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Studying the Influence of the Neighborhood Obesogenic Environment on Breast Cancer in Epidemiological Cohorts: The Multiethnic Cohort

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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

The obesogenic environment, defined as neighborhood social and built environment attributes that promote a positive energy balance and obesity, has only recently been considered for its role in shaping racial/ethnic disparities in obesity-related cancer outcomes. Applying a multilevel framework, the influence of the neighborhood obesogenic environment on breast cancer incidence was examined in the Multiethnic Cohort Study (MEC), with attention to differential associations in four major racial/ethnic groups—African American, Japanese American, Latino, and white. This chapter describes the approaches used to characterize the neighborhood obesogenic environment in the MEC, provides an overview of key findings in relation to post-menopausal breast cancer incidence, and discusses challenges and opportunities in neighborhood contextual studies of breast cancer. Findings to date suggest that a composite metric of neighborhood socioeconomic status is an independent risk factor for breast cancer across diverse populations, and that attributes of the built environment (e.g., mixed-land use and unhealthy food environments) have varying effects on breast cancer incidence by race/ethnicity. Future neighborhood studies in the MEC will capitalize on novel longitudinal geospatial methods, expand to additional neighborhood measures, and integrate genetic and biomarker data. Robust epidemiologic cohorts integrating geospatial- and individual-level data are imperative to delineate and understand the key neighborhood attributes that impact breast cancer development, with the potential to ultimately impact public policies.

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Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA

    Shannon M. Conroy, Salma Shariff-Marco, Jennifer Jain, Scarlett Lin Gomez & Iona Cheng

  2. Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA, USA

    Shannon M. Conroy, Salma Shariff-Marco, Scarlett Lin Gomez & Iona Cheng

  3. Population Sciences in the Pacific Program, University of Hawaii Cancer Center, Honolulu, HI, USA

    Yurii B. Shvetsov, Loïc Le Marchand & Lynne R. Wilkens

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  1. Shannon M. Conroy
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  2. Salma Shariff-Marco
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  3. Yurii B. Shvetsov
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  4. Jennifer Jain
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  5. Loïc Le Marchand
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  6. Lynne R. Wilkens
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  7. Scarlett Lin Gomez
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  8. Iona Cheng
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Correspondence to Iona Cheng .

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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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Conroy, S.M. et al. (2019). Studying the Influence of the Neighborhood Obesogenic Environment on Breast Cancer in Epidemiological Cohorts: The Multiethnic Cohort. 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_8

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