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Race, Socio-economic Status, Treatment & Survival

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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