Financial Impact of Breast Cancer in Black Versus White Women

• DOI: 10.1200/jco.2017.77.6310
• Publication Date: 2018-04-18T20:00:47Z
• Authors: Stephanie B. Wheeler; Jennifer C. Spencer; Laura C. Pinheiro; Lisa A. Carey; Andrew F. Olshan; Katherine E. Reed...
• Keywords: Incidence; 1. No poverty; Breast Neoplasms; Middle Aged; White People; 3. Good health; Black or African American; 03 medical and health sciences; 0302 clinical medicine; North Carolina; Humans; Female

Purpose Racial variation in the financial impact of cancer may contribute to observed differences use guideline-recommended treatments. We describe racial with regard breast a large population-based prospective cohort study. Methods The Carolina Breast Cancer Study oversampled black women and younger than age 50 years incident North from 2008 2013. Participants provided medical records data regarding demographics, socioeconomic status, at 5 25 months postdiagnosis. report unadjusted adjusted postdiagnosis by race. Results sample included 2,494 who completed follow-up surveys (49% black, 51% white). Since diagnosis, 58% reported any adverse ( v 39% white women; P < .001). In models for age, stage treatment received, were more likely attributable (adjusted risk difference [aRD], +14 percentage points; .001), including income loss (aRD, +10 health care–related barriers transportation job 6 insurance +3 effect race was attenuated when factors but remained significant loss, barriers, overall impact. Conclusion Compared women, experience significantly worse Disproportionate strain higher stress, lower compliance, outcomes Policies that help limit cancer-related are needed.