#9 Breast and cervical cancer mortality in the mississippi delta region

Literature review of data-based models for identification of factors associated with racial disparities in breast cancer mortality

“…Resource deprivation has been studied from multiple factors, including socio-economic status, income, em-ployment status, insurance status, urban/rural household, educational level, poverty level, and proportion of minorities in a residential community. Higher BC mortality has been associated with lower SES (Feinglass et al, 2015;Schlichting et al, 2012), lower income level (Ansell et al, 1993;Cella et al, 1991;Komenaka et al, 2010;Grann et al, 2006;Whitman et al, 2012), lower salary (Kallan, 1997;O'Malley et al, 2003;Vinnakota and Lam, 2006), Medicare/Medicaid enrollment , rural household (Hall et al, 2004;Hershman et al, 2006;Singh et al, 2011;Tian et al, 2012), and living in areas of high poverty (Du et al, 2008;Niu et al, 2010;Schootman et al, 2008). Also, although there is considerable evidence that higher educational attainment improves the likelihood of BC survival (Albano et al, 2007;Cella et al, 1991;Grann et al, 2006;Herndon et al, 2013;Kim et al, 2005a;Sprague et al, 2011;Vinnakota & Lam, 2006), it seems that the opposite can also be true, as higher educational attainment can reduce BC survival in patients with more complex jobs and lifestyles (Kallan, 1997;Okunade & Karakus, 2003).…”

“…In general, patients with no insurance or Medicaid have had higher overall mortality (Shi et al, 2015). Comparing BC death rates of women living in the Mississippi Delta region and women living elsewhere in the U.S., it was observed that white rural and black urban residents are more likely to have higher death rates than their counterparts in other regions (Hall et al, 2004). A more recent study concluded that SES was a stronger determinant for patients living in metropolitan areas despite race (AA or NHWs) (Singh et al, 2011).…”