Journal of Clinical Epidemiology
Volume 54, Issue 7 , Pages 719-727 , July 2001

Socio-demographic factors, health behavior and late-stage diagnosis of breast cancer in Germany: A population-based study

  • Volker Arndt

      Affiliations

    • Department of Epidemiology, University of Ulm, 89081 Ulm, Germany
    • ,
  • Til Stürmer

      Affiliations

    • Department of Epidemiology, University of Ulm, 89081 Ulm, Germany
    • Department of Epidemiology, German Centre for Research on Ageing, 69115 Heidelberg, Germany
    • Corresponding Author InformationCorresponding author. Department of Epidemiology, German Centre for Research on Ageing, Bergheimer Strasse 20, 69115 Heidelberg, Germany. Tel.: +49-6221-548145; fax: +49-6221-548142.(T. Stürmer)
    • ,
  • Christa Stegmaier

      Affiliations

    • Saarland Cancer Registry, Virchowstr. 7, 66119 Saarbrücken, Germany
    • ,
  • Hartwig Ziegler

      Affiliations

    • Saarland Cancer Registry, Virchowstr. 7, 66119 Saarbrücken, Germany
    • ,
  • Georg Dhom

      Affiliations

    • Am Webersberg 20, 66424 Homburg, Germany
    • ,
  • Hermann Brenner

      Affiliations

    • Department of Epidemiology, University of Ulm, 89081 Ulm, Germany
    • Department of Epidemiology, German Centre for Research on Ageing, 69115 Heidelberg, Germany

Received 10 November 1999 ,Revised 20 July 2000 ,Accepted 4 October 2000.

References 

  1. Parkin DM, Muir CS, Whelan SL, Gao YT, Ferlay J, Powel J. Cancer incidence in five continents. Lyon, France: IARC Scientific Publication, vol VI; 1992;
  2. Pisani P, Parkin DM, Ferlay J. Estimates of the worldwide mortality from eighteen major cancers in 1985 (implications for prevention and projections of future burden). Int J Cancer. 1993;55:891–903
  3. Henson DE, Ries L, Freedman LS, Carriaga M. Relationship among outcome, stage of disease and histologic grade for 22,616 cases of breast cancer. Cancer. 1991;68:2142–2149
  4. Shapiro S. Periodic screening for breast cancer (the HIP randomized controlled trial). J Natl Cancer Inst Monogr. 1997;22:27–30
  5. Shapiro S. Screening (assessment of current studies). Cancer. 1994;74(Suppl 1):231–238
  6. May DS, Kiefe CI, Funkhouser E, Fouad MN. Compliance with mammography guidelines (physician recommendation and patient adherence). Prev Med. 1999;28:386–394
  7. Weinberg AD, Cooper HP, Lane M, Kripalani S. Screening behaviours and long-term compliance with mammography guidelines in a breast cancer screening program. Am J Prev Med. 1997;13:29–35
  8. Richards MA, Westcombe AM, Love SB, Littlejohns P, Ramirez AJ. Influence of delay on survival in patients with breast cancer (a systematic review). Lancet. 1999;353:1119–1126
  9. GIVIO(Interdisciplinary Group for Cancer Care Evaluation) . Reducing diagnostic delay in breast cancer. Possible therapeutic implications. Cancer. 1986;58:1756–1761
  10. Weissman JS, Stern R, Fielding SL, Epstein AM. Delayed access to health care (risk factors, reasons, and consequences). Ann Intern Med. 1991;114:325–331
  11. Love N. Why patients delay seeking care for cancer symptoms. What you can do about it. Postgrad Med. 1991;89:151–158
  12. Mandelblatt J, Andrews H, Kerner J, Zauber A, Burnett W. Determinants of late stage diagnosis of breast and cervical cancer (the impact of age, race, social class, and hospital type). Am J Public Health. 1991;81:646–649
  13. Yancik R, Ries LG, Yates JW. Breast cancer in aging women. A population-based study of contrasts in stage, surgery, and survival. Cancer. 1989;63:976–981
  14. Fowble BL, Schultz DJ, Overmoyer B, Solin LJ, Fox K, Jardines L, et al.  The influence of young age on outcome in early stage breast cancer. Int J Radiat Oncol Biol Phys. 1994;30:23–33
  15. Polednak AP. Breast cancer in black and white women in New York State. Case distribution and incidence rates by clinical stage at diagnosis. Cancer. 1986;58:807–815
  16. Simon MS, Severson RK. Racial differences in breast cancer survival (the interaction of socioeconomic status and tumor biology). Am J Obstet Gynecol. 1997;176:233–239
  17. Wells BL, Horm JW. Stage at diagnosis in breast cancer (race and socioeconomic factors). Am J Public Health. 1992;82:1383–1385
  18. Farley TA, Flannery JT. Late-stage diagnosis of breast cancer in women of lower socioeconomic status (public health implications). Am J Public Health. 1989;79:1508–1512
  19. Bentley JR, Delfino RJ, Taylor TH, Howe S, Anton-Culver H. Differences in breast cancer stage at diagnosis between non-Hispanic white and Hispanic populations, San Diego County 1988–1993. Breast Cancer Res Treat. 1998;50:1–9
  20. Lannin DR, Mathews HF, Mitchell J, Swanson MS, Swanson FH, Edwards MS. Influence of socioeconomic and cultural factors on racial differences in late-stage presentation of breast cancer. JAMA. 1998;279:1801–1807
  21. Hebert JR, Toporoff E. Dietary exposures and other factors of possible prognostic significance in relation to tumour size and nodal involvement in early-stage breast cancer. Int J Epidemiol. 1989;18:518–526
  22. Catalano RA, Satariano WA. Unemployment and the likelihood of detecting early-stage breast cancer. Am J Public Health. 1998;88:586–589
  23. Nayeri K, Pitaro G, Feldman JG. Marital status and stage at diagnosis in cancer. NY State J Med. 1992;92:8–11
  24. Goodwin JS, Hunt WC, Key CR, Samet JM. The effect of marital status on stage, treatment, and survival of cancer patients. JAMA. 1987;258:3125–3130
  25. Ayanian JZ, Kohler BA, Abe T, Epstein AM. The relation between health insurance coverage and clinical outcomes among women with breast cancer. N Engl J Med. 1993;329:326–331
  26. McCarthy EP, Burns RB, Coughlin SS, Freund KM, Rice J, Marwill SL, et al. Mammography use helps to explain differences in breast cancer stage at diagnosis between older black and white women. Ann Intern Med. 1998;128:729–736
  27. The Romagna Cancer Registry and Collaborators . Breast carcinoma stage in relation to time interval since last mammography (a registry-based study). Cancer. 1997;80:1432–1437
  28. Sonnenschein E, Toniolo P, Terry MB, Bruning PF, Kato I, Koenig KL, et al. Body fat distribution and obesity in pre- and postmenopausal breast cancer. Int J Epidemiol. 1999;28:1026–1031
  29. Hunter CP, Redmond CK, Chen VW, Austin DF, Greenberg RS, Correa P, et al.  Breast cancer (factors associated with stage and diagnosis in black and white women. Black/White Cancer Survival Study Group). J Natl Cancer Inst. 1993;85:1129–1137
  30. West DW, Satariano WA, Ragland DR, Hiatt RA. Comorbidity and breast cancer survival (a comparison between black and white women). Ann Epidemiol. 1996;6:413–419
  31. Fleming ST, Rastogi A, Dmitrienko A, Johnson KD. A comprehensive prognostic index to predict survival based on multiples comorbidities (a focus on breast cancer). Med Care. 1999;37:601–614
  32. Moritz DJ, Satariano WA. Factors predicting stage of breast cancer at diagnosis in middle aged and elderly women (the role of living arrangements). J Clin Epidemiol. 1993;46:443–454
  33. Chappuis PO, Rosenblatt J, Foulkes WD. The influence of familial and hereditary factors on the prognosis of breast cancer. Ann Oncol. 1999;10:1163–1170
  34. Mohammed SN, Smith P, Hodgson SV, Fentiman IS, Miles DW, Barnes DM, et al.  Family history and survival in premenopausal breast cancer. Br J Cancer. 1998;77:2252–2256
  35. Tartter PI, Pace D, Frost M, Bernstein JL. Delay in diagnosis of breast cancer. Ann Surg. 1999;229:91–96
  36. Esteban D, Whelan S, Laudico A, Parkin DM. Manual for cancer registry personnel. Lyon, France: IARC Technical Report No. 10, 1995 [chapter 4, p. 24].
  37. Chao A, Paganinni-Hill A, Ross R, Henderson BE. Use of preventive care by the elderly. Prev Med. 1987;15:710–722
  38. Statistisches Bundesamt . Gesundheitsbericht für Deutschland. Stuttgart, Germany: Metzler-Poeschel; 1998;p. 26.
  39. Ramirez AJ, Westcombe AM, Burtess CC, Sutton S, Littlejohns P, Richards MA. Factors predicting delayed presentation of symptomatic breast cancer (a systematic review). Lancet. 1999;353:1127–1131
  40. Goodwin JS, Samet JM, Key CR, Humble C, Kutvirt D, Hunt C. Stage at diagnosis of cancer varies with age of the patient. J Am Geriatr Soc. 1986;34:20–26
  41. Holmes FF, Hearne E. Cancer stage-to-age relationship. Implications for cancer screening in the elderly. J Am Geriatr Soc. 1981;29:55–57
  42. Facione NC, Dodd MJ, Holzemer W, Meleis AI. Helpseeking for self-discovered breast symptoms. Implications for early detection. Cancer Practice. 1997;5:220–227
  43. Miller AB. Early detection of breast cancer. In:  Harris JR,  Hellman S,  Henderson IC,  Kinne DW editor. Breast diseases. 2nd ed. Philadelphia: J. B. Lippincott; 1991;p. 215–228
  44. Reeves MJ, Newcomb PA, Remington PL, Marcus PM, MacKenzie WR. Body mass and breast cancer. Relationship between method of detection and stage of disease. Cancer. 1996;77:301–307
  45. Ingram D, Nottage E, Siobhan NG, Sparrow L, Roberts A, Wilcox D. Obesity and breast cancer—the role of the female sex hormones. Cancer. 1989;64:1049–1053
  46. Berman SH, Wandersman A. Measuring knowledge of cancer. Soc Sci Med. 1991;32:1245–1255
  47. Taplin SH, Mandelson MT, Anderman C, White E, Thompson RS, Timlin D, et al. Mammography diffusion and trends in late-stage breast cancer (evaluating outcomes in a population). Cancer Epidemiol Biomarkers Prev. 1997;6:625–631
  48. Baines CJ, To T. Changes in breast self-examination behavior achieved by 89,835 participants in the Canadian National Breast Screening Study. Cancer. 1990;66:570–576
  49. Morrison AS. Is self-examination effective in screening for breast cancer?. J Natl Cancer Inst. 1991;83:226–227
  50. Newcomb PA, Weiss NS, Storer BE, Scholes D, Young BE, Voigt LF. Breast self-examination in relation to the occurrence of advanced breast cancer. J Natl Cancer Inst. 1991;83:260–265
  51. O'Malley MS, Fletcher SW. US Preventive Services Task Force. Screening for breast cancer with breast self-examination (a critical review). JAMA. 1987;257:2196–2203
  52. Montella M, Biondi E, De Marco M, Botti G, Tatangelo F, Capasso IX, et al. Sociodemographic factors associated with the diagnostic staging of breast cancer in southern Italy. Cancer. 1995;76:1585–1590
  53. Coates RJ, Bransfield DD, Wesley M, Hankey B, Eley JW, Greenberg RS, et al.  Differences between black and white women with breast cancer in time from symptom recognition to medical consultation. J Natl Cancer Inst. 1992;84:938–950
  54. Burgess CC, Ramirez AJ, Richards MA, Love SB. Who and what influences delayed presentation in breast cancer?. Br J Cancer. 1998;77:1343–1348
  55. Mor V, Masterson-Allen S, Goldberg R, Guadagnoli E, Wool MS. Prediagnostic symptom recognition and help-seeking among cancer patients. J Community Health. 1990;15:253–266
  56. Samet JM, Hunt WC, Lerchen ML, Goodwin JS. Delay in seeking care for cancer symptoms (a population-based study of elderly New Mexicans). J Natl Cancer Inst. 1988;80:432–438
  57. Richardson JL, Langholz B, Bernstein L, Burciaga C, Danley K, Ross RK. Stage and delay in breast cancer diagnosis by race, socioeconomic status, age and year. Br J Cancer. 1992;65:922–926

PII: S0895-4356(00)00351-6

Journal of Clinical Epidemiology
Volume 54, Issue 7 , Pages 719-727 , July 2001

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