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Trends in breast cancer stage and mortality in Michigan (1992-2009) by race, socioeconomic status, and area healthcare resources.

Publication ,  Journal Article
Akinyemiju, TF; Soliman, AS; Copeland, G; Banerjee, M; Schwartz, K; Merajver, SD
Published in: PLoS One
2013

The long-term effect of socioeconomic status (SES) and healthcare resources availability (HCA) on breast cancer stage of presentation and mortality rates among patients in Michigan is unclear. Using data from the Michigan Department of Community Health (MDCH) between 1992 and 2009, we calculated annual proportions of late-stage diagnosis and age-adjusted breast cancer mortality rates by race and zip code in Michigan. SES and HCA were defined at the zip-code level. Joinpoint regression was used to compare the Average Annual Percent Change (AAPC) in the median zip-code level percent late stage diagnosis and mortality rate for blacks and whites and for each level of SES and HCA. Between 1992 and 2009, the proportion of late stage diagnosis increased among white women [AAPC = 1.0 (0.4, 1.6)], but was statistically unchanged among black women [AAPC = -0.5 (-1.9, 0.8)]. The breast cancer mortality rate declined among whites [AAPC = -1.3% (-1.8,-0.8)], but remained statistically unchanged among blacks [AAPC = -0.3% (-0.3, 1.0)]. In all SES and HCA area types, disparities in percent late stage between blacks and whites appeared to narrow over time, while the differences in breast cancer mortality rates between blacks and whites appeared to increase over time.

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Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2013

Volume

8

Issue

4

Start / End Page

e61879

Location

United States

Related Subject Headings

  • Social Class
  • Racial Groups
  • Neoplasm Staging
  • Michigan
  • Humans
  • Health Resources
  • General Science & Technology
  • Female
  • Breast Neoplasms
  • Age Distribution
 

Citation

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Akinyemiju, T. F., Soliman, A. S., Copeland, G., Banerjee, M., Schwartz, K., & Merajver, S. D. (2013). Trends in breast cancer stage and mortality in Michigan (1992-2009) by race, socioeconomic status, and area healthcare resources. PLoS One, 8(4), e61879. https://doi.org/10.1371/journal.pone.0061879
Akinyemiju, Tomi F., Amr S. Soliman, Glenn Copeland, Mousumi Banerjee, Kendra Schwartz, and Sofia D. Merajver. “Trends in breast cancer stage and mortality in Michigan (1992-2009) by race, socioeconomic status, and area healthcare resources.PLoS One 8, no. 4 (2013): e61879. https://doi.org/10.1371/journal.pone.0061879.
Akinyemiju TF, Soliman AS, Copeland G, Banerjee M, Schwartz K, Merajver SD. Trends in breast cancer stage and mortality in Michigan (1992-2009) by race, socioeconomic status, and area healthcare resources. PLoS One. 2013;8(4):e61879.
Akinyemiju, Tomi F., et al. “Trends in breast cancer stage and mortality in Michigan (1992-2009) by race, socioeconomic status, and area healthcare resources.PLoS One, vol. 8, no. 4, 2013, p. e61879. Pubmed, doi:10.1371/journal.pone.0061879.
Akinyemiju TF, Soliman AS, Copeland G, Banerjee M, Schwartz K, Merajver SD. Trends in breast cancer stage and mortality in Michigan (1992-2009) by race, socioeconomic status, and area healthcare resources. PLoS One. 2013;8(4):e61879.

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2013

Volume

8

Issue

4

Start / End Page

e61879

Location

United States

Related Subject Headings

  • Social Class
  • Racial Groups
  • Neoplasm Staging
  • Michigan
  • Humans
  • Health Resources
  • General Science & Technology
  • Female
  • Breast Neoplasms
  • Age Distribution