Tracking community sentinel events
Breast cancer mortality and neighborhood risk for advanced-stage tumors in Denver
Bibliographic Data
| ID | 11031364 |
|---|---|
| Authors | Terry L Andres (University of Colorado Hospital), Anna E Barón (0000-0002-7949-4343), Robert A Wright (0000-0002-4600-394X), William M Marine |
| Year | 1996 |
| Volume | 86 |
| Issue | 5 |
| Pages | 717-722 |
| Publication date | 1996-05-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.86.5.717 |
| PMID | 8629725 |
| OpenAlex | W2097456369 |
| Language | EN |
| Citations received | 2 |
| References cited | 15 |
OBJECTIVES: The incidence of related sentinel events--breast cancer mortality and neighborhood-specific morbidity for advanced stage at diagnosis--were calculated for women likely to use a community health center in Denver, Colo. METHODS: For the center's service area, neighborhoods (n = 37) were defined by program use. Mortality rates and proportional hazards regression models were estimated for 4189 breast cancer cases recorded between 1979 and 1990. Neighborhood-specific standard morbidity ratios of advanced-stage tumors were based on age-specific rates applied to the entire community. RESULTS: Service area residents were more likely to present with advanced tumors (odds ratio [OR] = 1.4; 95% [CI] = 1.2, 1.5). After adjustment, advanced-stage disease and socioeconomic-demographic status, but not race-ethnicity, contributed significantly to survival. Two neighborhoods (6.5% of the population at risk) with standard morbidity ratios of 2.1 (95% CI = 1.3, 3.4) and 1.7 (95% CI = 1.2, 2.5) accounted for 42% of the excess cases of advanced-stage tumors between 1986 and 1990. CONCLUSIONS: Neighborhood variation in advanced-stage cancer can serve as the basis for efforts to improve access to breast cancer screening
Breast cancer · Cancer · Environmental health · Incidence (geometry) · Odds ratio · Population · Socioeconomic status · Stage (stratigraphy) · Data-Driven Disease Surveillance · Demography · Digital Radiography and Breast Imaging · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Gerontology
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Regression Models and Life-Tables
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Determinants of late stage diagnosis of breast and cervical cancer
National mortality rates
Mortality among minority populations in the United States
Stage at diagnosis in breast cancer
Socioeconomic differences in mortality in Britain and the United States
| Citations per year | 0.08 |
|---|---|
| Citation span | 2002 - 2004 (3) |
| Highly cited | No |