Abstract
Cancer incidence data from three US metropolitan areas were coupled with census tract indicators of education and income. The data suggest that both Black and White cancer patients living in census tracts with lower median education/income values are diagnosed in later disease stages than are patients in tracts with higher median education/income values. Within education and income strata, Black women had a less favorable stage of disease at diagnosis than Whites. The exception was in upper education/income levels, where the disadvantage for Blacks disappeared. These data provide additional evidence that women of low socioeconomic status could benefit from targeted screening.
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- Blendon R. J., Aiken L. H., Freeman H. E., Corey C. R. Access to medical care for black and white Americans. A matter of continuing concern. JAMA. 1989 Jan 13;261(2):278–281. [PubMed] [Google Scholar]
- Boring C. C., Squires T. S., Tong T. Cancer statistics, 1992. CA Cancer J Clin. 1992 Jan-Feb;42(1):19–38. doi: 10.3322/canjclin.42.1.19. [DOI] [PubMed] [Google Scholar]
- Burack R. C., Liang J. The acceptance and completion of mammography by older black women. Am J Public Health. 1989 Jun;79(6):721–726. doi: 10.2105/ajph.79.6.721. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dayal H. H., Power R. N., Chiu C. Race and socio-economic status in survival from breast cancer. J Chronic Dis. 1982;35(8):675–683. doi: 10.1016/0021-9681(82)90020-0. [DOI] [PubMed] [Google Scholar]
- Farley T. A., Flannery J. T. Late-stage diagnosis of breast cancer in women of lower socioeconomic status: public health implications. Am J Public Health. 1989 Nov;79(11):1508–1512. doi: 10.2105/ajph.79.11.1508. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fox S. A., Stein J. A. The effect of physician-patient communication on mammography utilization by different ethnic groups. Med Care. 1991 Nov;29(11):1065–1082. doi: 10.1097/00005650-199111000-00001. [DOI] [PubMed] [Google Scholar]
- French K., Porter A. M., Robinson S. E., McCallum F. M., Howie J. G., Roberts M. M. Attendance at a breast screening clinic: a problem of administration or attitudes. 1982 Aug 28-Sep 4Br Med J (Clin Res Ed) 285(6342):617–620. doi: 10.1136/bmj.285.6342.617. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lipworth L., Abelin T., Connelly R. R. Socio-economic factors in the prognosis of cancer patients. J Chronic Dis. 1970 Aug;23(2):105–115. doi: 10.1016/0021-9681(70)90069-x. [DOI] [PubMed] [Google Scholar]
- Maclean U., Sinfield D., Klein S., Harnden B. Women who decline breast screening. J Epidemiol Community Health. 1984 Dec;38(4):278–283. doi: 10.1136/jech.38.4.278. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Polednak A. P. A comparison of survival of black and white female breast cancer cases in Upstate New York. Cancer Detect Prev. 1988;11(3-6):245–249. [PubMed] [Google Scholar]
- Polednak A. P. Breast cancer in black and white women in New York State. Case distribution and incidence rates by clinical stage at diagnosis. Cancer. 1986 Aug 1;58(3):807–815. doi: 10.1002/1097-0142(19860801)58:3<807::aid-cncr2820580333>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
- Roberts M. M., Alexander F. E., Elton R. A., Rodger A. Breast cancer stage, social class and the impact of screening. Eur J Surg Oncol. 1990 Feb;16(1):18–21. [PubMed] [Google Scholar]
- Vernon S. W., Laville E. A., Jackson G. L. Participation in breast screening programs: a review. Soc Sci Med. 1990;30(10):1107–1118. doi: 10.1016/0277-9536(90)90297-6. [DOI] [PubMed] [Google Scholar]
- Young J. L., Jr, Ries L. G., Pollack E. S. Cancer patient survival among ethnic groups in the United States. J Natl Cancer Inst. 1984 Aug;73(2):341–352. doi: 10.1093/jnci/73.2.341. [DOI] [PubMed] [Google Scholar]