{"id":"https://openalex.org/W3090100360","doi":"https://doi.org/10.1158/1940-6215.envcaprev19-pr06","title":"Abstract PR06: North Carolina environmental quality is associated with distant/metastatic breast cancer: Evidence for rural-urban disparities","display_name":"Abstract PR06: North Carolina environmental quality is associated with distant/metastatic breast cancer: Evidence for rural-urban disparities","publication_year":2020,"publication_date":"2020-07-01","ids":{"openalex":"https://openalex.org/W3090100360","doi":"https://doi.org/10.1158/1940-6215.envcaprev19-pr06","mag":"3090100360"},"language":"en","primary_location":{"id":"doi:10.1158/1940-6215.envcaprev19-pr06","doi":"https://doi.org/10.1158/1940-6215.envcaprev19-pr06","is_oa":false,"landing_page_url":"https://doi.org/10.1158/1940-6215.envcaprev19-pr06","pdf_url":null,"source":{"id":"https://openalex.org/S68240649","display_name":"Cancer Prevention Research","issn_l":"1940-6207","issn":["1940-6207","1940-6215"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Prevention Research","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078660909","display_name":"Larisa Gearhart-Serna","orcid":"https://orcid.org/0000-0002-1153-3342","observed_orcids":["https://orcid.org/0000-0002-1153-3342"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Larisa M. Gearhart-Serna","raw_affiliation_strings":["1Duke University, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Duke University, Durham, NC,","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039633863","display_name":"Kate Hoffman","orcid":"https://orcid.org/0000-0001-8029-7710","observed_orcids":["https://orcid.org/0000-0001-8029-7710"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kate Hoffman","raw_affiliation_strings":["1Duke University, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Duke University, Durham, NC,","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074577752","display_name":"Brittany A. Mills","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I181565077","display_name":"Georgia State University","ror":"https://ror.org/03qt6ba18","country_code":"US","type":"education","lineage":["https://openalex.org/I181565077"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brittany A. Mills","raw_affiliation_strings":["2Georgia State University, Atlanta, GA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2Georgia State University, Atlanta, GA","institution_ids":["https://openalex.org/I181565077"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089632095","display_name":"Gayathri R. Devi","orcid":"https://orcid.org/0000-0001-9158-7289","observed_orcids":["https://orcid.org/0000-0001-9158-7289"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gayathri R. Devi","raw_affiliation_strings":["1Duke University, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Duke University, Durham, NC,","institution_ids":["https://openalex.org/I170897317"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":"7_Supplement","first_page":"PR06","last_page":"PR06"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.923799991607666,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.923799991607666,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12103","display_name":"Cancer Risks and Factors","score":0.05000000074505806,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12259","display_name":"Environmental Justice and Health Disparities","score":0.005200000014156103,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/environmental-quality-index","display_name":"environmental quality index","score":0.8949999809265137},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.9259999990463257},{"id":"https://openalex.org/keywords/ductal-carcinoma-in-situ","display_name":"ductal carcinoma in situ","score":0.8830000162124634},{"id":"https://openalex.org/keywords/agricultural-chemical-exposure","display_name":"agricultural chemical exposure","score":0.5740000009536743},{"id":"https://openalex.org/keywords/animal-facilities","display_name":"animal facilities","score":0.8980000019073486},{"id":"https://openalex.org/keywords/built-environment","display_name":"built environment","score":0.7889999747276306},{"id":"https://openalex.org/keywords/air-quality","display_name":"air quality","score":0.5609999895095825},{"id":"https://openalex.org/keywords/water-quality","display_name":"water quality","score":0.9089999794960022},{"id":"https://openalex.org/keywords/land-use","display_name":"land use","score":0.7689999938011169},{"id":"https://openalex.org/keywords/north-carolina","display_name":"North Carolina","score":0.6140000224113464},{"id":"https://openalex.org/keywords/cancer-incidence","display_name":"cancer incidence","score":0.7250000238418579},{"id":"https://openalex.org/keywords/household-income","display_name":"household income","score":0.6840000152587891},{"id":"https://openalex.org/keywords/tumor-staging","display_name":"tumor staging","score":0.3109999895095825},{"id":"https://openalex.org/keywords/cancer-registry","display_name":"cancer registry","score":0.3659999966621399}],"concepts":[{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7604064345359802},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.6004796028137207},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5707342028617859},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5463089346885681},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5042463541030884},{"id":"https://openalex.org/C2778527826","wikidata":"https://www.wikidata.org/wiki/Q1787017","display_name":"Cancer registry","level":3,"score":0.47536247968673706},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.44837698340415955},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.42412546277046204},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.42188534140586853},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.414111465215683},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.4115193784236908},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.24114561080932617},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.17932188510894775},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.08970752358436584},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1158/1940-6215.envcaprev19-pr06","doi":"https://doi.org/10.1158/1940-6215.envcaprev19-pr06","is_oa":false,"landing_page_url":"https://doi.org/10.1158/1940-6215.envcaprev19-pr06","pdf_url":null,"source":{"id":"https://openalex.org/S68240649","display_name":"Cancer Prevention Research","issn_l":"1940-6207","issn":["1940-6207","1940-6215"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Prevention Research","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3014643577","https://openalex.org/W4322769515","https://openalex.org/W4362524652","https://openalex.org/W4388819698","https://openalex.org/W4390548175","https://openalex.org/W2613925074","https://openalex.org/W2908169824","https://openalex.org/W2976691719","https://openalex.org/W2991026311","https://openalex.org/W2989729203"],"abstract_inverted_index":{"Abstract":[0,475],"Breast":[1],"cancer":[2,18,37,52,98,113,155,254,291,331,362],"is":[3,11,198,223,381,397,412,436],"a":[4,47,238,304,315],"complex":[5],"and":[6,9,20,54,84,108,126,135,161,171,283,352,387],"multifactorial":[7],"disease,":[8],"there":[10,222],"increasing":[12],"evidence":[13],"of":[14,30,94,200,210,226,277,300,358,364,402,449],"association":[15],"between":[16],"breast":[17,36,51,97,154,231,253,290,330,361,385,408,440],"incidence":[19,292],"environmental":[21,32,44,67,76,203,227,244,321,379,403,434],"factors.":[22],"This":[23,263,396,410],"study":[24],"sought":[25],"to":[26,147,190,250,327,459],"investigate":[27],"the":[28,92,118,132,241,272,298,318,347,366,450],"effects":[29,58,286,390],"cumulative":[31,378],"quality":[33,45,68,77,228,245,322,380,435],"on":[34,75,106,128,182,229,287,454],"aggressive":[35,50,407],"in":[38,49,102,237,267,293,307,314],"North":[39,119,432],"Carolina.":[40],"We":[41,140,174],"hypothesized":[42],"that":[43,56,221,377,388],"plays":[46],"role":[48],"incidence,":[53],"additionally":[55],"these":[57,211,389],"vary":[59],"by":[60,393],"rural-urban":[61,179,394,444],"context.":[62],"The":[63],"USEPA":[64],"generates":[65],"an":[66,224],"index":[69],"(EQI),":[70],"which":[71,209,340],"contains":[72],"county-level":[73],"data":[74],"across":[78,343],"five":[79],"domains\u2014air,":[80],"water,":[81],"land,":[82],"sociodemographic,":[83],"built.":[85],"To":[86],"address":[87],"our":[88],"hypothesis,":[89],"we":[90,206,374],"compared":[91],"odds":[93,149,357],"having":[95,152,359],"distant/metastatic":[96,153,230,252,289,329,360,384,439],"versus":[99],"ductal":[100],"carcinoma":[101],"situ":[103],"(DCIS)":[104],"based":[105,127,181],"total":[107],"domain-specific":[109],"EQI":[110,163,196],"values,":[111,165],"with":[112,240,317,383,406,438],"case":[114],"information":[115],"extracted":[116],"from":[117,131],"Carolina":[120,433],"Central":[121],"Cancer":[122,460],"Registry":[123],"(years":[124],"2009-2014)":[125],"staging":[129],"criteria":[130],"Surveillance,":[133],"Epidemiology,":[134],"End":[136],"Results":[137,219],"Program":[138],"(SEER).":[139],"used":[141],"generalized":[142],"estimating":[143],"equation":[144],"(GEE)":[145],"models":[146],"generate":[148],"ratios":[150],"for":[151,167,399,443],"using":[156],"DCIS":[157,256,333],"patients":[158,177,235,312],"as":[159,281,416],"controls":[160],"quartiled":[162],"domain":[164,197,216],"adjusting":[166],"individual":[168,202,212],"age,":[169],"BMI,":[170],"smoking":[172],"status.":[173],"also":[175,413],"stratified":[176],"into":[178],"categories":[180],"their":[183],"county":[184,239,316],"at":[185],"diagnosis,":[186],"representing":[187],"more":[188,191,248,268,294,308,325],"urbanized":[189],"thinly":[192],"populated":[193],"areas.":[194,270,310,345],"Each":[195],"composed":[199],"several":[201],"factors,":[204],"so":[205],"then":[207],"investigated":[208],"factors":[213],"were":[214,246,323],"driving":[215],"specific":[217],"effects.":[218],"show":[220],"effect":[225,264,306],"cancer.":[232],"For":[233],"example,":[234],"residing":[236,313],"worst":[242,319],"land":[243,273],"5%":[247],"likely":[249,326],"have":[251,328,375],"than":[255,332],"(OR":[257,334],"1.05,":[258],"95%":[259,336],"CI":[260,337],"1.01-1.09,":[261],"p=0.0063).":[262],"was":[265,341,368],"stronger":[266],"rural":[269,309,369],"Within":[271,346],"domain,":[274,349],"higher":[275,350,353],"use":[276],"agricultural":[278],"chemicals":[279],"such":[280],"herbicides":[282],"insecticides":[284],"had":[285,303],"increased":[288],"urban":[295],"areas,":[296],"whereas":[297],"number":[299],"animal":[301],"facilities":[302],"large":[305],"Additionally,":[311],"sociodemographic":[320,348],"6%":[324],"1.06,":[335],"1.02-1.09,":[338],"p=0.0006),":[339],"consistent":[342],"rural/urban":[344],"income":[351],"household":[354],"value":[355],"decreased":[356],"regardless":[363],"whether":[365],"area":[367],"or":[370],"urban.":[371],"In":[372],"conclusion,":[373],"shown":[376],"associated":[382,405,437],"cancer,":[386],"can":[391],"differ":[392],"area.":[395],"relevant":[398],"further":[400],"studies":[401],"exposures":[404],"cancers.":[409],"abstract":[411],"being":[414],"presented":[415],"Poster":[417],"A07.":[418],"Citation":[419],"Format:":[420],"Larisa":[421],"M.":[422],"Gearhart-Serna,":[423],"Kate":[424],"Hoffman,":[425],"Brittany":[426],"A.":[427],"Mills,":[428],"Gayathri":[429],"R.":[430],"Devi.":[431],"cancer:":[441],"Evidence":[442],"disparities":[445],"[abstract].":[446],"In:":[447],"Proceedings":[448],"AACR":[451],"Special":[452],"Conference":[453],"Environmental":[455],"Carcinogenesis:":[456],"Potential":[457],"Pathway":[458],"Prevention;":[461],"2019":[462],"Jun":[463],"22-24;":[464],"Charlotte,":[465],"NC.":[466],"Philadelphia":[467],"(PA):":[468],"AACR;":[469],"Can":[470],"Prev":[471],"Res":[472],"2020;13(7":[473],"Suppl):":[474],"nr":[476],"PR06.":[477]},"counts_by_year":[],"updated_date":"2026-07-14T23:27:15.235271","created_date":"2020-10-08T00:00:00"}
