Volume 49 | Number 2 | April 2014

Abstract List

Talar W. Markossian, Robin B. Hines, Rana Bayakly


To measure the effects of race/ethnicity, area measures of socioeconomic status () and geographic residency status, and health care supply () characteristics on breast cancer ()‐related outcomes.

Data Sources/Study Setting

Female patients in eorgia diagnosed with in the years 2000–2009.

Study Design

Multilevel regression analysis with adjustment for variables at the county, census tract (), and individual level. The county represents the spatial unit of analysis for . and geographic residency status were grouped at the level.

Principal Findings

Even after controlling for area‐level characteristics, racial and ethnic minority women suffered an unequal burden. Despite inferior outcomes for disease stage and receipt of treatment, ispanics had a marginally significant decreased risk of death compared with non‐ispanics. Higher poverty was associated with worse ‐related outcomes. Residing in small, isolated rural areas increased the odds of receiving surgery, decreased the odds of receiving radiotherapy, and decreased the risk of death. A higher per‐capita availability of care physicians was significantly associated with decreased risk of death.


Race/ethnicity and area‐level measures of , geographic residency status, and contribute to disparities in ‐related outcomes.