Welcome!

News Feed Item

Study Reveals Widening Racial Disparity in Breast Cancer Mortality in 35 U.S. Cities

Unequal access to diagnosis and treatment results in deaths of 1,710 black women annually

NEW YORK, March 4, 2014 /PRNewswire-USNewswire/ -- A national study published today found a black: white disparity in breast cancer mortality in 39 of the most populous U.S. cities, with 35 of those cities experiencing a widening disparity over a 20-year period from 1990 to 2009. The 2014 Racial Disparity in Breast Cancer Mortality Study is the largest study of its kind and the first to examine racial disparities in breast cancer mortality in 50 cities over two decades. The study, released by the Avon Foundation for Women and published in Cancer Epidemiology, found that 1,710 black women – approximately five women per day – die on average annually largely due to racial disparities in screening and breast cancer treatment.

Avon Breast Cancer Crusade logo

The U.S. cities with the largest disparities are (in order of disparity ratio): Memphis, Tenn.; Los Angeles, Calif.; Wichita, Kan.; Houston, Texas; Boston, Mass.; Denver, Colo.; Chicago, Ill.; Phoenix, Ariz.; Dallas, Texas; Indianapolis, Ind.

For national and city-specific data, please visit: http://www.avonfoundation.org/causes/breast-cancer-crusade/disparities-study/

2014 Racial Disparity in Breast Cancer Mortality Study Findings
The 2014 study, conducted by Sinai Urban Health Institute and the Avon Foundation for Women, expands on a 2012 study that examined the racial disparity in breast cancer mortality over a three-year period (2005-2007) in the 24 largest U.S. cities. In an effort to see how these disparities changed over a longer time period, this new study analyzed the number of breast cancer deaths reported across four five-year intervals between 1990 and 2009 in the 50 largest U.S. cities; data were available for 41 of the most populous 50 cities.

The study found that in most cities the white death rate declined between 1990 and 2009, while the black death rate did not change substantially, resulting in an increasing disparity. Although the death rates declined for both white and black women in the United States as a whole over this time period, the white death rate decreased twice as much, leading the researchers to identify four key factors that led to this racial disparity in breast cancer mortality: differential access to screening, quality of the screening process, access to treatment, and quality of treatment.

Steve Whitman, Ph.D., director of Sinai Urban Health Institute and the study's senior author, explained the disparity: "The geographical variation and growth in the black: white disparity over time shows that genetic factors comprise only a very small portion of the breast cancer mortality disparity. Rather, we believe a more logical explanation for the disparity is that certain technological advances related to screening and treatment that became available in the 1990s – such as digital mammography, advances in surgery and new drugs for treatment – have been less accessible to black women, who are disproportionately poor and un- or under-insured and less able to obtain access to these advances."

Key Findings

  • Few of the cities had a black: white disparity during the first time period (1990-1994), yet by the most recent time period (2005-2009), 39 of the 41 cities analyzed had a black: white disparity in breast cancer mortality, 23 of which were statistically significant
  • Between 1990 and 2009, 35 cities saw an increase in the disparity during the 20-year period
  • 16 cities trended towards a black: white disparity in breast cancer survival, but did not reach statistical significance (likely due to sample size)
  • Memphis has the highest disparity of the 41 largest cities analyzed, followed by Los Angeles
  • New York has the smallest disparity of the 50 largest cities analyzed, followed by Baltimore

"The 2014 Racial Disparity in Breast Cancer Mortality Study has made it evident that a large racial disparity for breast cancer mortality exists in the United States. While the size of that disparity varies, it exists in virtually every one of the cities analyzed – and it appears to be growing," said Marc Hurlbert, Ph.D., executive director of the Avon Breast Cancer Crusade. "Public and private institutions in these cities need to join together to address these disparities.  The burden cannot be left only to the 'safety net' hospitals and health centers."

After the 2012 disparities study that showed Memphis had the highest disparity of the largest 25 U.S. cities, the Avon Foundation funded work at Memphis' Methodist Hospital to identify the key barriers that could be driving local disparities.  The report from the study in Memphis will be released March 18 at the Avon Foundation Breast Cancer Forum in Washington, D.C. and will inform future Avon funding in that city.

Five Recommendations to Reduce The Risk of Breast Cancer
Dr. Marc Hurlbert provides five tips about how women can reduce their risk of developing breast cancer:

  1. Seek access to early detection programs and screening
    - Low-income, uninsured and underinsured women can visit www.cdc.gov/cancer/breast to find low-cost breast cancer screenings across the United States.
  2. Be knowledgeable of family and personal history
    - If close relatives such as a mother, aunt or grandmother – or even male relatives – have had breast cancer, speak with a primary care doctor or Ob/Gyn about your specific risks and screening options.
    - Alert your doctor to personal risk factors such as childbearing history, your hormone replacement use, and radiation exposure to the chest if treated for lymphoma as a child
  3. Reduce alcohol use
    - Regular consumption of one or more drinks a day for women is associated with an increased risk of breast cancer.
  4. Maintain a healthy weight
    - Staying healthy lowers the odds of getting breast cancer.  Obesity and being overweight are linked to a higher risk of breast cancer, especially after menopause. To help maintain a healthy weight, eat more vegetables and fruits and limit red meat consumption.
  5. New moms should breastfeed immediately after birth
    - Experts recommend nursing a newborn within an hour of giving birth, if possible, and not supplementing with formula while in the hospital. Doctors recommend new mothers should breastfeed for at least six months. After a woman gives birth, she has a slightly increased risk for developing breast cancer over the next five to ten years (known as pregnancy-associated breast cancer).

Study Methodology
The researchers – led by Bijou Hunt, the study's main methodologist – measured racial disparity by calculating non-Hispanic black: non-Hispanic white breast cancer mortality rate ratios in each of the cities analyzed. A disparity ratio of greater than one indicates a higher black mortality rate; a ratio of less than one indicates a higher white death rate. In accordance with the our previous 2012 study's findings, results showed that some cities, such as Detroit and Las Vegas, have no disparity because mortality rates from breast cancer for both white and black women are unacceptably high.  In contrast, New York, for example, has low mortality rates for both black and white women and continues to have the smallest disparity among the most populous cities.  This study demonstrates the geographical variation in disparities and that the black: white breast cancer mortality disparity expanded in the majority of cities over the observed 20-year period (1990 - 2009).

About the Avon Breast Cancer Crusade
The Avon Breast Cancer Crusade, which launched in 1992 and is led by the U.S.-based Avon Foundation for Women, has placed Avon and the Avon Foundation for Women at the forefront of the fight against breast cancer; today, Avon is the leading corporate supporter of the cause globally. Avon breast cancer programs in more than 50 countries have donated more than $815 million for research and advancing access to care, regardless of a person's ability to pay. Avon awards funding to beneficiaries ranging from leading cancer centers to community-based grassroots breast health programs to support breast cancer research and access to care. The Crusade has enabled more than 18 million women globally to receive free mammograms and breast cancer screenings, educated more than 145 million women about breast cancer, and funded promising research into the causes of breast cancer and ways to prevent the disease. The Avon Foundation raises funds for the Crusade through the sale of Avon "Pink Ribbon" products, and through events such as the U.S. Avon Walk for Breast Cancer series being held in 2014 in Houston (April 12-13); Washington (May 3-4); Boston (May 17-18); Chicago (May 31-June 1); San Francisco (July 12-13); Santa Barbara, Calif. (September 6-7); New York (October 18-19); and Charlotte, N.C. (October 25-26).  Visit www.avonfoundation.org for more information.

About Sinai Health System
Sinai Health System, a Chicago-based private, not-for-profit organization, is comprised of seven member organizations: Mount Sinai Hospital, Holy Cross Hospital, Sinai Children's Hospital, Schwab Rehabilitation Hospital, Sinai Medical Group, Sinai Community Institute and Sinai Urban Health Institute. The system has over 800 physicians on its hospital medical staffs, 695 licensed beds, 100,000+ annual emergency department patient visits and eight physician residency training programs. www.sinai.org

Logo - http://photos.prnewswire.com/prnh/20140304/DC75783LOGO

SOURCE Avon Foundation for Women

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
Between 2005 and 2020, data volumes will grow by a factor of 300 – enough data to stack CDs from the earth to the moon 162 times. This has come to be known as the ‘big data’ phenomenon. Unfortunately, traditional approaches to handling, storing and analyzing data aren’t adequate at this scale: they’re too costly, slow and physically cumbersome to keep up. Fortunately, in response a new breed of technology has emerged that is cheaper, faster and more scalable. Yet, in meeting these new needs they...
"We're a cybersecurity firm that specializes in engineering security solutions both at the software and hardware level. Security cannot be an after-the-fact afterthought, which is what it's become," stated Richard Blech, Chief Executive Officer at Secure Channels, in this SYS-CON.tv interview at @ThingsExpo, held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA.
When it comes to cloud computing, the ability to turn massive amounts of compute cores on and off on demand sounds attractive to IT staff, who need to manage peaks and valleys in user activity. With cloud bursting, the majority of the data can stay on premises while tapping into compute from public cloud providers, reducing risk and minimizing need to move large files. In his session at 18th Cloud Expo, Scott Jeschonek, Director of Product Management at Avere Systems, discussed the IT and busin...
According to Forrester Research, every business will become either a digital predator or digital prey by 2020. To avoid demise, organizations must rapidly create new sources of value in their end-to-end customer experiences. True digital predators also must break down information and process silos and extend digital transformation initiatives to empower employees with the digital resources needed to win, serve, and retain customers.
The IoT is changing the way enterprises conduct business. In his session at @ThingsExpo, Eric Hoffman, Vice President at EastBanc Technologies, discussed how businesses can gain an edge over competitors by empowering consumers to take control through IoT. He cited examples such as a Washington, D.C.-based sports club that leveraged IoT and the cloud to develop a comprehensive booking system. He also highlighted how IoT can revitalize and restore outdated business models, making them profitable ...
In his general session at 19th Cloud Expo, Manish Dixit, VP of Product and Engineering at Dice, discussed how Dice leverages data insights and tools to help both tech professionals and recruiters better understand how skills relate to each other and which skills are in high demand using interactive visualizations and salary indicator tools to maximize earning potential. Manish Dixit is VP of Product and Engineering at Dice. As the leader of the Product, Engineering and Data Sciences team at D...
SaaS companies can greatly expand revenue potential by pushing beyond their own borders. The challenge is how to do this without degrading service quality. In his session at 18th Cloud Expo, Adam Rogers, Managing Director at Anexia, discussed how IaaS providers with a global presence and both virtual and dedicated infrastructure can help companies expand their service footprint with low “go-to-market” costs.
Get deep visibility into the performance of your databases and expert advice for performance optimization and tuning. You can't get application performance without database performance. Give everyone on the team a comprehensive view of how every aspect of the system affects performance across SQL database operations, host server and OS, virtualization resources and storage I/O. Quickly find bottlenecks and troubleshoot complex problems.
"Once customers get a year into their IoT deployments, they start to realize that they may have been shortsighted in the ways they built out their deployment and the key thing I see a lot of people looking at is - how can I take equipment data, pull it back in an IoT solution and show it in a dashboard," stated Dave McCarthy, Director of Products at Bsquare Corporation, in this SYS-CON.tv interview at @ThingsExpo, held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA.
"We are the public cloud providers. We are currently providing 50% of the resources they need for doing e-commerce business in China and we are hosting about 60% of mobile gaming in China," explained Yi Zheng, CPO and VP of Engineering at CDS Global Cloud, in this SYS-CON.tv interview at 19th Cloud Expo, held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA.
Predictive analytics tools monitor, report, and troubleshoot in order to make proactive decisions about the health, performance, and utilization of storage. Most enterprises combine cloud and on-premise storage, resulting in blended environments of physical, virtual, cloud, and other platforms, which justifies more sophisticated storage analytics. In his session at 18th Cloud Expo, Peter McCallum, Vice President of Datacenter Solutions at FalconStor, discussed using predictive analytics to mon...
The Internet of Things will challenge the status quo of how IT and development organizations operate. Or will it? Certainly the fog layer of IoT requires special insights about data ontology, security and transactional integrity. But the developmental challenges are the same: People, Process and Platform and how we integrate our thinking to solve complicated problems. In his session at 19th Cloud Expo, Craig Sproule, CEO of Metavine, demonstrated how to move beyond today's coding paradigm and sh...
Today we can collect lots and lots of performance data. We build beautiful dashboards and even have fancy query languages to access and transform the data. Still performance data is a secret language only a couple of people understand. The more business becomes digital the more stakeholders are interested in this data including how it relates to business. Some of these people have never used a monitoring tool before. They have a question on their mind like “How is my application doing” but no id...
@GonzalezCarmen has been ranked the Number One Influencer and @ThingsExpo has been named the Number One Brand in the “M2M 2016: Top 100 Influencers and Brands” by Onalytica. Onalytica analyzed tweets over the last 6 months mentioning the keywords M2M OR “Machine to Machine.” They then identified the top 100 most influential brands and individuals leading the discussion on Twitter.
DevOps is being widely accepted (if not fully adopted) as essential in enterprise IT. But as Enterprise DevOps gains maturity, expands scope, and increases velocity, the need for data-driven decisions across teams becomes more acute. DevOps teams in any modern business must wrangle the ‘digital exhaust’ from the delivery toolchain, "pervasive" and "cognitive" computing, APIs and services, mobile devices and applications, the Internet of Things, and now even blockchain. In this power panel at @...