Research Objective: Recent data have shown that breast cancer rates vary significantly across states, with the highest rates concentrated in the Northeastern US. Interestingly, Connecticut (CT) has the second highest breast cancer incidence rate, yet a breast cancer death rate that is similar to the national average. One possible reason for the relatively low breast cancer death rate in CT is that the higher average socioeconomic status (SES) of CT’s population results in better access to care and a greater awareness about the importance of early detection. The objective of this paper is to determine if any significant correlation exists between SES and the rate of mastectomy among women 40 years of age and older.
Study Design: To estimate the relationship between SES and mastectomy rates, state inpatient discharge data were collected from six states. SES and healthcare utilization data will be collected from several other sources. The analysis will be performed at the ZIP Code level to enable greater sensitivity in assessing the relationship between SES and mastectomy rates. Multiple linear regression analysis will be used to analyze the SES factors associated with discharge rates for mastectomy.
Results: Initial results suggest that higher household income leads to fewer mastectomies per 1,000 women.
Population to be Studied: Women 40 years of age and older.
Potential Implications for Policy: Understanding the factors associated with variation in mastectomy rates is an important step in allocating the necessary resources to promote breast cancer awareness and reduce the need for invasive surgical procedures.
Learning Objectives: At the conclusion of the session, the particpants in this session will be able to: 1. Identify the factors that are associated with greater use of mastectomies in the 40 years of age and older population. 2. Evaluate if these factors lead to access problems for early detection of breast cancer. 3. Develop policies to increase access and reduce the use of invasive treatments like radical mastectomy
Keywords: Breast Cancer, Access
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.