Socioeconomic Status and Breast Cancer Disparities
This quote by the National Research Council, which captures the long history of related research and robust findings regarding the connection between socioeconomic status (SES) and health, cogently illustrates the central theme of this chapter and, indeed, of this book. The traditional socioeconomic indicators of education, income, occupation, and insurance status have repeatedly been shown to be predictive of health and mortality in the US, Canada, the United Kingdom, and a number of other European countries (Marmot et al. 1995; House et al. 1990; Preston and Taubman 1994). Comparing studies is difficult, however, as SES measures are inconsistent and poorly validated. Futhermore, the prognostic value of SES is confounded by diet, lifestyle, and cultural factors, all of which may have ethnic-based variations (Gordon 2003; Newman 2005). Also, minority racial and ethnic groups in the US tend to be disproportionately weighted with poor or socioeconomically deprived persons. In all cases, however, the poor or more deprived have worse outcomes than their more affluent counterparts (Byers et al. 2008; Kim and Jang 2008).
KeywordsBreast Cancer Breast Cancer Risk White Woman Black Woman Breast Cancer Screening
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