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

Salma Shariff-Marco, Scarlett L. Gomez, Meera Sangaramoorthy, Juan Yang, Jocelyn Koo, Andrew Hertz, Esther M. John, Iona Cheng, Theresa H Keegan

Research output: Contribution to journalArticle

8 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)162-172
Number of pages11
JournalHealth and Place
StatePublished - Nov 1 2015



  • Body size
  • Breast cancer survival
  • Neighborhood
  • Waist-to-hip ratio

ASJC Scopus subject areas

  • Health(social science)
  • Geography, Planning and Development
  • Public Health, Environmental and Occupational Health

Cite this

Shariff-Marco, S., Gomez, S. L., Sangaramoorthy, M., Yang, J., Koo, J., Hertz, A., John, E. M., Cheng, I., & Keegan, T. H. (2015). Impact of neighborhoods and body size on survival after breast cancer diagnosis. Health and Place, 36, 162-172.