biostudies-literatureShariff-Marco SNICHD NIH HHSNCCDPHP CDC HHSCalifornia Breast Cancer Research ProgramNCI NIH HHSPHS HHS1287-99https://www.ebi.ac.uk/biostudies/studies/S-EPMC4628564biostudies-literatureUnknown40(6)We investigated social disparities in breast cancer (BC) mortality, leveraging data from the California Breast Cancer Survivorship Consortium. The associations of race/ethnicity, education, and neighborhood SES (nSES) with all-cause and BC-specific mortality were assessed among 9372 women with BC (diagnosed 1993-2007 in California with follow-up through 2010) from four racial/ethnic groups [African American, Asian American, Latina, and non-Latina (NL) White] using Cox proportional hazards models. Compared to NL White women with high-education/high-nSES, higher all-cause mortality was observed among NL White women with high-education/low-nSES [hazard ratio (HR) (95 % confidence interval) 1.24 (1.08-1.43)], and African American women with low-nSES, regardless of education [high education HR 1.24 (1.03-1.49); low-education HR 1.19 (0.99-1.44)]. Latina women with low-education/high-nSES had lower all-cause mortality [HR 0.70 (0.54-0.90)] and non-significant lower mortality was observed for Asian American women, regardless of their education and nSES. Similar patterns were seen for BC-specific mortality. Individual- and neighborhood-level measures of SES interact with race/ethnicity to impact mortality after BC diagnosis. Considering the joint impacts of these social factors may offer insights to understanding inequalities by multiple social determinants of health.Journal of community healthIntersection of Race/Ethnicity and Socioeconomic Status in Mortality After Breast Cancer.PMC4628564R37CA5428116ZB-800516ZB-8004U01 CA164973N01-HD-3-317516ZB-800116ZB-8003N01 HD03317516ZB-8002HHSN26120100035CHHSN26120100034CHHSN261201000140CK05 CA136967UM1CA164973R01 CA054281R01 CA54281R01 CA77398R01 CA063446U58 DP0008071U58 DP000807-01R37 CA054281R01 CA077398UM1 CA164973R01 CA77305Koo JYang JLu YKwan MLKeegan THLeung RShariff-Marco SGomez SLMonroe KRVigen CLHenderson BEWu AHKurian AWJohn EMCheng ISposto RBernstein LfalseIntersection of Race/Ethnicity and Socioeconomic Status in Mortality After Breast Cancer.We investigated social disparities in breast cancer (BC) mortality, leveraging data from the California Breast Cancer Survivorship Consortium. The associations of race/ethnicity, education, and neighborhood SES (nSES) with all-cause and BC-specific mortality were assessed among 9372 women with BC (diagnosed 1993-2007 in California with follow-up through 2010) from four racial/ethnic groups [African American, Asian American, Latina, and non-Latina (NL) White] using Cox proportional hazards models. Compared to NL White women with high-education/high-nSES, higher all-cause mortality was observed among NL White women with high-education/low-nSES [hazard ratio (HR) (95 % confidence interval) 1.24 (1.08-1.43)], and African American women with low-nSES, regardless of education [high education HR 1.24 (1.03-1.49); low-education HR 1.19 (0.99-1.44)]. Latina women with low-education/high-nSES had lower all-cause mortality [HR 0.70 (0.54-0.90)] and non-significant lower mortality was observed for Asian American women, regardless of their education and nSES. Similar patterns were seen for BC-specific mortality. Individual- and neighborhood-level measures of SES interact with race/ethnicity to impact mortality after BC diagnosis. Considering the joint impacts of these social factors may offer insights to understanding inequalities by multiple social determinants of health.2015-01-01T00:00:00Z2015 Dec2025-04-04T01:29:25.866Z2025-04-04T01:29:25.866ZS-EPMC46285642607226010.1007/s10900-015-0052-y