Impact of Institutional - and Individual - Level Discrimination on Medical Care & Quality of Life among Breast Cancer Survivors
Final rept. 1 Jul 2007 - 30 Jun 2012
CANCER PREVENTION INST OF CALIFORNIA FREMONT
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This study used mixed-methods to develop a survey to measure discrimination among a diverse sample of breast cancer survivors, and to measure the prevalence of discrimination and association with breast cancer outcomes, including stage at diagnosis, treatment, and quality of life. Through the qualitative component of the study, we have gleaned invaluable perspectives regarding the subtle but important aspects of discrimination and its potential impacts on breast cancer outcomes. We encountered challenges with regards to recruitment, but did complete epidemiologic interviews with 523 respondents, with balanced representation across our target racialethnic groups non-Hispanic Whites, African Americans, Hispanics, Chinese, Filipinos. Our results showed that interpersonal and institutional discrimination varied across racialethnic groups and were associated with most of the outcomes of interest these results warrant further evaluation with more focused data analyses and in larger study populations. Our results also inform future research efforts on survey development.
- Sociology and Law
- Medicine and Medical Research
- Physical Chemistry