Journal of Immigrant and Minority Health

, Volume 13, Issue 1, pp 9–14 | Cite as

Neighborhood Changes in Concentrated Immigration and Late Stage Breast Cancer Diagnosis

  • Young Ik ChoEmail author
  • Timothy P. Johnson
  • Richard E. Barrett
  • Richard T. Campbell
  • Therese A. Dolecek
  • Richard B. Warnecke
Original Paper


Immigrant women are at greater risk for late stage breast cancer diagnosis. The rapid increase in the US foreign-born population and new immigration patterns lead us to investigate the association between changes in immigrant population and the likelihood of distant metastasis stage at diagnosis of breast cancer among women in Cook County, Illinois. Analyses employed Illinois State Cancer Registry data for 42,714 breast cancer cases diagnosed between 1994 and 2003 in conjunction with 1990 and 2000 Census tract data. We find that concentration of and increases in immigrant populations within neighborhoods contributed to the risk of late stage breast cancer diagnosis. These findings suggest that, although some health indicators for immigrant populations have improved in recent years, important health disparities in breast cancer diagnosis still remain at the neighborhood level. They further suggest that cancer screening and follow-up resources should be directed to areas experiencing rapid increases in immigrant populations.


Breast cancer Stage at diagnosis Distant metastasis Immigrants Neighborhood change 



This research was funded by the National Cancer Institute (P-50 CA106743, PI: R. Warnecke). The cancer incidence data used in this study were supplied by the Illinois Department of Public Health. The Department specifically disclaims responsibility for any analyses, interpretations, or conclusions.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Young Ik Cho
    • 1
    Email author
  • Timothy P. Johnson
    • 2
  • Richard E. Barrett
    • 3
  • Richard T. Campbell
    • 4
  • Therese A. Dolecek
    • 4
  • Richard B. Warnecke
    • 5
  1. 1.Survey Research LaboratoryUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Survey Research LaboratoryUniversity of Illinois at ChicagoChicagoUSA
  3. 3.Department of SociologyUniversity of Illinois at ChicagoChicagoUSA
  4. 4.Division of Epidemiology and Biostatistics, School of Public HealthUniversity of Illinois at ChicagoChicagoUSA
  5. 5.Center for Population Health and Health DisparitiesUniversity of Illinois at ChicagoChicagoUSA

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