Geographic remoteness, area-level socio-economic disadvantage and advanced breast cancer: A cross-sectional, multilevel study
Journal article
Baade, Peter D., Turrell, Gavin and Aitken, Joan F.. (2011). Geographic remoteness, area-level socio-economic disadvantage and advanced breast cancer: A cross-sectional, multilevel study. Journal of Epidemiology and Community Health. 65(11), pp. 1037 - 1043. https://doi.org/10.1136/jech.2010.114777
Authors | Baade, Peter D., Turrell, Gavin and Aitken, Joan F. |
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Abstract | Background Reducing disparities in cancer outcomes is a major priority for cancer-control agencies. The authors examine the relationships between geographic remoteness, area disadvantage and risk of advanced breast cancer among women. Methods Multilevel models were used to assess the area- and individual-level contributions to the risk of advanced breast cancer among women aged 30–79 years diagnosed as having breast cancer in Queensland, Australia between 1997 and 2006 (n=18 658). Results Women who resided in the most socio-economically disadvantaged areas were significantly more likely (OR 1.21, 95% CI 1.07 to 1.37) than residents of the most advantaged areas to be diagnosed as having advanced breast cancer after adjustment for individual-level factors. When geographic remoteness and area-disadvantage (and all the individual-level factors) were simultaneously adjusted, the rates of advanced breast cancer were significantly higher for women residing in Outer Regional areas (OR 1.13, 95% CI 1.02 to 1.24) and those who lived in the most disadvantaged areas (OR 1.16, 95% CI 1.02 to 1.32). There was no statistically significant interaction between geographic remoteness and area disadvantage. Conclusions A woman's risk of being diagnosed as having advanced breast cancer depends on where she lives, separate from the individual characteristics of the woman herself. Both the rurality and socio-economic characteristics of the geographical area in which women lived were important. The socio-economic factors contributing to advanced breast cancer, existing in both urban and rural environments, need to be investigated. |
Year | 2011 |
Journal | Journal of Epidemiology and Community Health |
Journal citation | 65 (11), pp. 1037 - 1043 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/jech.2010.114777 |
Scopus EID | 2-s2.0-80955151913 |
Page range | 1037 - 1043 |
Research Group | Institute for Health and Ageing |
Publisher's version | File Access Level Controlled |
https://acuresearchbank.acu.edu.au/item/8644z/geographic-remoteness-area-level-socio-economic-disadvantage-and-advanced-breast-cancer-a-cross-sectional-multilevel-study
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