [Google Scholar]
  7. Hsu J. L., Glaser S. L., West D. W. Racial/ethnic differences in breast cancer survival among San Francisco Bay Area women. J Natl Cancer Inst. 1997 Sep 3;89(17):1311–1312. doi: 10.1093/jnci/89.17.1311. [DOI] [PubMed] [Google Scholar]
  8. LeMarchand L., Kolonel L. N., Nomura A. M. Relationship of ethnicity and other prognostic factors to breast cancer survival patterns in Hawaii. J Natl Cancer Inst. 1984 Dec;73(6):1259–1265. [PubMed] [Google Scholar]
  9. Maxwell A. E., Bastani R., Warda U. S. Breast cancer screening and related attitudes among Filipino-American women. Cancer Epidemiol Biomarkers Prev. 1997 Sep;6(9):719–726. [PubMed] [Google Scholar]
  10. McPhee S. J., Bird J. A., Davis T., Ha N. T., Jenkins C. N., Le B. Barriers to breast and cervical cancer screening among Vietnamese-American women. Am J Prev Med. 1997 May-Jun;13(3):205–213. [PubMed] [Google Scholar]
  11. Rosner D., Lane W. W. Predicting recurrence in axillary-node negative breast cancer patients. Breast Cancer Res Treat. 1993;25(2):127–139. doi: 10.1007/BF00662138. [DOI] [PubMed] [Google Scholar]
  12. Smart C. R., Byrne C., Smith R. A., Garfinkel L., Letton A. H., Dodd G. D., Beahrs O. H. Twenty-year follow-up of the breast cancers diagnosed during the Breast Cancer Detection Demonstration Project. CA Cancer J Clin. 1997 May-Jun;47(3):134–149. doi: 10.3322/canjclin.47.3.134. [DOI] [PubMed] [Google Scholar]
  13. Smart C. R., Hendrick R. E., Rutledge J. H., 3rd, Smith R. A. Benefit of mammography screening in women ages 40 to 49 years. Current evidence from randomized controlled trials. Cancer. 1995 Apr 1;75(7):1619–1626. doi: 10.1002/1097-0142(19950401)75:7<1619::aid-cncr2820750711>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
  14. Stemmermann G. N., Catts A., Fukunaga F. H., Horie A., Nomura A. M. Breast cancer in women of Japanese and Caucasian ancestry in Hawaii. Cancer. 1985 Jul 1;56(1):206–209. doi: 10.1002/1097-0142(19850701)56:1<206::aid-cncr2820560135>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
  15. Tabàr L., Fagerberg G., Duffy S. W., Day N. E., Gad A., Gröntoft O. Update of the Swedish two-county program of mammographic screening for breast cancer. Radiol Clin North Am. 1992 Jan;30(1):187–210. [PubMed] [Google Scholar]
  16. Ward-Hinds M., Kolonel L. N., Nomura A. M., Lee J. Stage-specific breast-cancer incidence rates by age among Japanese and Caucasian women in Hawaii, 1960-1979. Br J Cancer. 1982 Jan;45(1):118–123. doi: 10.1038/bjc.1982.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. White E., Urban N., Taylor V. Mammography utilization, public health impact, and cost-effectiveness in the United States. Annu Rev Public Health. 1993;14:605–633. doi: 10.1146/annurev.pu.14.050193.003133. [DOI] [PubMed] [Google Scholar]
  18. Wood W. C. Integration of risk factors to allow patient selection for adjuvant systemic therapy in lymph node-negative breast cancer patients. World J Surg. 1994 Jan-Feb;18(1):39–44. doi: 10.1007/BF00348190. [DOI] [PubMed] [Google Scholar]
  19. Wood W. C. Systemic adjuvant therapy in mammographically discovered invasive cancer. Surg Oncol Clin N Am. 1997 Apr;6(2):381–384. [PubMed] [Google Scholar]
  20. Yu E. S., Liu W. T. US National Health Data on Asian Americans and Pacific Islanders: a research agenda for the 1990s. Am J Public Health. 1992 Dec;82(12):1645–1652. doi: 10.2105/ajph.82.12.1645. [DOI] [PMC free article] [PubMed] [Google Scholar]

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