IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i22p11824-d676859.html
   My bibliography  Save this article

Association between Neighborhood Social Deprivation and Stage at Diagnosis among Breast Cancer Patients in South Carolina

Author

Listed:
  • Oluwole Adeyemi Babatunde

    (Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
    Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA
    Department of Psychiatry, Prisma Health, 109 Physicians Drive, Greer, SC 29650, USA)

  • Whitney E. Zahnd

    (Rural & Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29210, USA)

  • Jan M. Eberth

    (Rural & Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC 29210, USA
    Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA)

  • Andrew B. Lawson

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Swann Arp Adams

    (Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
    Cancer Survivorship Center, College of Nursing, University of South Carolina, Columbia, SC 29208, USA)

  • Eric Adjei Boakye

    (Department of Population Science and Policy, School of Medicine, Southern Illinois University, Springfield, IL 62794, USA)

  • Melanie S. Jefferson

    (Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Caitlin G. Allen

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • John L. Pearce

    (Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Hong Li

    (Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Chanita Hughes Halbert

    (Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
    Hollings Cancer Center, Medical University of South Carolina, Charleston, SC 29425, USA
    Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA 90033, USA)

Abstract

The purpose of this study was to examine the association between neighborhood social deprivation and individual-level characteristics on breast cancer staging in African American and white breast cancer patients. We established a retrospective cohort of patients with breast cancer diagnosed from 1996 to 2015 using the South Carolina Central Cancer Registry. We abstracted sociodemographic and clinical variables from the registry and linked these data to a county-level composite that captured neighborhood social conditions—the social deprivation index (SDI). Data were analyzed using chi-square tests, Student’s t -test, and multivariable ordinal regression analysis to evaluate associations. The study sample included 52,803 female patients with breast cancer. Results from the multivariable ordinal regression model demonstrate that higher SDI (OR = 1.06, 95% CI: 1.02–1.10), African American race (OR = 1.35, 95% CI: 1.29–1.41), and being unmarried (OR = 1.17, 95% CI: 1.13–1.22) were associated with a distant stage at diagnosis. Higher tumor grade, younger age, and more recent year of diagnosis were also associated with distant-stage diagnosis. As a proxy for neighborhood context, the SDI can be used by cancer registries and related population-based studies to identify geographic areas that could be prioritized for cancer prevention and control efforts.

Suggested Citation

  • Oluwole Adeyemi Babatunde & Whitney E. Zahnd & Jan M. Eberth & Andrew B. Lawson & Swann Arp Adams & Eric Adjei Boakye & Melanie S. Jefferson & Caitlin G. Allen & John L. Pearce & Hong Li & Chanita Hug, 2021. "Association between Neighborhood Social Deprivation and Stage at Diagnosis among Breast Cancer Patients in South Carolina," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11824-:d:676859
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/22/11824/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/22/11824/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11824-:d:676859. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.