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Reducing racial/ethnic disparities in female breast cancer: Screening rates and stage at diagnosis

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  • Sassi, F.
  • Luft, H.S.
  • Guadagnoli, E.

Abstract

Objectives. We assessed whether population rates of mammography screening, and their changes over time, were associated with improvements in breast cancer stage at diagnosis and whether the strength of this association varied by race/ethnicity. Methods. We analyzed state cancer registry data linked to socioeconomic characteristics of patients' areas of residence for 1990-1998 time trends in the likelihood of early stage diagnosis. We appended each cancer registry record with matching subgroup estimates of self-reported mammography screening. Results. Trends in screening and stage at diagnosis were consistent within groups, but African American women had a significantly lower proportion of early stage cancers despite an advantage in screening. Population screening rates were significantly associated with early diagnosis, with a weaker association in African American women than White women (odds ratio [OR] = 1.70; P

Suggested Citation

  • Sassi, F. & Luft, H.S. & Guadagnoli, E., 2006. "Reducing racial/ethnic disparities in female breast cancer: Screening rates and stage at diagnosis," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2165-2172.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.071761_4
    DOI: 10.2105/AJPH.2005.071761
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    Cited by:

    1. Manning, Mark & Albrecht, Terrance L. & Yilmaz-Saab, Zeynep & Penner, Louis & Norman, Andria & Purrington, Kristen, 2017. "Explaining between-race differences in African-American and European-American women's responses to breast density notification," Social Science & Medicine, Elsevier, vol. 195(C), pages 149-158.
    2. Wentao Cao & Joseph Hagan & Qingzhao Yu, 2024. "Bayesian Mediation Analysis with an Application to Explore Racial Disparities in the Diagnostic Age of Breast Cancer," Stats, MDPI, vol. 7(2), pages 1-12, April.

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