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Spatial and Contextual Analyses of Stage at Diagnosis

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Geospatial Approaches to Energy Balance and Breast Cancer

Part of the book series: Energy Balance and Cancer ((EBAC,volume 15))

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Abstract

We assess national trends in breast cancer incidence stratified by stage at diagnosis that suggest only a limited benefit to screening mammography. We then use a novel application of the spatial scan statistic to measure spatial patterns in the breast cancer stage distribution within New York State that highlight substantial socioeconomic disparities between locales. Finally, we report stage-specific breast cancer incidence rates as a function of median household income. This last analysis indicates that the greatest difference in early-stage breast cancer rates are found between middle and upper income groups, contradicting conventional wisdom that lack of health care access among the poorer population is the main driver of socioeconomic disparities. Overall, consideration of stage at diagnosis is indispensable to conducting population-based breast cancer surveillance, assessing the efficacy of screening, and identifying geographic and socioeconomic disparities.

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Notes

  1. 1.

    Because median household income is based on a survey of households, 58 census tracts without households (primarily college campuses, prisons, and military bases) were excluded from this part of the analysis.

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Authors and Affiliations

  1. New York State Department of Health, New York State Cancer Registry, Albany, NY, USA

    Francis P. Boscoe & Lindsey Hutchison

Authors
  1. Francis P. Boscoe
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  2. Lindsey Hutchison
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Correspondence to Francis P. Boscoe .

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Editors and Affiliations

  1. Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA

    David Berrigan

  2. Center for Science, Health and Society Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA

    Nathan A. Berger

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Boscoe, F.P., Hutchison, L. (2019). Spatial and Contextual Analyses of Stage at Diagnosis. In: Berrigan, D., Berger, N. (eds) Geospatial Approaches to Energy Balance and Breast Cancer. Energy Balance and Cancer, vol 15. Springer, Cham. https://doi.org/10.1007/978-3-030-18408-7_13

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  • DOI: https://doi.org/10.1007/978-3-030-18408-7_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18407-0

  • Online ISBN: 978-3-030-18408-7

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