The black:white disparity in breast cancer mortality: the example of Chicago

  title={The black:white disparity in breast cancer mortality: the example of Chicago},
  author={Jocelyn Hirschman and Steven Whitman and David A. Ansell},
  journal={Cancer Causes \& Control},
ObjectiveThe black:white disparity in breast cancer mortality has been increasing in the U.S. In order to gain insight into this disparity in Chicago, we examined mortality data together with other important measures associated with breast cancer.MethodsTrends in black:white female breast cancer mortality, incidence, stage at diagnosis, and mammography screening in Chicago were examined using data from the Illinois State Cancer Registry, Illinois Department of Public Health Vital Records, and… 

A community effort to reduce the black/white breast cancer mortality disparity in Chicago

There are significant access barriers to high quality mammography and treatment services that could be contributing to the mortality differences in Chicago.

The Racial Disparity in Breast Cancer Mortality

Vital records data were employed to calculate age-adjusted breast cancer mortality rates for women in Chicago, New York City and the United States from 1980–2005, and race-specific rate ratios were used to measure the disparity in breast cancerortality.

Assessing the Racial and Ethnic Disparities in Breast Cancer Mortality in the United States

It is found that racial/ethnic disparities in breast cancer may be attributed to a large number of clinical and non-clinical risk factors including lack of medical coverage, barriers to early detection and screening, more advanced stage of disease at diagnosis among minorities, and unequal access to improvements in cancer treatment.

Changes in the racial disparity in breast cancer mortality in the ten US cities with the largest African American populations from 1999 to 2013: The reduction in breast cancer mortality disparity in Chicago

Chicago’s improvement in NHB breast cancer mortality and disparity reduction occurred in the context of city-wide comprehensive public health initiatives and shows promise as a model for other cities with high health outcome disparities.

Health and Racial Disparity in Breast Cancer.

The goal of the work presented in this book chapter is to highlight similarities and differences in breast cancer morbidity and mortality rates among non-Hispanic white and non- Hispanic black populations.

Racial and socioeconomic disparities in breast cancer diagnosis and mortality in Pennsylvania

It is found that in PA, age, race and income are all associated with BC diagnosis and mortality with noteworthy disparities for Black women, but there were no differences in BC diagnosis between white and Black women across all levels of income in the multivariable model.

Breast Cancer Disparities Among Women in Underserved Communities in the USA

Although HICs have reduced mortality of breast cancer compared to LMICs, there remain inequities in the US healthcare system and Concerted efforts are needed to ensure that all women have access to equitable screening, detection, treatment, and survivorship resources.



Racial and ethnic disparities in breast cancer mortality: are we doing enough to address the root causes?

  • Dionne J. BlackmanC. Masi
  • Medicine
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology
  • 2006
Although pilot programs have increased breast cancer screening among select populations, persistent disparities in mortality suggest that changes are needed at the policy level to address the root causes of these disparities.

Breast cancer trends of black women compared with white women.

Declines in mortality rates in women younger than 40 years reflect a favorable birth cohort trend for women born after 1948 and likely reflect changes in risk factors, although black women appear to have benefited less than white women from early detection and treatment advances.

Disaggregating the effects of race and poverty on breast cancer outcomes.

  • O. Brawley
  • Medicine
    Journal of the National Cancer Institute
  • 2002
This study demonstrates that socioeconomic factors that act largely through and are associated with race are responsible for much of the disparity between black and white women, and discredit the hypothesis that race is an inherent determinant of the biologic behavior of breast disease.

Does Utilization of Screening Mammography Explain Racial and Ethnic Differences in Breast Cancer?

It was shown that African-American and Hispanic women have longer intervals between mammography and are more likely to have advanced-stage tumors at diagnosis and to die of breast cancer than white women, but in women with similar screening histories, these rates were similar regardless of race or ethnicity.

Racial Inequities in the Timing of Breast Cancer Detection, Diagnosis, and Initiation of Treatment

Racial differences were identified at each step in the evaluation and treatment clinical pathway, including method of detection, timing from first symptoms of cancer to pathologic diagnosis, and timing from diagnosis to initiation of treatment.

Secular Trends in the Incidence of Female Breast Cancer in the United States, 1973–1998

Abstract:   Statistical modeling suggests a causal association between the rapid increase in the incidence of female breast cancer (FBC) in the United States and the widespread use of screening

Identifying Geographic Disparities in the Early Detection of Breast Cancer Using a Geographic Information System

Visual display of the geographic differences in the early detection of breast cancer demonstrates the diffusion of mammography use across the county over the 20-year period.

Screening mammography in the American elderly.

Cancer Statistics, 2002

From 1992 to 1998, cancer death rates declined in males and females, while cancer incidence rates decreased among males and increased slightly among females, most notably, African‐American men showed the largest decline for both incidence and mortality.