Cancer stages and mortality risk of breast cancer between women with and without disabilities: A national population-based cohort study in Taiwan
Issued Date
2024-01-01
Resource Type
ISSN
19366574
eISSN
18767583
Scopus ID
2-s2.0-85191159605
Journal Title
Disability and Health Journal
Rights Holder(s)
SCOPUS
Bibliographic Citation
Disability and Health Journal (2024)
Suggested Citation
Inchai P., Tsai W.C., Chiu L.T., Kung P.T. Cancer stages and mortality risk of breast cancer between women with and without disabilities: A national population-based cohort study in Taiwan. Disability and Health Journal (2024). doi:10.1016/j.dhjo.2024.101632 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/98170
Title
Cancer stages and mortality risk of breast cancer between women with and without disabilities: A national population-based cohort study in Taiwan
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: The second-most common cause of cancer-related death for women worldwide is breast cancer. However, there is little information about breast cancer among women with disabilities in Taiwan. Objectives: This study investigated differences between women with and without disabilities regarding breast cancer stages and evaluated the probability of developing an advanced stage and the mortality risk of breast cancer. Methods: This study conducted a nationwide retrospective cohort study using the National Health Insurance Research Database and other nationwide databases. Our participants were newly diagnosed breast cancer patients, including women with and without disabilities, between 2004 and 2010. We matched both of them with propensity score matching methods (1:5), and all were followed up until the end of 2016. Results: This study included 50,683 participants with breast cancer. After matching, women with disabilities who did not receive breast cancer screening had a more significant proportion of advanced-stage breast cancer (19.95 %) than those without disabilities who did not receive breast cancer screening (16.87 %). After adjusting for related variables, women with disabilities were 1.27 times more likely to have advanced-stage breast cancer than those without disabilities. Additionally, after suffering from breast cancer, individuals with disabilities had a 1.23 times greater mortality risk compared to those without disabilities. Conclusions: Although cancer stages were controlled, women with disabilities still had a higher mortality risk of breast cancer. Hence, policymakers should pay more attention to women with disabilities to treat them at an early stage, which can reduce the mortality risk attributable to advanced stages.