Rural–urban disparities of breast cancer patients in China

Published on Mar 1, 2013in Medical Oncology3.064
· DOI :10.1007/S12032-012-0387-5
Yan Zhang2
Estimated H-index: 2
(SDU: Shandong University),
Yulan Bu2
Estimated H-index: 2
(SDU: Shandong University),
Hua Gao2
Estimated H-index: 2
Sources
Abstract
The purpose of this study was to examine the rural–urban disparities in breast cancer patients in China. The retrospective study was performed with a total of 2,139 breast cancer patients hospitalized in Qilu Hospital of Shandong University between the years 1997 and 2011. We applied Chi-square analysis to identify significant disparities between rural and urban populations. Logistic regression model was used to estimate factors associated with the adjuvant chemotherapy treatment. Two-fifths of patients were considered rural dwellers. Significant disparities were found in marriage age (p < 0.0001), history of breast cancer (p = 0.0187), smoking (p = 0.0025) and reason for visiting a doctor (p < 0.0001) among all demographic variables. Rural patients tend to suffer more aggressive tumor histology (p = 0.0251), larger tumor size (p < 0.0001) and more metastatic lymph nodes (p < 0.0001) than urban patients. In addition, rural–urban differences were also shown in the choice of neo-adjuvant chemotherapy (p = 0.0050) and surgical procedures (p < 0.0001). With logistic regression model, we found some significant factors associated with the choice of post-adjuvant chemotherapy, including age at diagnosis, history of breast cancer, tumor histology and number of positive lymph node. Differences in rural–urban breast cancer patients exist in China. Interventions to increase early diagnosis of breast cancer among rural area are in need. Further research is needed to investigate potential attitude and perception differences between rural and urban populations with respect to breast cancer preventions and treatments.
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#2Tienhan Sandrine Dabakuyo (University of Burgundy)H-Index: 11
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#2Dhruvil R. Shah (UC Davis: University of California, Davis)H-Index: 11
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We hypothesized that breast cancer (BCa) patients in urban counties would have higher rates of post-lumpectomy radiation therapy (RT) relative to patients in near-metro and rural counties. We used the Surveillance, Epidemiology, and End Results (SEER) database to identify women diagnosed with BCa treated with lumpectomy in the Sacramento area between 2000 and 2006. Patient counties were categorized as urban and near-metro. Multivariate logistic regression models predicted treatment with RT. Like...
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#1Lin Fan (UR: University of Rochester)H-Index: 9
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The objectives of this study were to examine the outcomes of late stage breast cancer diagnosis, receiving first course treatment, and breast cancer-related death by race, age, and rural/urban residence in Georgia. The authors used cross-sectional and follow-up data (1992–2007) for Atlanta and Rural Georgia cancer registries that are part of the National Cancer Institute's Surveillance, Epidemiology, and End Results Program (N = 23,500 incident breast cancer cases in non-Hispanic whites or non-H...
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Cancer is the leading death cause in urban China and the second one in rural China. Lung cancer is the most common cancer, followed by stomach cancer, liver cancer, esophageal cancer and colorectal cancer. Cancer Control Programs in China focus on prevention, early diagnosis and treatment. The prevention program includes an anti-smoking campaign and immunization against hepatitis B for infants and children under the age of 15. Screening for breast and cervix cancers is among efforts for the earl...
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