Neighborhood Changes in Concentrated Immigration and Late Stage Breast Cancer Diagnosis
Neighborhood Changes in Concentrated Immigration and Late Stage Breast Cancer Diagnosis
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DOI：
10.1007/s10903-010-9339-3
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发表时间：
2011-02-01
影响因子：
1.9
通讯作者：
Warnecke, Richard B.
中科院分区：
文献类型：
--
作者：
Cho, Young Ik;Johnson, Timothy P.;Warnecke, Richard B.
移民妇女患晚期乳腺癌的风险更大。美国外国出生人口的快速增长和新的移民模式促使我们研究移民人口的变化与伊利诺伊州库克县妇女乳腺癌诊断时远处转移阶段的可能性之间的关系。分析采用了伊利诺伊州癌症登记处1994年至2003年间诊断的42,714例乳腺癌病例的数据，以及1990年至2000年人口普查区的数据。我们发现，社区内移民人口的集中和增加增加了晚期乳腺癌诊断的风险。这些发现表明，尽管移民人口的一些健康指标近年来有所改善，但乳腺癌诊断方面的重要健康差异仍然存在于社区层面。他们进一步建议，癌症筛查和后续资源应针对移民人口快速增长的地区。
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.