“Increased racial group breast cancer care and survival differentials in America: Historical evidence consistent with a health insurance hypothesis, 1975 to 2001” in Breast Cancer Research and Treatment, 113, 595-600
Purpose This study examined whether race/ethnicity had differential effects on breast cancer care and survival across age strata and cohorts within stages of disease. Methods The Detroit Cancer Registry provided 25,997 breast cancer cases. African American and non-Hispanic white, older Medicare-eligible and younger non-eligible women were compared. Successive historical cohorts (1975–1980 and 1990–1995) were, respectively, followed until 1986 and 2001. Results African American disadvantages on survival and treatments increased significantly, particularly among younger women who were much more likely to be uninsured. Within node positive disease all treatment disadvantages among younger African American women disappeared with socioeconomic adjustment. Conclusions Growth of this racial divide implicates social, rather than biological, forces. Its elimination will require high quality health care for all.
Uzo Anucha is an Associate Professor in York University’s Department of Social Work and the founding director of the Applied Social Welfare Research and Evaluation Group. Her work and research interests include homelessness and under-housing; immigration and diversity; community-based research; critical positive youth development; social work; international social work.
Other publications from this author include:
- “Growing New Roots: The Housing Experiences of Racialized Newcomers in a Second -Tier Canadian City” in Canadian Social Work– Special Issue on the Settlement and Integration of Newcomers to Canada (2014)
- “Negotiated challenges in the workplace: Immigrant women’s views and experiences of employment in Canada”: Affilia: Journal of Women and Social Work 27 (4), 420-434 (2012)
- “Housed but Homeless? Negotiating Everyday Life in a Shared Housing Program for Homeless People” in Families in Society – A Journal of Contemporary Social Services, 91 (1), 67-75 (2010)
- “Engaging the Canadian Diaspora, Youth Social Identities in a Canadian Border City” in McGill Journal of Education, 44 (3) (2009)
- “The Challenges and Possibilities of Re-visioning Social Work Education in Africa” in New Directions in African Education: Issues in Curriculum, Pedagogy, Policy and Access (2009)
- “Trans-nationalism, social identities and African youth in the Canadian diaspora” in Social Identities, 15 (2), 227-242 (2009)
- “Exploring a New Direction for Social Work Education and Training in Nigeria”, Social Work Education – The International Journal, 27 (3), 229-242 (2007)
- “When a Bed is Home: The Challenges and Paradoxes of Community Development in a Shared Housing Program for Homeless People” in Canadian Review of Social Policy (58) – Special Edition on Canadian Homelessness, 62-83 (2006)