R A Catalano1, W A Satariano. 1. School of Public Health, University of California at Berkeley 94720, USA.
Abstract
OBJECTIVES: The objective of this study was to test the hypothesis that unexpectedly high unemployment in a community is associated with reduced odds that registered breast tumors are local. METHODS: The hypothesis was tested with data from San Francisco for the 132 months beginning with January 1983. RESULTS: Registered breast tumors were less likely to be local during periods of unexpectedly high unemployment (8% less likely among non-Hispanic White women and 24% less likely among African-American women). CONCLUSIONS: Job loss may restrict access to health services. Fear of job loss may also distract women from breast self-examination and the identification of suspicious breast signs.
OBJECTIVES: The objective of this study was to test the hypothesis that unexpectedly high unemployment in a community is associated with reduced odds that registered breast tumors are local. METHODS: The hypothesis was tested with data from San Francisco for the 132 months beginning with January 1983. RESULTS: Registered breast tumors were less likely to be local during periods of unexpectedly high unemployment (8% less likely among non-Hispanic White women and 24% less likely among African-American women). CONCLUSIONS:Job loss may restrict access to health services. Fear of job loss may also distract women from breast self-examination and the identification of suspicious breast signs.
Authors: Spencer D Dorn; David Wei; Joel F Farley; Nilay D Shah; Nicholas J Shaheen; Robert S Sandler; Michael D Kappelman Journal: Clin Gastroenterol Hepatol Date: 2011-12-07 Impact factor: 11.382