Metropolitan area racial residential segregation, neighborhood racial composition, and breast cancer mortality

Russell, Emily; Kramer, Michael R.; Cooper, Hannah L.F.; Gabram-Mendola, Sheryl; Senior‐Crosby, Diana; Arriola, Kimberly R. Jacob

doi:10.1007/s10552-012-0029-4

Cited by 67 publications

(68 citation statements)

References 41 publications

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“…Numerous studies have shown that persistent residential racial-ethnic segregation in the United States serves as both a health promoter by facilitating stronger social support networks and as a health barrier by fostering conditions that limit resources (16, 39, 45, 46). Racial–ethnic composition in this study was based on ZCTAs having >50% Hispanic, >50% NHW, >50%NHAsian-Pacific Islander (NHAPI), >50% NHB, >50%NH American Indian/Native Alaskan, or mixed (NHM), if not any of the previous.…”

Section: Methodsmentioning

confidence: 99%

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Henry

Stroup

Warner

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background This study is among the first to explore geographic factors that may be associated with HPV vaccine uptake in the United States. Methods Data from the 2011 and 2012 National Immunization Survey-Teen for 20,565 female adolescents aged 13-17 years were analyzed to examine associations of HPV vaccine initiation (receipt of at least one dose) with ZIP code-level geographic factors. Logistic regression including individual and geographic factors was used to estimate the odds of HPV vaccine initiation. Results Approximately 53% of girls initiated the HPV vaccine in both years. Girls in high poverty communities had higher HPV vaccine initiation compared to those in low poverty communities (61.1% vs .52.4%; Adjusted Odds Ratio [AOR] 1.18,95%CI 1.04-1.33). Initiation was higher among girls in communities where the majority of the population was Hispanic (69.0% vs. 49.9%;AOR 1.64, 95%CI 1.43-1.87) or non-Hispanic mixed race (60.4% vs. 49.9%; AOR 1.30, 95%CI 1.17-1.44) compared to majority non-Hispanic white communities. Interactions between individual-level race/ethnicity and community racial–ethnic composition indicated significantly higher odds of initiation among Hispanic girls living in Hispanic communities compared to Hispanic girls living in predominately NHW (AOR 2.23;95%CI 1.87-2.65) or NHB (AOR 1.90; 95%CI 1.20-3.04)communities, respectively Conclusion Initiation rates of HPV vaccination among teen girls were highest in the poorest communities and among Hispanics living in communities where the racial–ethnic composition was predominantly Hispanic or mixed race. Impact Given low HPV vaccination rates in the United States, these results provide important evidence to inform public health interventions to increase HPV vaccination.

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Section: Methodsmentioning

confidence: 99%

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Henry

Stroup

Warner

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…In breast cancer patients, low neighborhood socioeconomic status (SES) predicts worse all-cause and non-breast-cancer-specific survival above and beyond the effects of individual SES (Lian et al, 2014); these associations may, however, vary by race/ethnicity (Shariff-Marco et al, 2014). African American women with breast cancer living in metropolitan areas with higher levels of racial segregation are at increased risk of mortality from breast cancer compared to White women living in those same metropolitan areas (Russell et al, 2012). In addition, breast cancer patients living in census tracts with a high risk of home foreclosure reported worse self-rated health than women living in areas with low foreclosure risk; this association was explained by lower income, lower physical activity levels, and worse perceived neighborhood conditions (Schootman, Deshpande, Pruitt, & Jeffe, 2012).…”

Section: Introductionmentioning

confidence: 99%

Influence of neighborhood-level factors on social support in early-stage breast cancer patients and controls

Thompson

Rodebaugh

Pérez

et al. 2016

Social Science & Medicine

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Rationale Low social support has been linked to negative health outcomes in breast cancer patients. Objective We examined associations between perceived social support, neighborhood socioeconomic deprivation, and neighborhood-level social support in early-stage breast cancer patients and controls. Methods This two-year longitudinal study in the United States included information collected from telephone interviews and clinical records of 541 early-stage patients and 542 controls recruited from 2003 to 2007. Social support was assessed using the Medical Outcomes Study Social Support Survey (MOS-SS). Residential addresses were geocoded and used to develop measures including neighborhood social support (based on MOS-SS scores from nearby controls) and neighborhood socioeconomic deprivation (a composite index of census tract characteristics). Latent trajectory models were used to determine effects of neighborhood conditions on the stable (intercept) and changing (slope) aspects of social support. Results In a model with only neighborhood variables, greater socioeconomic deprivation was associated with patients’ lower stable social support (standardized estimate = −0.12, p = .027); neighborhood-level social support was associated with social support change (standardized estimate = 0.17, p = .046). After adding individual-level covariates, there were no direct neighborhood effects on social support. In patients, neighborhood socioeconomic deprivation was associated with support indirectly through marriage, insurance status, negative affect, and general health. In controls, neighborhood socioeconomic deprivation was associated with support indirectly through marriage (p < .05). Conclusion Indirect effects of neighborhood socioeconomic deprivation on social support differed in patients and controls. Psychosocial and neighborhood interventions may help patients with low social support, particularly patients without partnered relationships in deprived areas.

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“…Russell et al [31] observed a strong correlation between breast cancer mortality and survival for blacks vs. whites in metropolitan cities. Collins and Williams [32] identified an association between residential segregation and mortality across 107 major U.S. cities and found that racial isolation was associated with all-cause and cancer mortality for African Americans, even after adjusting for socioeconomic indicators.…”

Section: Introductionmentioning

confidence: 99%

Use of Segregation Indices, Townsend Index, and Air Toxics Data to Assess Lifetime Cancer Risk Disparities in Metropolitan Charleston, South Carolina, USA

Rice

Jiang

Wilson

et al. 2014

IJERPH

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Background: Studies have demonstrated a relationship between segregation and level of education, occupational opportunities, and risk behaviors, yet a paucity of research has elucidated the association between racial residential segregation, socioeconomic deprivation, and lifetime cancer risk. Objectives: We examined estimated lifetime cancer risk from air toxics by racial composition, segregation, and deprivation in census tracts in Metropolitan Charleston. Methods: Segregation indices were used to measure the distribution of groups of people from different races within neighborhoods. The Townsend Index was used to measure economic deprivation in the study area. Poisson multivariate regressions were applied to assess the association of lifetime cancer risk with segregation indices and Townsend Index along with several sociodemographic measures. Results: Lifetime cancer risk from all pollution sources was 28 persons/million for half of the census tracts in Metropolitan Charleston. Isolation Index and Townsend Index both showed significant correlation with lifetime cancer risk from different sources. This significance still holds after adjusting for other sociodemographic measures in a Poisson regression, and these two indices have stronger effect on lifetime cancer risk compared to the effects of sociodemographic measures. Conclusions: We found that material deprivation, measured by the Townsend Index and segregation measured by the Isolation index, introduced high impact on lifetime cancer risk by air toxics at the census tract level.

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Metropolitan area racial residential segregation, neighborhood racial composition, and breast cancer mortality

Abstract: Racial residential segregation may influence health for blacks and whites differently. Pathways through which RRS patterns impact health should be further explored.

Cited by 67 publications

References 41 publications

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States

Influence of neighborhood-level factors on social support in early-stage breast cancer patients and controls

Use of Segregation Indices, Townsend Index, and Air Toxics Data to Assess Lifetime Cancer Risk Disparities in Metropolitan Charleston, South Carolina, USA

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