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Comparative Study
. 2006 Dec;96(12):2165-72.
doi: 10.2105/AJPH.2005.071761. Epub 2006 Oct 31.

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

Franco Sassi  1 , Harold S Luft, Edward Guadagnoli
Affiliations
Comparative Study

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

Franco Sassi et al. Am J Public Health. 2006 Dec.

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<.0001 vs OR=2.02; P<.0001, respectively).

Conclusions: Improvements in screening rates during the 1990s across racial/ethnic groups appear to have contributed significantly to earlier diagnosis within each group, but a smaller effect in African American women should raise concerns. A key health policy challenge is to ensure that screening effectively translates into earlier diagnosis.

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Figures

FIGURE 1—
FIGURE 1—
Adjusted and unadjusted trends (rates and odds ratios) in breast cancer screening for African American vs White (a) and Hispanic vs White (b) women: selected states, 1990–1998.
FIGURE 1—
FIGURE 1—
Adjusted and unadjusted trends (rates and odds ratios) in breast cancer screening for African American vs White (a) and Hispanic vs White (b) women: selected states, 1990–1998.
FIGURE 2—
FIGURE 2—
Adjusted and unadjusted trends (rates and odds ratios) in early stage breast cancer diagnosis for African American vs White (a) and Hispanic vs White (b) women: selected states, 1990–1998.
FIGURE 2—
FIGURE 2—
Adjusted and unadjusted trends (rates and odds ratios) in early stage breast cancer diagnosis for African American vs White (a) and Hispanic vs White (b) women: selected states, 1990–1998.
See this image and copyright information in PMC

References

    1. Edwards BK, Brown ML, Wingo PA, et al. Annual report to the nation on the status of cancer, 1975–2002, featuring population-based trends in cancer treatment. J Natl Cancer Inst. 2005;97:1407–1427. - PubMed
    1. Kochanek KD, Murphy SL, Anderson RN, Scott C. Deaths: final data for 2002. Natl Vital Stat Rep. October 12, 2004;53(5):1–1150. - PubMed
    1. Stewart SL, King JB, Thompson TD, Friedman C, Wingo PA. Cancer mortality surveillance—United States, 1990–2000. MMWR Surveill Summ. 2004; 53(SS-3):1–108. - PubMed
    1. Howe HL, Carozza S, O’Malley C, et al., eds. Cancer in US Hispanics/Latinos, 1995–2000. Springfield, Ill: North American Association of Central Cancer Registries; 2003.
    1. Clegg LX, Li FP, Hankey BF, Chu K, Edwards BK. Cancer survival among US whites and minorities: a SEER (Surveillance, Epidemiology, and End Results) Program population-based study. Arch Intern Med. 2002;162:1985–1993. - PubMed

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