TABLE 3.
ORs for the Associations of State-Based nSES Quartiles With Breast Cancer Subtypes Relative to LumA (n = 5547)
State-Based nSES Quartilea | |||||
---|---|---|---|---|---|
Q4 (Reference) | Q3 | Q2 | Q1 | P for Trend | |
LumA (2723) | 1229 | 849 | 464 | 181 | |
LumB (n = 1856) | 743 | 610 | 384 | 119 | |
OR, age-adjustedb | 1.00 | 1.19 | 1.37 | 1.09 | .002 |
95% CI | 1.03–1.38 | 1.17–1.61 | 0.83–1.43 | ||
OR, model 1c | 1.00 | 1.17 | 1.30 | 1.02 | .024 |
95% CI | 1.01–1.36 | 1.11–1.53 | 0.78–1.35 | ||
OR, model 2d | 1.00 | 1.17 | 1.31 | 1.03 | .031 |
95% CI | 1.01–1.37 | 1.11–1.55 | 0.77–1.37 | ||
Q statistice | 0.28 | ||||
P | .597 | ||||
Her2-e (n = 267) | 102 | 95 | 47 | 23 | |
OR, age-adjustedb | 1.00 | 1.35 | 1.24 | 1.59 | .032 |
95% CI | 1.02–1.78 | 0.87–1.77 | 0.99–2.54 | ||
OR, model 1c | 1.00 | 1.33 | 1.16 | 1.39 | .168 |
95% CI | 1–1.77 | 0.8–1.68 | 0.82–2.38 | ||
OR, model 2d | 1.00 | 1.27 | 1.08 | 1.27 | .405 |
95% CI | 0.95–1.71 | 0.73–1.61 | 0.74–2.21 | ||
Q statistice | 1.06 | ||||
P | .303 | ||||
TNBC (n = 701) | 261 | 214 | 163 | 63 | |
OR, age-adjustedb | 1.00 | 1.17 | 1.65 | 1.63 | <.001 |
95% CI | 0.96–1.42 | 1.32–2.05 | 1.13–2.34 | ||
OR, model 1c | 1.00 | 1.07 | 1.41 | 1.18 | .017 |
95% CI | 0.88–1.31 | 1.13–1.76 | 0.83–1.68 | ||
OR, model 2d | 1.00 | 1.05 | 1.35 | 1.09 | .087 |
95% CI | 0.86–1.29 | 1.06–1.71 | 0.76–1.56 | ||
Q statistice | 0.16 | ||||
P | .684 |
Abbreviations: AJCC, American Joint Committee on Cancer; CI, confidence interval; Her2-e, Her2-enriched; LACE, Life After Cancer Epidemiology; LumA, luminal A; LumB, luminal B; nSES, neighborhood-level socioeconomic status; OR, odds ratio; Q1, quartile 1; Q2, quartile 2; Q3, quartile 3; Q4, quartile 4; SES, socioeconomic status; TNBC, triple-negative breast cancer.
For each censal year, quartiles were created on the basis of the state distribution of nSES at the census block group level and then were applied to the addresses of the women in the cohort.
Adjusted for age at diagnosis.
Model 1 adjusted for possible confounders, including age at diagnosis (continuous), race (non-Latina White, Black, Latina, Asian, or other), nativity (US-born or foreign-born), AJCC stage (I, II, III, or IV), days from diagnosis to baseline measures (<52, 52–75, 76–519, or ≥520), and study (LACE or Pathways).
Model 2 adjusted for variables in model 1 plus individual education and individual income.
The Q statistic was calculated for model 2 with a continuous variable for days from diagnosis to study enrollment and a recategorized stage variable in which stages II, III, and IV were collapsed into 1 level (given differences in study recruitment).