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Health insurance mediation of the Mexican American non-Hispanic white disparity on early breast cancer diagnosis

Overview of attention for article published in SpringerPlus, June 2013
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  • Above-average Attention Score compared to outputs of the same age and source (58th percentile)

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1 X user
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1 Facebook page
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1 Google+ user

Citations

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8 Dimensions

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22 Mendeley
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Title
Health insurance mediation of the Mexican American non-Hispanic white disparity on early breast cancer diagnosis
Published in
SpringerPlus, June 2013
DOI 10.1186/2193-1801-2-285
Pubmed ID
Authors

Sundus Haji-Jama, Kevin M Gorey, Isaac N Luginaah, Madhan K Balagurusamy, Caroline Hamm

Abstract

We examined health insurance mediation of the Mexican American (MA) non-Hispanic white (NHW) disparity on early breast cancer diagnosis. Based on social capital and barrio advantage theories, we hypothesized a 3-way ethnicity by poverty by health insurance interaction, that is, that 2-way poverty by health insurance interaction effects would differ between ethnic groups. We secondarily analyzed registry data for 303 MA and 3,611 NHW women diagnosed with breast cancer between 1996 and 2000 who were originally followed until 2011. Predictors of early, node negative (NN) disease at diagnosis were analyzed. Socioeconomic data were obtained from the 2000 census to categorize neighborhood poverty: high (30% or more of the census tract households were poor), middle (5% to 29% poor) and low (less than 5% poor). Barrios were neighborhoods where 50% or more of the residents were MA. Primary health insurers were Medicaid, Medicare, private or none. MA women were 13% less likely to be diagnosed early with NN disease (RR = 0.87), but this MA-NHW disparity was completely mediated by the main and interacting effects of health insurance. Advantages of health insurance were largest in low poverty neighborhoods among NHW women (RR = 1.20) while among MA women they were, paradoxically, largest in high poverty, MA barrios (RR = 1.45). Advantages of being privately insured were observed for all. Medicare seemed additionally instrumental for NHW women and Medicaid for MA women. These findings are consistent with the theory that more facilitative social and economic capital is available to MA women in barrios and to NHW women in more affluent neighborhoods. It is there that each respective group of women is probably best able to absorb the indirect and direct, but uncovered, costs of breast cancer screening and diagnosis.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 5%
Unknown 21 95%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 3 14%
Researcher 3 14%
Student > Master 2 9%
Student > Doctoral Student 1 5%
Student > Ph. D. Student 1 5%
Other 3 14%
Unknown 9 41%
Readers by discipline Count As %
Medicine and Dentistry 7 32%
Nursing and Health Professions 2 9%
Agricultural and Biological Sciences 2 9%
Psychology 1 5%
Unknown 10 45%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 January 2015.
All research outputs
#13,891,799
of 22,713,403 outputs
Outputs from SpringerPlus
#737
of 1,852 outputs
Outputs of similar age
#107,754
of 195,446 outputs
Outputs of similar age from SpringerPlus
#28
of 70 outputs
Altmetric has tracked 22,713,403 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,852 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one has gotten more attention than average, scoring higher than 58% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 195,446 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 70 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 58% of its contemporaries.