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Treatment delay was defined as &gt;90\u2009days to surgery or &gt;120\u2009days to systemic treatment. Insurance coverage was categorized as private, Medicaid, Medicare, other public, or uninsured. Area deprivation index (ADI) was used as a proxy for neighborhood\u2010level socioeconomic status. Associations between delayed treatment and insurance status were analyzed using logistic regression, with an interaction term assessing effect modification by ADI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 14,195 women with breast cancer, 54% were non\u2010Hispanic Black and 52% were privately insured. Compared with privately insured patients, those who were uninsured, Medicaid enrollees, and Medicare enrollees had 79%, 75%, and 27% higher odds of delayed treatment, respectively (odds ratio [OR]: 1.79, 95% confidence interval [CI]: 1.32\u20132.43; OR: 1.75, 95% CI: 1.43\u20132.13; OR: 1.27, 95% CI: 1.06\u20131.51). Among patients living in low\u2013deprivation areas, those who were uninsured, Medicaid enrollees, and Medicare enrollees had 100%, 84%, and 26% higher odds of delayed treatment than privately insured patients (OR: 2.00, 95% CI: 1.44\u20132.78; OR: 1.84, 95% CI: 1.48\u20132.30; OR: 1.26, 95% CI: 1.05\u20131.53). No differences in the odds of delayed treatment by insurance status were observed in patients living in high\u2010deprivation areas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion\/Conclusion<\/jats:title><jats:p>Insurance status was associated with treatment delays for women living in low\u2010deprivation neighborhoods. However, for women living in neighborhoods with high deprivation, treatment delays were observed regardless of insurance status.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.6341","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T06:37:52Z","timestamp":1689230272000},"page":"17331-17339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Associations between health insurance status, neighborhood deprivation, and treatment delays in women with breast cancer living in Georgia"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0328-7214","authenticated-orcid":false,"given":"Sofia","family":"Awan","sequence":"first","affiliation":[{"name":"School of Public Health, Georgia State University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geetanjali","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Clinical and Diagnostic Sciences, School of Health Professions University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keerthi","family":"Gogineni","sequence":"additional","affiliation":[{"name":"Department of Hematology\u2013Medical Oncology Winship Cancer Institute, Emory University School of Medicine  Atlanta Georgia USA"},{"name":"Department of Surgery Winship Cancer Institute, Emory University School of Medicine  Atlanta Georgia USA"},{"name":"Georgia Cancer Center for Excellence, Grady Health System  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin M.","family":"Luningham","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, School of Public Health University of North Texas Health Science Center  Fort Worth Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0170-2592","authenticated-orcid":false,"given":"Lindsay J.","family":"Collin","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Huntsman Cancer Institute, University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shristi","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Department of Clinical and Diagnostic Sciences, School of Health Professions University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritu","family":"Aneja","sequence":"additional","affiliation":[{"name":"Department of Clinical and Diagnostic Sciences, School of Health Professions University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5328-7517","authenticated-orcid":false,"given":"Courtney P.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Preventive Medicine University of Alabama at Birmingham  Birmingham Alabama USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28262"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2474-y"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(99)02143-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228325"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2015.4508"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-018-6615-2"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031816-044555"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0755"},{"key":"e_1_2_11_10_1","first-page":"1","article-title":"The problem of underinsurance and how rising deductibles will make it worse. 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