New Findings on Breast Cancer from University of Central Florida Summarized (Health Insurance and Neighborhood Poverty As Mediators of Racial Disparities In Advanced Disease Stage At Diagnosis and Nonreceipt of Surgery for Women With Breast …): Oncology – Breast Cancer

2023 JUL 19 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- A new study on Oncology - Breast Cancer is now available. According to news reporting originating in Orlando, Florida, by NewsRx journalists, research stated, “In our recent study, advanced disease stage and nonreceipt of surgery were the most important mediators of the racial disparity in breast cancer survival. The purpose of this study was to quantify the racial disparity in these two intermediate outcomes and investigate mediation by the more proximal mediators of insurance status and neighborhood poverty.”

Financial support for this research came from Florida Breast Cancer Foundation.

The news reporters obtained a quote from the research from the University of Central Florida, “This was a cross-sectional study of non-Hispanic Black and non-Hispanic White women diagnosed with first primary invasive breast cancer in Florida between 2004 and 2015. Log-binomial regression was used to obtain prevalence ratios (PR) with 95% confidence intervals (CIs). Multiple mediation analysis was used to assess the role of having Medicaid/being uninsured and living in high-poverty neighborhoods on the race effect. There were 101,872 women in the study (87.0% White, 13.0% Black). Black women were 55% more likely to be diagnosed with advanced disease stage at diagnosis (PR, 1.55; 95% CI, 1.50-1.60) and nearly twofold more likely to not receive surgery (PR, 1.97; 95% CI, 1.90-2.04). Insurance status and neighborhood poverty explained 17.6% and 5.3% of the racial disparity in advanced disease stage at diagnosis, respectively; 64.3% remained unexplained. For nonreceipt of surgery, insurance status explained 6.8% while neighborhood poverty explained 3.2%; 52.1% was unexplained. Insurance status and neighborhood poverty were significant mediators of the racial disparity in advanced disease stage at diagnosis with a smaller impact on nonreceipt of surgery.”

According to the news reporters, the research concluded: “However, interventions designed to improve breast cancer screening and receipt of high-quality cancer treatment must address additional barriers for Black women with breast cancer.”

For more information on this research see: Health Insurance and Neighborhood Poverty As Mediators of Racial Disparities In Advanced Disease Stage At Diagnosis and Nonreceipt of Surgery for Women With Breast Cancer. Cancer Medicine, 2023. Cancer Medicine can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Cancer Medicine - http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)2045-7634)

Our news correspondents report that additional information may be obtained by contacting Robert B. Hines, University of Central Florida, College of Medicine, Dept. of Population Health Sciences, Orlando, FL, United States. Additional authors for this research include Xiang Zhu, Eunkyung Lee, Bradley Eames, Karolina Chmielewska and Asal M. Johnson.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1002/cam4.6127. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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