亚裔美国女性的邻里环境与乳腺癌。
Neighborhood Contexts and Breast Cancer Among Asian American Women.
机构信息
Program of Public Health, Department of Health, Society, & Behavior, University of California Irvine, 653 E. Peltason Dr., Anteater Instruction and Research Building 2022, Irvine, CA, 92697-3957, USA.
Fielding School of Public Health, Department of Community Health Sciences, University of California Los Angeles, 650 Charles E. Young Dr. South, Los Angeles, CA, 90095, USA.
出版信息
J Immigr Minor Health. 2022 Apr;24(2):445-454. doi: 10.1007/s10903-021-01196-6. Epub 2021 Apr 12.
BACKGROUND
This study examines how neighborhood socioeconomic status (nSES) and ethnic composition are associated with breast cancer risk for Asian American women.
METHODS
We linked individual level data from a population-based case-control study of breast cancer among Asian American women with neighborhood level data in the Greater San Francisco Bay Area (cases: n = 118, controls: n = 390). Multivariable logistic regression models examined the association between nSES, ethnic composition, and odds of having breast cancer.
RESULTS
Asian American women living in neighborhoods with high nSES and high ethnic composition had the highest odds of breast cancer, compared to those living in neighborhoods with high nSES and low ethnic composition (OR = 0.34, 95% CI [0.16-0.75]) or in neighborhoods with low nSES and high ethnic composition (OR = 0.37, 95% CI [0.17-0.83]).
DISCUSSION
Neighborhood socioeconomic and ethnic contexts are associated with breast cancer for Asian American women. We discuss explanations and avenues for future research.
背景
本研究探讨了邻里社会经济地位（nSES）和族裔构成如何与亚裔美国女性的乳腺癌风险相关。
方法
我们将一项基于人群的亚裔美国女性乳腺癌病例对照研究中的个体水平数据与旧金山湾区（病例：n=118，对照：n=390）的邻里水平数据进行了关联。多变量逻辑回归模型检验了 nSES、族裔构成与乳腺癌患病几率之间的关系。
结果
与居住在 nSES 高且族裔构成低的邻里相比，居住在 nSES 高且族裔构成高的邻里（OR=0.34，95%CI[0.16-0.75]）或 nSES 低且族裔构成高的邻里（OR=0.37，95%CI[0.17-0.83]）的亚裔美国女性乳腺癌患病几率更高。
讨论
邻里的社会经济和族裔环境与亚裔美国女性的乳腺癌相关。我们讨论了这些发现的解释和未来研究的方向。
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