Neighborhood Disadvantage, Individual Experiences of Racism, and Breast Cancer Survival
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View abstract on PubMed
Summary
This summary is machine-generated.Black women in disadvantaged neighborhoods face higher breast cancer mortality. Addressing neighborhood factors is crucial for reducing racial disparities in survival.
Area Of Science
- Public Health
- Epidemiology
- Social Determinants of Health
Background
- Structural racism in the U.S. disproportionately places Black residents in disadvantaged neighborhoods.
- Black women experience higher breast cancer mortality rates compared to other demographic groups.
Purpose Of The Study
- To examine the association between neighborhood disadvantage and individual experiences of racism with breast cancer mortality among Black women in the U.S.
Main Methods
- Prospective cohort study within the Black Women's Health Study (BWHS) of 59,000 Black women.
- Included 2,290 women diagnosed with stages I-III breast cancer, followed for mortality via National Death Index linkage.
- Neighborhood disadvantage assessed using geocoded addresses linked to Census data; racism experiences from questionnaires.
Main Results
- Living in the most disadvantaged neighborhoods was associated with a 47% higher breast cancer mortality rate (HR, 1.47; 95% CI, 1.02-2.12).
- Higher mortality rates observed in most disadvantaged neighborhoods (14.26/1000 person-years) vs. least disadvantaged (8.82/1000 person-years).
- While not statistically significant, trends suggested increased mortality with extreme economic deprivation and reported racism in multiple spheres.
Conclusions
- Neighborhood disadvantage is significantly linked to increased breast cancer mortality in Black women, independent of individual factors.
- Community-level interventions targeting neighborhood conditions and access to care are vital for reducing breast cancer survival disparities.
- Addressing social determinants of health is critical for improving health outcomes for Black women.
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