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. 2021 May 13;7(7):1–8. doi: 10.1001/jamaoncol.2021.1254

Table. Risk of Death From Breast Cancer in Non-Hispanic African American Women With Triple-Negative Breast Cancer Compared With Non-Hispanic White Counterparts.

Characteristic Person-years Deaths HR (95% CI)a
Overall
White 59 488 2289 1 [Reference]
African American 19 048 987 1.16 (1.06-1.25)
Age, <65 y
White 39 046 1300 1 [Reference]
African American 14 617 735 1.24 (1.12-1.37)
Age ≥65
White 20 442 989 1 [Reference]
African American 4430 252 0.99 (0.86-1.15)
P value for interaction NA NA .01
Privately insuredb
White 33 879 1013 1 [Reference]
African American 10 631 455 1.27 (1.13-1.43)
Uninsured or Medicaid-insuredb
White 4639 266 1 [Reference]
African American 3805 271 1.18 (0.97-1.42)
P value for interaction NA NA .27
Socioeconomically less deprived countiesc
White 48 268 1762 1 [Reference]
African American 12 427 670 1.26 (1.14-1.39)
Socioeconomically more deprived countiesc
White 11 220 527 1 [Reference]
African American 6621 317 0.93 (0.80-1.08)
P value for interaction NA NA <.01
Urban counties
White 51 369 1935 1 [Reference]
African American 17 555 923 1.21 (1.11-1.32)
Rural counties
White 8118 354 1 [Reference]
African American 1493 64 0.72 (0.53-0.96)
P value for interaction NA NA <.01
No surgery
White 1785 262 1 [Reference]
African American 796 161 1.23 (0.99-1.51)
Surgical treatment
White 57 601 2016 1 [Reference]
African American 18 232 820 1.12 (1.02-1.22)
P value for interaction NA NA .44
No radiation therapy
White 27 835 1256 1 [Reference]
African American 8342 530 1.17 (1.04-1.30)
Radiation therapy
White 31 653 1033 1 [Reference]
African American 10 705 457 1.13 (1.00-1.28)
P value for interaction NA NA .59

Abbreviations: HR, hazard ratio; NA, not applicable.

a

Models were adjusted for age, type of health insurance, county-level socioeconomic deprivation, rural residency, cancer stage, tumor grade, surgery, radiation therapy, and chemotherapy.

b

The analysis was restricted to patients younger than 65 years.

c

County-level socioeconomic deprivation was dichotomized using the median.