Quality of Breast Cancer Care: The Role of Hispanic Ethnicity, Language and Socioeconomic Position
Abstract
Socioeconomic position (SEP) refers to a range of dimensions that describe position in society, poverty, deprivation, wealth, occupation and social status. The goal of the proposed work is to inform our understanding of racial and ethnic dispanties in breast cancer care and the impact of SEP and linguistic barriers. We received approval from the Contracting Specialist to begin work in July 2004. This first year of work was spent obtaining study data and preliminary cleaning, variable creation, and descriptive analyses. We enriched existing data from a population-based sample of Los Angeles women diagnosed with breast cancer in 2000 with publicly available 2000 Census data elements. We identified census tracts classified as Poverty Areas (>=20% of population below the federal poverty level (FPL)); Extreme Poverty Areas (>=50% of population below FPL); Undereducated Areas (>25% of the adult population lacks high school degree);percentages of foreign-born, citizens, race/ethnic groups, and limited English-proficiency (LEP). These were linked to individual de-identified patient data by census tract. Preliminary findings show the treatment in hospitals with characteristics associated with high quality care varies by race/ethnicity and neighborhood characteristics. Preliminary results support the hypothesis that quality of care research should consider patient, healthcare setting, and neighborhood characteristics.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2005
- Accession Number
- ADA442277
Entities
People
- Diana Tisnado
- Katherine L. Kahn
Organizations
- University of California, Los Angeles