Affordable Access

Disparities Report: Disparities Among Minority Women With Breast Cancer Living in Impoverished Areas of California.

Authors
  • Haji-Jama, Sundus1
  • Gorey, Kevin M
  • Luginaah, Isaac N
  • Zou, Guangyong
  • Hamm, Caroline
  • Holowaty, Eric J
  • 1 School of Social Work, University of Windsor, Ontario, Canada N9B 3P4. [email protected] , (Canada)
Type
Published Article
Journal
Cancer control : journal of the Moffitt Cancer Center
Publication Date
Apr 01, 2016
Volume
23
Issue
2
Pages
157–162
Identifiers
PMID: 27218793
Source
Medline
Language
English
License
Unknown

Abstract

Interaction effects of poverty and health care insurance coverage on overall survival rates of breast cancer among women of color and non-Hispanic white women were explored. We analyzed California registry data for 2,024 women of color (black, Hispanic, Asian, Pacific Islander, American Indian, or other ethnicity) and 4,276 non-Hispanic white women (Anglo-European ancestries and no Hispanic-Latin ethnic backgrounds) diagnosed with breast cancer between the years 1996 and 2000 who were then followed until 2011. The 2000 US census categorized rates of neighborhood poverty. Health care insurance coverage was either private, Medicare, Medicaid, or none. Cox regression was used to model rates of survival. A 3-way interaction between ethnicity, health care insurance coverage, and poverty was observed. Women of color inadequately insured and living in poor or near-poor neighborhoods in California were the most disadvantaged. Women of color adequately insured and who lived in such neighborhoods in California were also disadvantaged. The incomes of such women of color were typically lower than the incomes of non-Hispanic white women. Women of color with or without insurance coverage are disadvantaged in poor and near-poor neighborhoods of California. Such women may be less able to bare the indirect, direct, or uncovered costs of health care for breast cancer treatment.

Report this publication

Statistics

Seen <100 times