American Journal of Public Health, Vol 91, Issue 1 122-125, Copyright © 2001 by American Public Health Association

JOURNAL ARTICLE

Breast cancer size and stage in Hispanic American women, by birthplace: 1992-1995

AN Hedeen and E White
Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, MP702, Seattle, WA 98109, USA.

OBJECTIVES: This study examined whether Hispanic women with breast cancer have tumor characteristics associated with delayed detection and whether these characteristics vary by birthplace. METHODS: Surveillance, Epidemiology, and End Results program data were used in examining breast cancer size and stage by racial/ethnic group and birthplace. RESULTS: Hispanic women with breast cancer had a higher percentage of tumors larger than 1 cm (77.7%) than--non-Hispanic Whites (70.3%), as well as a higher percentage of tumors larger than 2 cm (45.9% vs 33.0%). Furthermore, in comparison with Hispanic women born in the United States, Hispanic American women born in Latin America had higher percentages of tumors larger than 1 cm (82.2% vs 75.2%) and larger than 2 cm (54.1% vs 41.7%). CONCLUSIONS: These findings suggest that Hispanic women with breast cancer, especially first-generation Hispanic Americans, have a relative delay in the timeliness of their cancer diagnosis. First-generation Hispanic American women should be targeted in interventions designed to increase the use of breast cancer screening.

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