Ethn
Dis 1999 Autumn;9(3):396-402
Diminished socioeconomic and racial disparity in the detection of early-stage
breast cancer,
Connecticut, 1986-1995.
Gregorio DI, Walsh SJ, Tate JP.
Department of Community Medicine and Health Care, University of Connecticut
School of Medicine, Farmington 06030-6205, USA. gregorio@nso.uchc.edu
Annual counts, proportional distributions, and age-adjusted incidence
rates of disease by stage at diagnosis are reported for 27,970 in situ
and invasive breast cancers from the Connecticut Tumor Registry, 1986-1995.
Odds ratios for the likelihood of late-stage disease by year of diagnosis,
age category, race/ethnicity, and the socioeconomic level of community
of residence are presented. More breast cancer is diagnosed today at earlier,
treatable stages than was previously the case. Nonetheless, young women,
non-whites, and residents of low-to-moderate income census tracts were
all at increased risk of being diagnosed with late-stage disease than
were their respective reference groups. From 1986 through 1990, there
was little change in the greater likelihood that non-whites and disadvantaged
women would be diagnosed with late-stage disease. For 1990-95, however,
the disparity in late-stage diagnosis by race/ethnicity and socioeconomic
standing was greatly decreased.
PMID: 10600062 [PubMed - indexed for MEDLINE]