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  1. Influence of socioeconomic and cultural factors on racial differences in late-stage presentation of breast cancer.

    Article - En anglais

    Context. - Breast cancer mortality is higher among African American women than among white women in the United States, but the reasons for the racial difference are not known.

    Objective

    - To evaluate the influence of socioeconomic and cultural factors on the racial difference in breast cancer stage at diagnosis.

    Design

    - Case-control study of patients diagnosed as having breast cancer at the University Medical Center of Eastem Carolina from 1985 through 1992.

    Setting

    - The major health care facility for 2 rural counties in eastern North Carolina.

    Subjects

    - Five hundred forty of 743 patients with newly diagnosed breast cancer and 414 control women from the community matched by age, race, and area of residence.

    Main Outcome Measures

    - Breast cancer stage at diagnosis.

    Results

    - Of the 540 patients, 94 (17.4%) presented with TNM stage III or IV disease.

    The following demographic and socioeconomic factors were significant predictors of advanced stage :

    • being African American (odds ratio [OR], 3.0 ; 95% confidence interval [Cl], 1.9-4.7) ;

    • having low income (OR, 3.7 ; 95% Cl, 2.1-6.5) ;

    • never having been married (OR, 2.9 ; 95% Cl, 1.4-5.9) ;

    • having no private health insurance (OR, 2.5 ; 95% Cl, 1.6-4.0) ;

    • delaying seeing a physician because of money (OR, 1.6 ; 95% Cl, 1.1-2.5) ;

    • or lacking transportation (OR, 2.0 ; 95% Cl, 1.2-3.6).

    Univariate analysis also revealed a large number of cultural beliefs to be significant predictors. (...)

    Mots-clés Pascal : Carcinome, Glande mammaire, Stade terminal, Enquête socioéconomique, Evaluation, Aspect culturel, Ethnie, Influence sociale, Diagnostic, Femelle, Homme, Tumeur maligne, Glande mammaire pathologie

    Mots-clés Pascal anglais : Carcinoma, Mammary gland, Terminal stage, Socioeconomical inquiry, Evaluation, Cultural aspect, Ethnic group, Social influence, Diagnosis, Female, Human, Malignant tumor, Mammary gland diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0321290

    Code Inist : 002B20E02. Création : 27/11/1998.