Impact of neighborhoods and body size on survival after breast cancer diagnosis

Health Place. 2015 Nov:36:162-72. doi: 10.1016/j.healthplace.2015.10.003. Epub 2015 Nov 21.


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.

Keywords: Body size; Breast cancer survival; Neighborhood; Waist-to-hip ratio.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Body Mass Index
  • Body Size / physiology*
  • Breast Neoplasms*
  • Disease-Free Survival*
  • Female
  • Humans
  • Interviews as Topic
  • Middle Aged
  • Qualitative Research
  • Residence Characteristics*