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Cancer Causes & Control

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01.04.2006 | Original Paper

Geographic Patterns of Advanced Breast Cancer in Los Angeles: Associations with Biological and Sociodemographic Factors (United States)

verfasst von: Marcia L. Gumpertz, Linda Williams Pickle, Barry A. Miller, B. Sue Bell

Erschienen in: Cancer Causes & Control | Ausgabe 3/2006

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Abstract

Objective

Examination of patterns of advanced breast cancer may provide evidence needed to direct health care resources to those communities or population groups in greatest need. We assessed to what degree biologic, ethnic, and sociodemographic factors could explain such patterns within Los Angeles County.

Methods

The proportion of cases of advanced disease among all breast cancer cases identified during 1992–1996 were analyzed using generalized linear mixed models with random census tract effects. Models included characteristics of the individual and her tumor, census tract of residence, and aggregated health districts.

Results

Approximately 6% of cases, ranging from 4% for Asian to 10% for Black women, were diagnosed as advanced, exhibiting striking geographic patterns. Tumor histology and hormone receptor status were most predictive of advanced disease. Sociodemographic variables such as marital status, median income, and distance to nearest mammography unit showed additional association with risk.

Conclusions

These models explain most of the geographical patterns and eliminate differences between White and Hispanic but not Asian or Black women, identify subpopulations at high risk of advanced disease, and suggest cancer control opportunities.

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Titel: Geographic Patterns of Advanced Breast Cancer in Los Angeles: Associations with Biological and Sociodemographic Factors (United States)
verfasst von: Marcia L. Gumpertz
Linda Williams Pickle
Barry A. Miller
B. Sue Bell
Publikationsdatum: 01.04.2006
Verlag: Kluwer Academic Publishers
Erschienen in: Cancer Causes & Control / Ausgabe 3/2006
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-005-0513-1

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24.04.2024 | DGIM 2024 | Nachrichten

Springer Medizin

Geographic Patterns of Advanced Breast Cancer in Los Angeles: Associations with Biological and Sociodemographic Factors (United States)

Abstract

Objective

Methods

Results

Conclusions

Neu im Fachgebiet Onkologie

Bei Senioren mit Prostatakarzinom auf Anämie achten!

ICI-Therapie in der Schwangerschaft wird gut toleriert

Krebspatienten impfen: Was? Wen? Und wann nicht?

Müde im Alter? Auch an die Nebenniere denken

Update Onkologie

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

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