Impact of neighborhoods and body size on survival after breast cancer diagnosis

被引：18

作者：

Shariff-Marco, Salma ^{[1
,2
,3
]}

Gomez, Scarlett L. ^{[1
,2
,3
]}

Sangaramoorthy, Meera ^{[1
]}

Yang, Juan ^{[1
]}

Koo, Jocelyn ^{[1
]}

Hertz, Andrew ^{[1
]}

John, Esther M. ^{[1
,2
,3
]}

Cheng, Iona ^{[1
,3
]}

Keegan, Theresa H. M. ^{[4
]}

机构：

[1] Canc Prevent Inst Calif, Fremont, CA 94536 USA

[2] Stanford Univ, Sch Med, Dept Hlth Res & Policy Epidemiol, Stanford, CA 94305 USA

[3] Stanford Canc Inst, Stanford, CA USA

[4] UC Davis Sch Med, Div Hematol & Oncol, Sacramento, CA USA

来源：

HEALTH & PLACE | 2015年 / 36卷

关键词：

Body size; Waist-to-hip ratio; Breast cancer survival; Neighborhood; RECREATIONAL PHYSICAL-ACTIVITY; BUILT ENVIRONMENT; MASS INDEX; SOCIOECONOMIC-STATUS; LONG-TERM; CALIFORNIA; OBESITY; WOMEN; RISK; HEALTH;

D O I：

10.1016/j.healthplace.2015.10.003

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

With data from the Neighborhoods and Breast Cancer Study, we examined the associations between body size, social and built environments, and survival following breast cancer diagnosis among 4347 women in the San Francisco Bay Area. Lower neighborhood socioeconomic status and greater neighborhood crowding were associated with higher waist-to-hip ratio (WHR). After mutual adjustment, WHR, but not neighborhood characteristics, was positively associated with overall mortality and marginally with breast cancer-specific mortality. Our findings suggest that WHR is an important modifiable prognostic factor for breast cancer survivors. Future WHR interventions should account for neighborhood characteristics that may influence WHR. (C) 2015 Elsevier Ltd. All rights reserved.

引用

页码：162 / 172

页数：11

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