Sinai Urban Health Institute - Logo
 
 

Research / Evaluation

Project:

Breast Health in Chicago

Introduction:

The Healthy People 2010 initiate called to eliminate disparities in health.  However, in 2003 the US had a disparity of 37% for breast cancer mortality between Black and White women.  This means that in the US, Black women are 37% more likely to die from breast cancer than White women. 

In 2003, colleagues at the Sinai Urban Health Institute began investigating how Chicago compares to the US and to evaluate whether or not Chicago will meet the Healthy People 2010 goal of eliminating health disparities.  This investigation looked at numerous health outcomes, and breast cancer mortality was one of these outcomes.  Please click here for the findings. Generally, this paper uncovered that not only did the breast cancer mortality not improve, but the disparity between Black and White women actually increased 21% from 1990 to 1998.

Recently, an additional paper, which focused solely on the breast cancer mortality differences between Black and White women found that not only was there again not improvements in breast cancer mortality for Black women but the ratio between Black and White women increased from 21% in 1998 to 68% in 2003. (click here). 

These findings were made public during Breast Cancer Awareness Month in October 2006.  At this time a call to action was proposed to address this growing breast cancer mortality disparity in Chicago, and on March 27th, 2007 the call to action began with a city wide summit of breast health experts and community leaders.  This summit described three main reasons for this growing disparity:  mammography access, mammography quality, and breast cancer treatment quality.  Each of these categories has created its own task force to develop recommendations to solve this disparity in Chicago.  This report will be made available in October 2007.

Due to the initial findings of a growing disparity in breast cancer mortality, we happily accepted the offer to evaluate the Stand Against Cancer program.  We also approached the Avon Foundation to allow us to address breast cancer screening and treatment quality at Mount Sinai Hospital (See below).  Finally, we will be conducting a new project which will bring our Navigator successes into the communities of North Lawndale and Humboldt Park.  These projects all have the same goal, which is to address the growing breast cancer mortality disparity, and are described below.

Publications:

Hirschman J, Whitman S, Ansell D. The black:white disparity in breast cancer mortality: the example of Chicago. Cancer Causes & Control 2007;18:323-333.
Hirschman J, Whitman S, Ansell D, Grabler P, Allgood K. Breast Cancer in Chicago: Eliminating Disparities and Improving Mammography Quality. Chicago, Illinois: Sinai Urban Health Institute, October 2006.

Resources:

Avon Foundation http://www.avoncompany.com/women/

Chicago Breast Cancer Task Force: A Call To Action www.chicagobreastcancer.org

Contact Information:

For more information regarding this project, please send an e-mail to Ami Shah at suhi@sinai.org

Website by Axergy