Health & Fit Study Finds Racial Disparities With Breast Cancer Diagnosis

23:00  09 january  2020
23:00  09 january  2020 Source:   usnews.com

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Study : Breast cancer in young women rises. (CNN) Racial disparities between black and white breast cancer patients are receding, according to a report released Thursday. Another significant finding : Although black women have had lower rates of breast cancer compared with white women

Cancer disparities (sometimes called cancer health disparities ) are differences in cancer measures such as screening rates. stage at diagnosis . Cancer disparities can also be seen when outcomes are Although cancer incidence and mortality overall are declining in all racial /ethnic groups in the

Racial and ethnic minority women are more likely than white women to be diagnosed with breast cancer at a later stage, according to a study released Thursday.

  Study Finds Racial Disparities With Breast Cancer Diagnosis © Isaac Lane Koval/Corbis/VCG/Getty Images

The JAMA Oncology study, which included more than 177,000 women in its sample, found that higher percentages of black, American Indian or Alaskan Native and Hispanic women were diagnosed with stage 3 breast cancer than white and Asian or Pacific Islander women. All four racial and ethnic minorities studied were diagnosed with stage 2 breast cancer at higher levels than white women as well.

These findings are significant, as the five-year survival rates of breast cancer decrease as the stage number increases, according to the study. The rate is nearly 100% for stages 0 and 1, 93% for stage 2 and 72% for stage 3.

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The incidence of advanced breast cancer diagnosis among black women remained 30 percent to 90 percent higher compared to white women between 1992 In addition, the disparity in the incidence of advance colorectal cancer actually widened over this time period as rates fell among whites but

According to the first national study looking at racial disparity in breast cancer mortality rates at the city level in the United States, societal factors—especially poverty and residential segregation—are resulting in the unnecessary deaths of five black women every day—more than 1,700 deaths a year.

White women also had a higher proportion of health insurance coverage at the time of diagnosis compared to the minority women studied. Of the women studied, more than 148,000 had health insurance, while nearly 29,000 were uninsured or received Medicaid, according to the study.

"Without insurance coverage, the lack of prevention, screening, and access to care, as well as delays in diagnosis lead to a later stage of disease at diagnosis and thus worse survival," the study's authors wrote.

While the authors acknowledged that health insurance coverage alone will not eliminate the racial and ethnic disparities they found in breast cancer diagnosis, they noted that coverage mediates nearly half of the increased risk for minorities.

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The spatial association of racial disparities was found to be significant between late-stage diagnosis and breast cancer mortality with odds ratios of 33.76 (CI Few breast cancer studies have directly examined how racial /ethnic disparities at late-stage diagnosis and mortality vary across geographic

In their ongoing quest to better understand racial disparities in breast cancer prognosis, a team led by Robert Millikan, DVM, MPH, PhD, has analyzed tissue from The CBCS is a longstanding population-based study of breast cancer risk and behavior that focuses on young and African-American women.

"Adequate insurance coverage for all patients with cancer is an important consideration and one major systemic change that can be pursued to ameliorate consistent disparities," the authors concluded.

Women aged 40 to 64 were included in the study, which was conducted between Jan. 1, 2010, and Dec. 31, 2016. The data was then analyzed over a period of just more than two years, concluding on Oct. 1, 2019.

Video: Study says Google health system may spot breast cancer better than human doctors (NBC News)

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