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Prognostic significance of marital status in breast cancer survival: A population-based study

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  • María Elena Martínez
  • Jonathan T Unkart
  • Li Tao
  • Candyce H Kroenke
  • Richard Schwab
  • Ian Komenaka
  • Scarlett Lin Gomez

Abstract

Research shows that married cancer patients have lower mortality than unmarried patients but few data exist for breast cancer. We assessed total mortality associated with marital status, with attention to differences by race/ethnicity, tumor subtype, and neighborhood socioeconomic status (nSES). We included, from the population-based California Cancer Registry, women ages 18 and older with invasive breast cancer diagnosed between 2005 and 2012 with follow-up through December 2013. We estimated mortality rate ratios (MRR) and 95% confidence intervals (CI) for total mortality by nSES, race/ethnicity, and tumor subtype. Among 145,564 breast cancer cases, 42.7% were unmarried at the time of diagnosis. In multivariable-adjusted models, the MRR (95% CI) for unmarried compared to married women was 1.28 (1.24–1.32) for total mortality. Significant interactions were observed by race/ethnicity (P

Suggested Citation

  • María Elena Martínez & Jonathan T Unkart & Li Tao & Candyce H Kroenke & Richard Schwab & Ian Komenaka & Scarlett Lin Gomez, 2017. "Prognostic significance of marital status in breast cancer survival: A population-based study," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-14, May.
    • Handle: RePEc:plo:pone00:0175515
    DOI: 10.1371/journal.pone.0175515
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    3. Carol Parise & Vincent Caggiano, 2018. "The influence of marital status and race/ethnicity on risk of mortality for triple negative breast cancer," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-11, April.

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