Abigail E Lantz, Ryan Gebert, Jiannong Li, Jose A Oliveras, Edna R Gordián, Jaileene Perez-Morales, Steven Eschrich, Dung-Tsa Chen, Marilin Rosa, Julie Dutil, Harold I Saavedra, Teresita Muñoz-Antonia, Idhaliz Flores, William D Cress
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Several statistical tests were applied to identify significant group differences.</p><p><strong>Results: </strong>Breast cancer patients from Puerto Rico were least frequently employed and had the lowest rates of college education among the groups. They also reported more live births and less breastfeeding. Both Hispanic groups reported a higher fraction experiencing menstruation at age 11 or younger (Floridian Hispanics [38%] and Puerto Ricans [36%]) compared to non-Hispanic Whites (20%) and non-Hispanic Blacks (22%). Non-Hispanic Black and Puerto Rican women were significantly older at breast cancer diagnosis than their non-Hispanic White and Floridian Hispanic counterparts. The Puerto Rican and non-Hispanic Black groups more frequently had pathology stage T2 or higher primary breast tumors at diagnosis (non-Hispanic Whites [29%], non-Hispanic Blacks [39%], Floridian Hispanics [33%], Puerto Ricans [46%]). The Puerto Rican (73%, 95% CI [66, 82]) and non-Hispanic Black (79%, 95% CI [75, 84]) groups demonstrate reduced 5-year survival compared to non-Hispanic Whites (89%, 95% CI [86, 92]) and Floridian Hispanics (89%, 95% CI [86, 90]).</p><p><strong>Conclusions: </strong>These findings demonstrate that Puerto Rican breast cancer patients suffer significant breast cancer health disparities relative to non-Hispanic Whites and Hispanics from Florida similar to the disparities observed for non-Hispanic Blacks. Future work must seek to better understand and address these disparities.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Worse Clinical and Survival Outcomes in Breast Cancer Patients Living in Puerto Rico Compared to Hispanics, Non-Hispanic Blacks, and Non-Hispanic Whites from Florida.\",\"authors\":\"Abigail E Lantz, Ryan Gebert, Jiannong Li, Jose A Oliveras, Edna R Gordián, Jaileene Perez-Morales, Steven Eschrich, Dung-Tsa Chen, Marilin Rosa, Julie Dutil, Harold I Saavedra, Teresita Muñoz-Antonia, Idhaliz Flores, William D Cress\",\"doi\":\"10.1007/s40615-024-02232-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Herein, we report the characterization of four cohorts of breast cancer patients including (1) non-Hispanic Whites in Florida, (2) non-Hispanic Blacks in Florida, (3) Hispanics in Florida, and (4) Hispanics in Puerto Rico.</p><p><strong>Methods: </strong>Data from female breast cancer patients were collected from cancer registry (n = 9361) and self-reported patient questionnaires (n = 4324). Several statistical tests were applied to identify significant group differences.</p><p><strong>Results: </strong>Breast cancer patients from Puerto Rico were least frequently employed and had the lowest rates of college education among the groups. They also reported more live births and less breastfeeding. Both Hispanic groups reported a higher fraction experiencing menstruation at age 11 or younger (Floridian Hispanics [38%] and Puerto Ricans [36%]) compared to non-Hispanic Whites (20%) and non-Hispanic Blacks (22%). Non-Hispanic Black and Puerto Rican women were significantly older at breast cancer diagnosis than their non-Hispanic White and Floridian Hispanic counterparts. The Puerto Rican and non-Hispanic Black groups more frequently had pathology stage T2 or higher primary breast tumors at diagnosis (non-Hispanic Whites [29%], non-Hispanic Blacks [39%], Floridian Hispanics [33%], Puerto Ricans [46%]). The Puerto Rican (73%, 95% CI [66, 82]) and non-Hispanic Black (79%, 95% CI [75, 84]) groups demonstrate reduced 5-year survival compared to non-Hispanic Whites (89%, 95% CI [86, 92]) and Floridian Hispanics (89%, 95% CI [86, 90]).</p><p><strong>Conclusions: </strong>These findings demonstrate that Puerto Rican breast cancer patients suffer significant breast cancer health disparities relative to non-Hispanic Whites and Hispanics from Florida similar to the disparities observed for non-Hispanic Blacks. 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引用次数: 0
摘要
背景：在此，我们报告了四组乳腺癌患者的特征，包括：(1) 佛罗里达州的非西班牙裔白人；(2) 佛罗里达州的非西班牙裔黑人；(3) 佛罗里达州的西班牙裔人以及 (4) 波多黎各的西班牙裔人：从癌症登记（9361 人）和患者自我报告问卷（4324 人）中收集了女性乳腺癌患者的数据。结果：来自波多黎各的乳腺癌患者与来自美国的乳腺癌患者之间存在明显的群体差异：结果：波多黎各乳腺癌患者的就业率最低，大学教育率也最低。他们还报告了更多的活产和更少的母乳喂养。与非西班牙裔白人（20%）和非西班牙裔黑人（22%）相比，两个西班牙裔群体在 11 岁或 11 岁以下月经初潮的比例较高（佛罗里达西班牙裔[38%]和波多黎各人[36%]）。非西班牙裔黑人和波多黎各妇女确诊乳腺癌时的年龄明显大于非西班牙裔白人和弗洛里达西班牙裔妇女。波多黎各人和非西班牙裔黑人群体在确诊时更常患有病理 T2 期或更高的原发性乳腺肿瘤（非西班牙裔白人[29%]、非西班牙裔黑人[39%]、弗洛里达西班牙裔[33%]、波多黎各人[46%]）。波多黎各人（73%，95% CI [66，82]）和非西班牙裔黑人（79%，95% CI [75，84]）群体的 5 年存活率低于非西班牙裔白人（89%，95% CI [86，92]）和弗洛里达西班牙裔（89%，95% CI [86，90]）：这些研究结果表明，波多黎各乳腺癌患者与非西班牙裔白人和佛罗里达州西班牙裔人相比，在乳腺癌健康方面存在显著差异，这与非西班牙裔黑人的差异类似。今后的工作必须设法更好地了解和解决这些差异。
Worse Clinical and Survival Outcomes in Breast Cancer Patients Living in Puerto Rico Compared to Hispanics, Non-Hispanic Blacks, and Non-Hispanic Whites from Florida.
Background: Herein, we report the characterization of four cohorts of breast cancer patients including (1) non-Hispanic Whites in Florida, (2) non-Hispanic Blacks in Florida, (3) Hispanics in Florida, and (4) Hispanics in Puerto Rico.
Methods: Data from female breast cancer patients were collected from cancer registry (n = 9361) and self-reported patient questionnaires (n = 4324). Several statistical tests were applied to identify significant group differences.
Results: Breast cancer patients from Puerto Rico were least frequently employed and had the lowest rates of college education among the groups. They also reported more live births and less breastfeeding. Both Hispanic groups reported a higher fraction experiencing menstruation at age 11 or younger (Floridian Hispanics [38%] and Puerto Ricans [36%]) compared to non-Hispanic Whites (20%) and non-Hispanic Blacks (22%). Non-Hispanic Black and Puerto Rican women were significantly older at breast cancer diagnosis than their non-Hispanic White and Floridian Hispanic counterparts. The Puerto Rican and non-Hispanic Black groups more frequently had pathology stage T2 or higher primary breast tumors at diagnosis (non-Hispanic Whites [29%], non-Hispanic Blacks [39%], Floridian Hispanics [33%], Puerto Ricans [46%]). The Puerto Rican (73%, 95% CI [66, 82]) and non-Hispanic Black (79%, 95% CI [75, 84]) groups demonstrate reduced 5-year survival compared to non-Hispanic Whites (89%, 95% CI [86, 92]) and Floridian Hispanics (89%, 95% CI [86, 90]).
Conclusions: These findings demonstrate that Puerto Rican breast cancer patients suffer significant breast cancer health disparities relative to non-Hispanic Whites and Hispanics from Florida similar to the disparities observed for non-Hispanic Blacks. Future work must seek to better understand and address these disparities.
期刊介绍：
Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.
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