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Hispanic and Immigrant Paradoxes in U.S. Breast Cancer Mortality: Impact of Neighborhood Poverty and Hispanic Density

Author

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  • Sandi L. Pruitt

    (Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA
    Harold C. Simmons Comprehensive Cancer Center, Dallas, TX 75235, USA)

  • Jasmin A. Tiro

    (Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA
    Harold C. Simmons Comprehensive Cancer Center, Dallas, TX 75235, USA)

  • Lei Xuan

    (Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA)

  • Simon J. Craddock Lee

    (Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA
    Harold C. Simmons Comprehensive Cancer Center, Dallas, TX 75235, USA)

Abstract

To test the Hispanic and Immigrant Paradoxes—i.e., survival advantages despite a worse risk factor profile—and the modifying role of neighborhood context, we examined associations between patient ethnicity, birthplace, neighborhood Hispanic density and neighborhood poverty among 166,254 female breast cancer patients diagnosed 1995–2009 in Texas, U.S. Of all, 79.9% were non-Hispanic White, 15.8% Hispanic U.S.-born, and 4.2% Hispanic foreign-born. We imputed birthplace for the 60.7% of Hispanics missing birthplace data using multiple imputation. Shared frailty Cox proportional hazard models (patients nested within census tracts) adjusted for age, diagnosis year, stage, grade, histology, urban/rural residence, and local mammography capacity. Whites (vs. U.S.-born Hispanics) had increased all-cause and breast cancer mortality. Foreign-born (vs. U.S.-born) Hispanics had increased all-cause and breast cancer mortality. Living in higher Hispanic density neighborhoods was generally associated with increased mortality, although associations differed slightly in magnitude and significance by ethnicity, birthplace, and neighborhood poverty. We found no evidence of an Immigrant Paradox and some evidence of a Hispanic Paradox where protective effects were limited to U.S.-born Hispanics. Contrary to prior studies, foreign birthplace and residence in higher Hispanic density neighborhoods were associated with increased mortality. More research on intersections between ethnicity, birthplace and neighborhood context are needed.

Suggested Citation

  • Sandi L. Pruitt & Jasmin A. Tiro & Lei Xuan & Simon J. Craddock Lee, 2016. "Hispanic and Immigrant Paradoxes in U.S. Breast Cancer Mortality: Impact of Neighborhood Poverty and Hispanic Density," IJERPH, MDPI, vol. 13(12), pages 1-14, December.
  • Handle: RePEc:gam:jijerp:v:13:y:2016:i:12:p:1238-:d:85206
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    1. Gomez, N. & Guendelman, S. & Harley, K.G. & Gomez, S.L., 2015. "Nativity and neighborhood characteristics and cervical cancer stage at diagnosis and survival outcomes among hispanic women in California," American Journal of Public Health, American Public Health Association, vol. 105(3), pages 538-545.
    2. Abraído-Lanza, Ana F. & Chao, Maria T. & Flórez, Karen R., 2005. "Do healthy behaviors decline with greater acculturation?: Implications for the Latino mortality paradox," Social Science & Medicine, Elsevier, vol. 61(6), pages 1243-1255, September.
    3. Lin, S.S. & Clarke, C.A. & O'Malley, C.D. & Le, G.M., 2002. "Studying cancer incidence and outcomes in immigrants: Methodological concerns," American Journal of Public Health, American Public Health Association, vol. 92(11), pages 1757-1759.
    4. Ruiz, J.M. & Steffen, P. & Smith, T.B., 2013. "Hispanic mortality paradox: A systematic review and meta-analysis of the longitudinal literature," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 52-60.
    5. Osypuk, Theresa L. & Diez Roux, Ana V. & Hadley, Craig & Kandula, Namratha R., 2009. "Are immigrant enclaves healthy places to live? The Multi-ethnic Study of Atherosclerosis," Social Science & Medicine, Elsevier, vol. 69(1), pages 110-120, July.
    6. Eschbach, K. & Ostir, G.V. & Patel, K.V. & Markides, K.S. & Goodwin, J.S., 2004. "Neighborhood context and mortality among older Mexican Americans: Is there a barrio advantage?," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1807-1812.
    7. Singh, G.K. & Siahpush, M., 2001. "All-cause and cause-specific mortality of immigrants and native born in the United States," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 392-399.
    8. Gomez, S.L. & Le, G.M. & West, D.W. & Satariano, W.A. & O'Connor, L., 2003. "Hospital Policy and Practice Regarding the Collection of Data on Race, Ethnicity, and Birthplace," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1685-1688.
    9. Gomez, S.L. & Quach, T. & Horn-Ross, P.L. & Pham, J.T. & Cockburn, M. & Chang, E.T. & Keegan, T.H.M. & Glaser, S.L. & Clarke, C.A., 2010. "Hidden breast cancer disparities in asian women: Disaggregating incidence rates by ethnicity and migrant status," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 125-131.
    10. Arias, E. & Eschbach, K. & Schauman, W.S. & Backlund, E.L. & Sorlie, P.D., 2010. "The hispanic mortality advantage and ethnic misclassification on US death certificates," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 171-177.
    11. Almeida, Joanna & Molnar, Beth E. & Kawachi, Ichiro & Subramanian, S.V., 2009. "Ethnicity and nativity status as determinants of perceived social support: Testing the concept of familism," Social Science & Medicine, Elsevier, vol. 68(10), pages 1852-1858, May.
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    Cited by:

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    2. Gomes, Veronica & Wiese, Daniel & Stroup, Antoinette & Henry, Kevin A., 2023. "Ethnic enclaves and colon cancer stage at diagnosis among New Jersey Hispanics," Social Science & Medicine, Elsevier, vol. 328(C).
    3. Amin Bemanian & Laura D. Cassidy & Raphael Fraser & Purushottam W. Laud & Kia Saeian & Kirsten M. M. Beyer, 2021. "Ecological Study of Variability in the Relationship between Liver Cancer Mortality and Racial Residential Segregation," IJERPH, MDPI, vol. 18(18), pages 1-12, September.
    4. Peter Baade, 2017. "Geographical Variation in Breast Cancer Outcomes," IJERPH, MDPI, vol. 14(5), pages 1-3, May.

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