title: Impact of neighborhoods and body size on survival after breast cancer diagnosis.
abstract: 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.
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA; Department of Health Research and Policy (Epidemiology), Stanford University School of Medicine, Stanford, CA, USA; Stanford Cancer Institute, Stanford, CA, USA. Electronic address: Salma.Shariff-Marco@cpic.org.
authors.forename: Salma
authors.initials: S
authors.lastname: Shariff-Marco
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA; Department of Health Research and Policy (Epidemiology), Stanford University School of Medicine, Stanford, CA, USA; Stanford Cancer Institute, Stanford, CA, USA. Electronic address: Scarlett.Gomez@cpic.org.
authors.forename: Scarlett L
authors.initials: SL
authors.lastname: Gomez
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA. Electronic address: Meera.Sangaramoorthy@cpic.org.
authors.forename: Meera
authors.initials: M
authors.lastname: Sangaramoorthy
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA. Electronic address: Juan.Yang@cpic.org.
authors.forename: Juan
authors.initials: J
authors.lastname: Yang
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA. Electronic address: Jocelyn.Koo@cpic.org.
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Koo
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA. Electronic address: Andrew.Hertz@cpic.org.
authors.forename: Andrew
authors.initials: A
authors.lastname: Hertz
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA; Department of Health Research and Policy (Epidemiology), Stanford University School of Medicine, Stanford, CA, USA; Stanford Cancer Institute, Stanford, CA, USA. Electronic address: Esther.John@cpic.org.
authors.forename: Esther M
authors.initials: EM
authors.lastname: John
authors.affiliation: Cancer Prevention Institute of California, Fremont, CA, USA; Stanford Cancer Institute, Stanford, CA, USA. Electronic address: Iona.Cheng@cpic.org.
authors.forename: Iona
authors.initials: I
authors.lastname: Cheng
authors.affiliation: Division of Hematology and Oncology, UC Davis School of Medicine, Sacramento, CA, USA. Electronic address: tkeegan@ucdavis.edu.
authors.forename: Theresa H M
authors.initials: TH
authors.lastname: Keegan
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D049628:Body Size / Q000502:physiology*; D001943:Breast Neoplasms; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D036301:Qualitative Research; D012111:Residence Characteristics
keywords: Body size; Breast cancer survival; Neighborhood; Waist-to-hip ratio