دورية أكاديمية
The intersection of race/ethnicity and socioeconomic status: inequalities in breast and cervical cancer mortality in 20,665,005 adult women from the 100 Million Brazilian Cohort.
| العنوان: | The intersection of race/ethnicity and socioeconomic status: inequalities in breast and cervical cancer mortality in 20,665,005 adult women from the 100 Million Brazilian Cohort. |
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| المؤلفون: | Góes EF; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Bahia, Brazil., Guimarães JMN; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Bahia, Brazil., Almeida MDCC; Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Salvador, Brazil., Gabrielli L; Centro de Diabetes e Endocrinologia da Bahia, Secretaria de Saúde do Estado da Bahia, Bahia, Brazil.; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil., Katikireddi SV; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK., Campos AC; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Bahia, Brazil., Matos SMA; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil., Patrão AL; Center for Psychology, Faculty of Psychology and Education Science, University of Porto, Porto, Portugal., Oliveira Costa AC; Programa de Pós-graduação em Saúde Coletiva do Instituto René Rachou/FIOCRUZ Minas., Quaresma M; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK., Leyland AH; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, UK., Barreto ML; Centre for Data and Knowledge Integration for Health (CIDACS), Gonçalo Moniz Institute, Oswaldo Cruz Foundation, Bahia, Brazil.; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil., Dos-Santos-Silva I; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK., Aquino EML; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brazil. |
| المصدر: | Ethnicity & health [Ethn Health] 2024 Jan; Vol. 29 (1), pp. 46-61. Date of Electronic Publication: 2023 Aug 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 9608374 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3419 (Electronic) Linking ISSN: 13557858 NLM ISO Abbreviation: Ethn Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Informa Healthcare Original Publication: Abingdon, Oxfordshire ; Cambridge, MA : Carfax, c1996- |
| مواضيع طبية MeSH: | Breast Neoplasms*/mortality , Uterine Cervical Neoplasms*/mortality , Health Inequities*, Adult ; Female ; Humans ; Brazil/epidemiology ; Ethnicity ; Social Class ; Socioeconomic Factors ; Racial Groups |
| مستخلص: | Objectives: There is limited evidence regarding the impact of race/racism and its intersection with socioeconomic status (SES) on breast and cervical cancer, the two most common female cancers globally. We investigated racial inequalities in breast and cervical cancer mortality and whether SES (education and household conditions) interacted with race/ethnicity. Design: The 100 Million Brazilian Cohort data were linked to the Brazilian Mortality Database, 2004-2015 (n = 20,665,005 adult women). We analysed the association between self-reported race/ethnicity (White/'Parda'(Brown)/Black/Asian/Indigenous) and cancer mortality using Poisson regression, adjusting for age, calendar year, education, household conditions and area of residence. Additive and multiplicative interactions were assessed. Results: Cervical cancer mortality rates were higher among Indigenous (adjusted Mortality rate ratio = 1.80, 95%CI 1.39-2.33), Asian (1.63, 1.20-2.22), 'Parda'(Brown) (1.27, 1.21-1.33) and Black (1.18, 1.09-1.28) women vs White women. Breast cancer mortality rates were higher among Black (1.10, 1.04-1.17) vs White women. Racial inequalities in cervical cancer mortality were larger among women of poor household conditions, and low education (P for multiplicative interaction <0.001, and 0.02, respectively). Compared to White women living in completely adequate (3-4) household conditions, the risk of cervical cancer mortality in Black women with 3-4, 1-2, and none adequate conditions was 1.10 (1.01-1.21), 1.48 (1.28-1.71), and 2.03 (1.56-2.63), respectively (Relative excess risk due to interaction-RERI = 0.78, 0.18-1.38). Among 'Parda'(Brown) women the risk was 1.18 (1.11-1.25), 1.68 (1.56-1.81), and 1.84 (1.63-2.08), respectively (RERI = 0.52, 0.16-0.87). Compared to high-educated White women, the risk in high-, middle- and low-educated Black women was 1.14 (0.83-1.55), 1.93 (1.57-2.38) and 2.75 (2.33-3.25), respectively (RERI = 0.36, -0.05-0.77). Among 'Parda'(Brown) women the risk was 1.09 (0.91-1.31), 1.99 (1.70-2.33) and 3.03 (2.61-3.52), respectively (RERI = 0.68, 0.48-0.88). No interactions were found for breast cancer. Conclusion: Low SES magnified racial inequalities in cervical cancer mortality. The intersection between race/ethnicity, SES and gender needs to be addressed to reduce racial health inequalities. |
| معلومات مُعتمدة: | 18525 United Kingdom CRUK_ Cancer Research UK; 29018 United Kingdom CRUK_ Cancer Research UK; SCAF/15/02 United Kingdom CSO_ Chief Scientist Office; SPHSU17 United Kingdom CSO_ Chief Scientist Office |
| فهرسة مساهمة: | Keywords: Brazil; Racism; cancer; intersectionality; mortality; racial inequalities; socioeconomic status |
| تواريخ الأحداث: | Date Created: 20230829 Date Completed: 20231222 Latest Revision: 20240320 |
| رمز التحديث: | 20240320 |
| DOI: | 10.1080/13557858.2023.2245183 |
| PMID: | 37642313 |
| قاعدة البيانات: | MEDLINE |
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