Race and Area Deprivation in Breast Cancer Survival Rates Among Black and White Women

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Race and Area Deprivation in Breast Cancer Survival Rates Among Black and White Women
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Breastcancer mortality reflected differently in certain Georgia neighborhoods, study reveals jamanetworkopen

shows results for the Cox proportional hazards regression models that examine the association of ADI group and race with mortality. As anticipated, racial disparities in survival were notable because Black women had a significant increase in mortality rate in both the unadjusted and adjusted models. The ADI was also significantly associated with increased mortality overall. Compared with individuals in the lowest ADI group , those in the group with an ADI of 25 to 49 had an unadjusted HR of 1.

To elucidate the disparate effects of ADI, the survival model was estimated separately for each racial group. For White women, the hazard of increasing ADI on mortality was strong, sequential, and in the expected direction: groups in greater ADI quartiles had higher rates of mortality. For Black women, no ADI group conferred significant changes in the proportional hazard for mortality compared with those living in the least deprived group.

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