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Research Letter
February 8, 2017

Association of Nativity Status With Quality of Breast Cancer Care for Hispanic Women and Non-Hispanic White Women in the United States

Author Affiliations
  • 1Mount Holyoke College, South Hadley, Massachusetts
  • 2Department of Surgery, Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital, Boston, Massachusetts
JAMA Surg. Published online February 8, 2017. doi:10.1001/jamasurg.2016.5536

For minority communities, an individual’s nativity status (native-born or foreign-born) offers a new lens with which to examine intracommunity disparities but has received little attention. Most research has focused on comparing minority individuals with white individuals; for example, clinical outcomes for Hispanic patients with breast cancer are poor compared with white patients, despite lower incidence.1,2 The goal of this study was to examine the effect of nativity status on clinical outcomes among Hispanic patients with breast cancer. We hypothesized that foreign-born Hispanic individuals would have less access to diagnostic services and present at a later stage, and those who presented with more advanced cancer would receive poorer-quality care with less radiation therapy than patients born in the United States, regardless of race/ethnicity.

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