266676 Late stage diagnosis and other factors that influencethe increased mortality rate of of African American women in Nebraska: Analysis of Cancer Registry Data 1999-1008

Sunday, October 28, 2012

Jackie Hill, MSN, APRN , Center for Reducing Health Disparities, University of Nebraska Medical Center Coillege of Public Health, Omaha, NE
Shinobu Watanabe-Galloway, Phd , Center for Reducing Health Disparities, University of Nebraska Medical Center, Omaha, NE
Health disparities have gained considerable attention in the last two decades as evidenced by Healthy People 2000, 2010 and 2020. Contrary to popular belief, Nebraska's health disparities mirror national trends with the starkest disparities occuring in Omaha NE. We conducted the first study in Nebraska that investigated the extent of breast cancer burden among African American women, a population that is often ignored. In this study, we used Nebraska Cancer Registry data 1999-2008 to examine staging at diagnosis, time to treatment initiation and survival among African American women compared to Caucasian women. A Cox proportionalHazard Regression Analysis was used to show ratio of race, age. stage at diagnosis and socioeconomic status. During the 10 year study period, a total of 14,481 women in Nebraska were diagnosed with breast cancer, of which 376 were among African American women(3%). African American breast cancer patients were significantly younger than Caucasian counterparts and 40% of African American breast cancer patients were younger than 55 years of age compared to 30% among Caucasians. African American breast cancer patients were significantly more likely to be diagnosed at a later stage than caucasian patients. Even affter adjusting for staging and age, African American women had a significantly poorer survival compared to Caucasians. Mortality for African American women is 34.8% compared to 22.6% for Caucasians. This presentation will highlight the breast cancer health disparity issues in Nebraska and the partnerships and evidence-based programs implemented to reduce late-stage diagnosis and better treatment outcomes.

Learning Areas:
Advocacy for health and health education
Assessment of individual and community needs for health education

Learning Objectives:
1.Identify two factors that contribute to increased mortality rate in African American women from breast cancer in Nebraska. 2. Describe differences in age at diagnosis between Caucasian and African American women in Nebraska. 3. Identify evidence-based interventions in effort to increase survival rate in African American women in Nebraska.

Keywords: Breast Cancer, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been principal investigator on a state funded grant focusing on obesity and health disparities. among my many years of community outreachI have an interest in breast cancer prevention, screening and treatment and the disparities that exist in this area
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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