Differences in breast cancer incidence among young women aged 20–49 years by stage and tumor characteristics, age, race, and ethnicity, 2004–2013

Shoemaker, Meredith L.; White, Mary C.; Wu, Manxia; Weir, Hannah K.; Romieu, Isabelle

doi:10.1007/s10549-018-4699-9

Cited by 161 publications

(133 citation statements)

References 45 publications

(51 reference statements)

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“…It has previously been shown that race/ethnicity influences not only the stage at which a patient presents with breast cancer but also mortality rates . It is well recognized that age is associated with worse outcomes; younger patients are more likely to present at later stages and with worse mortality rates . In addition, BMI has an inverse correlation with health outcomes, education level, and income .…”

Section: Discussionmentioning

confidence: 99%

“…10 It is well recognized that age is associated with worse outcomes; younger patients are more likely to present at later stages and with worse mortality rates. 11,12 In addition, BMI has an inverse correlation with health outcomes, education level, and income. 21,22 However, there is limited research on the impact of primary language on cancer stages and outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Higher proportions of black and Hispanic patients present with advanced disease (43%‐47%) in comparison with white and Asian patients (36%‐37%) . In terms of age, women younger than 40 years have a poorer prognosis and higher mortality than older women …”

Section: Introductionmentioning

confidence: 99%

“…10 In terms of age, women younger than 40 years have a poorer prognosis and higher mortality than older women. 11,12 Some disparities originate from social determinants of health, which the World Health Organization defines as "conditions in which people are born, grow, work, live and age, and the wider set of forces and systems shaping the conditions Cancer June 15, 2019 of daily life." 13 These social determinants are thought to play a major role in health inequities.…”

Section: Introductionmentioning

confidence: 99%

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Association between primary language, a lack of mammographic screening, and later stage breast cancer presentation

Balazy

Benitez

Gutkin

et al. 2019

Cancer

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Background Health determinants are known to influence the stage of breast cancer presentation, but it is unclear to what extent language affects stage. This study investigates whether non–English‐speaking (NES) patients present at a later stage than their English‐speaking (ES) counterparts and whether language is associated with mammographic screening. Methods This study was a retrospective, single‐institution cohort analysis of women undergoing breast radiotherapy from 2012 to 2017 (n = 1057). Patients were categorized as ES (n = 904) or NES (n = 153). Ordinal logistic regression analysis identified variables associated with later stage presentation, including language, race/ethnicity, and age. A subcohort analysis investigated the influence of mammographic screening on stage for NES patients. Results NES patients had greater odds of later stage disease than ES patients (odds ratio, 1.47; 95% confidence, 1.001‐2.150). This association persisted across all races/ethnicities. An additional analysis examined age categories associated with mammographic screening. For women eligible for screening (ie, those 40‐50 years old or older than 50 years), there was a significant association between language and stage. NES patients older than 50 years were twice as likely to present at an advanced stage in comparison with ES patients (16.19% vs 8.11%; P = .0082). An additional subset analysis accounted for mammograms. NES patients who did not undergo screening had a higher probability of stage III disease (40.3% of NES patients vs 12.7% of ES patients). There was no difference in stage between NES and ES patients who did undergo screening. Conclusions Language is independently associated with later stage breast cancer for NES patients, regardless of race/ethnicity. NES patients may have difficulty in accessing the health care system. Future interventions should seek to reduce language barriers for mammographic screening and diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between primary language, a lack of mammographic screening, and later stage breast cancer presentation

Balazy

Benitez

Gutkin

et al. 2019

Cancer

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“…Las tasas estandarizadas por edad estimadas en 2012, muestran que el CaMa tiene una tasa de incidencia de 35,6 casos por 100.000 mujeres-año y una tasa de mortalidad de 10 por 100.000 mujeres-año y el CaCu tiene una incidencia de 18,6 y una mortalidad de 8 por cada 100.000 mujeres respectivamente (3) . Las tasas de mortalidad e incidencia a nivel mundial, también han mostrado diferencias de acuerdo a la etnia; por ejemplo estudios en Estados Unidos han encontrado que las tasas de incidencia por cáncer de cuello uterino son 45% más altas entre las mujeres afrodescendientes y 65% entre las hispanas, en comparación con las mujeres blanco/mestizas (4) ; con relación al cáncer de mama algunos estudios demuestran que las tasas son más altas en mujeres afrodescendientes jóvenes en comparación con mujeres de otras etnias (5) . Por otro lado, la supervivencia, la oportunidad del diagnóstico y acceso a programas de prevención de cáncer entre mujeres afrodescendientes es baja, ya que se han identificado problemas de acceso a servicios de salud, la ausencia de seguro de salud y otros factores sociales y culturales que retrasan la búsqueda de atención (6) .…”

Section: Introductionunclassified

Significados que construyen mujeres afrodescendientes frente al cáncer de mama y cuello uterino, atendidas en Medellín, Colombia

Ramos-Jaraba

Carrillo-Pineda

2018

Univ. Salud

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Significados que construyen mujeres afrodescendientes frente al cáncer de mama y cuello uterino, atendidas en Medellín, ColombiaMeanings that build Afro-descendant women facing breast and cervical cancer, who were attended in Medellin, ColombiaSara Milena Ramos-Jaraba 1* orcid.org/0000-0002-8638-5209Marcela Carrillo-Pineda 1 orcid.org/0000-0002-3200-8600 Se realizaron entrevistas semiestructuradas a mujeres con CaMa y CaCu y grupos focales con población afrodescendiente sin cáncer; observaciones en citas médicas, quimioterapia y lugares cotidianos. El análisis fue guiado por el método de comparación constante. Resultados: Emergieron tres categorías: "El señor cáncer" que da cuenta de la enfermedad concebida como fatal y peligrosa, "La enfermedad desplaza", producto de la migración de las mujeres a Medellín para recibir tratamientos; y "Parte la vida en dos" por los cambios que conlleva la enfermedad. Conclusión: La enfermedad se concibió más allá de lo biológico al experimentar una alteración de la vida social, familiar y emocional. Se requiere mayor visibilidad del proceso salud-enfermedad de las afrodescendientes, por su rol ancestral como cuidadoras y forjadoras de unidad familiar.Palabras clave: Cáncer de mama; cáncer de cuello uterino; mujeres afrodescendientes; significados; investigación cualitativa. (Fuente: DeCS, Bireme). AbstractIntroduction: Research on the health of Afro-descendant women is scarce in Colombia, especially when it comes to studies that show the relationship between ethnicity and cancer. Breast cancer and cervix need to be investigated from the voice of Afro-descendant women who suffer from it. Objective: To understand the meanings facing breast or cervix cancer that are built by Afro-descendant women in the health services of Medellín, Colombia. Materials and methods: A qualitative research with an ethnographic approach was made. Semi-structured interviews were conducted for women with breast and cervix cancer and there were focal groups with Afro-descendant population without cancer with observations in medical appointments, chemotherapy and everyday places. The analysis was guided by the Constant Comparative method. Results: Three categories emerged: "Lord Cancer" which accounts for the disease conceived as fatal and dangerous, "the disease displaces", product of the migration of women to Medellin to receive treatments; and "it parts life in two" because of the changes that the disease brings. Conclusion: The disease was conceived beyond the biological part by experiencing an alteration of social, familiar and emotional life. There is a need for greater visibility of the health-disease process of the afro-descendants, or their ancestral role as caregivers and family unit builders.

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Associations of Obesity, Physical Activity, and Screening With State-Level Trends and Racial and Ethnic Disparities of Breast Cancer Incidence and Mortality in the US

Xie

Liang

et al. 2022

JAMA Netw Open

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Key Points Question What are US breast cancer incidence and mortality trends at the state level and in each racial and ethnic group, and are metabolic and lifestyle factors correlated with these trends? Findings This cross-sectional study using US Cancer Statistics data on more than 4 million patients with breast cancer found a significant reduction in breast cancer incidence and mortality from 1999 to 2017, with a large racial and ethnic disparity at the state level. Obesity, physical inactivity, and mammography screening were associated with the observed trends and disparities. Meaning These findings suggest that interventions targeting metabolic and lifestyle factors and screening access may help reduce the incidence of breast cancer and related deaths, particularly among women who are members of racial and ethnic minority groups.

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Differences in breast cancer incidence among young women aged 20–49 years by stage and tumor characteristics, age, race, and ethnicity, 2004–2013

Abstract: Breast cancer among young women is a highly heterogeneous disease. Differences in tumor characteristics by age and race/ethnicity suggest opportunities for further research into personal and cultural factors that may influence breast cancer risk among younger women.

Cited by 161 publications

References 45 publications

Association between primary language, a lack of mammographic screening, and later stage breast cancer presentation

Association between primary language, a lack of mammographic screening, and later stage breast cancer presentation

Significados que construyen mujeres afrodescendientes frente al cáncer de mama y cuello uterino, atendidas en Medellín, Colombia

Associations of Obesity, Physical Activity, and Screening With State-Level Trends and Racial and Ethnic Disparities of Breast Cancer Incidence and Mortality in the US

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