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ABSTRACT: Race, Socioeconomic Status, and Breast Cancer Treatment
and Survival
Background: Previous studies have found that African-American
women are more likely than white women to have late-stage breast
cancer at diagnosis and shortened survival.
However, there is
considerable controversy as to whether these differences in diagnosis
and survival are attributable to race or socioeconomic status.
Our goal was to disentangle the influence of race and socioeconomic
status on breast cancer stage, treatment, and survival.
Conclusions: The linkage of Medicaid and SEER data provides
more in-depth information on low-income women than has
been available in past studies. In our Metropolitan Detroit study
population, race was not statistically significantly associated
with unfavorable breast cancer outcomes.
However, low socioeconomic
status was associated with late-stage breast cancer at diagnosis,
type of treatment received, and death.
[04/03/2002; Journal of the National Cancer Institute]
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