Geographic disparities in late-stage breast cancer diagnosis in California

Tzy Mey Kuo, Lee R. Mobley, Luc Anselin

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Using cancer registry data for the population of California women aged 67+ with breast cancers, we estimated random intercept logistic models to examine how two socio-ecological predictors (residential isolation and poverty) were associated with probability of late-stage diagnosis for breast cancer. Using the multilevel modeling results, we calculated fully adjusted predicted probabilities associated with women in each Medical Service Study Area (MSSA) in California and classified the areas into two distinct groups: MSSAs with predicted rates below the 25th percentile (presumably the better outcome areas) and MSSAs with predicted rates above the 75th percentile (presumably the worse outcome areas) for two minority groups. Some areas had better outcomes for one group but worse outcomes for the other, suggesting that interventions to improve outcomes need different strategies for different groups in the same areas. Using information from geographic risk factors and multilevel modeling, this study informs interventions designed to reduce disparities in breast cancer outcomes.

Original languageEnglish (US)
Pages (from-to)327-334
Number of pages8
JournalHealth and Place
Volume17
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

cancer
Breast Neoplasms
Minority Groups
Geography
Delayed Diagnosis
Poverty
minority group
Registries
Group
Logistic Models
risk factor
modeling
medical service
logistics
poverty
Population
social isolation
Neoplasms
minority
woman

Keywords

  • Breast cancer
  • Geographic disparities
  • Late stage at diagnosis
  • Multilevel modeling

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Geography, Planning and Development
  • Health(social science)

Cite this

Geographic disparities in late-stage breast cancer diagnosis in California. / Kuo, Tzy Mey; Mobley, Lee R.; Anselin, Luc.

In: Health and Place, Vol. 17, No. 1, 01.2011, p. 327-334.

Research output: Contribution to journalArticle

Kuo, Tzy Mey ; Mobley, Lee R. ; Anselin, Luc. / Geographic disparities in late-stage breast cancer diagnosis in California. In: Health and Place. 2011 ; Vol. 17, No. 1. pp. 327-334.
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