Minority Health and Health Equity Archive
Permanent URI for this collectionhttp://hdl.handle.net/1903/21769
Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.
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Item Characteristics Associated With Differences in Survival Among Black and White Women With Breast Cancer(2013) Silber, Jeffrey H.; Rosenbaum, Paul R.; Clark, Amy S.; Giantonio, Bruce J.; Ross, Richard N.; Teng, Yun; Wang, Min; Niknam, Bijan A.; Ludwig, Justin M.; Wang, Wei; Even-Shoshan, Orit; Fox, Kevin R.Item Implementing a National Cancer Clinical Trials System for the 21st Century - Second Workshop Summary(The National Academies Press, 2013) Nass, Sharyl J.; Patlak, MargieItem Cancer prevention in underserved African American communities: barriers and effective strategies--a review of the literature.(2003) Wolff, Marie; Bates, Tovah; Beck, Barbra; Young, Staci; Ahmed, Syed M; Maurana, CherylAfrican Americans suffer significantly more cancer morbidity and mortality than the white population. In order to decrease this differential, it is critical to understand the particular barriers to health and health care that underserved African Americans face. It is also important to identify the critical components of effective cancer prevention programs for this population. The barriers that impede care for underserved African Americans have been identified as: 1) inadequate access to and availability of health care services; 2) competing priorities; 3) lack of knowledge of cancer prevention and screening recommendations; 4) culturally inappropriate or insensitive cancer control materials; 5) low literacy; 6) mistrust of the health care system; and 7) fear and fatalism. Effective programs must incorporate community participation, innovative outreach, use of social networks and trusted social institutions, cultural competence, and a sustained approach. Programs that include these strategies are much more likely to be effective in reducing cancer incidence. Cancer ranks second only to cardiovascular disease as the leading cause of death in the United States. For the majority population, cancer incidence and prevalence have declined in recent years and cure rates for certain cancer diagnoses have improved. This can be attributed to progress in the development and implementation of prevention, early detection, and treatment strategies. However, despite these gains, medically underserved African American populations have not fared as well. When African American-white mortality rates are compared, African Americans are 1.3 times more likely to die of cancer than the general population. Data from the Bureau of Health Information, Wisconsin Department of Health and Family Services indicate that from 1996 to 2000, cancer accounted for 33% of deaths in African Americans aged 45-64 and 34% of deaths for those aged 65-74. To decrease the disparities in cancer morbidity and mortality between the African American and white population, it is critical to understand the particular barriers to health and health care that African Americans face. This paper is a literature review of the barriers that low-income African American populations confront in obtaining needed cancer prevention and detection and the characteristics of programs that have been effective in reaching these populations.Item Lung cancer in African Americans. A call for action.(1998) Cooley, ME; Jennings-Dozier, KAbstract available at publisher's website.Item Role of Epigenetics in Cancer Health Disparities(2012) Mohammed, Sulma I.; Springfield, Sanya; Das, RinaAbstract available at publisher's website.Item Blacks more likely to die of cancer and diabetes(2012) Graff, LauraAfrican-Americans in North Carolina are more likely than whites to die of most cancers and more likely to get and die of diabetes, doctors said Thursday during a panel discussion about health disparities. African-American babies are also more likely that white infants to die in their first year of birth, an advocate for lowering infant mortality rates said. "We see this as an issue of social justice," said Debbie Mason of the Forsyth County Infant Mortality Reduction Coalition. The health disparities forum was part of a daylong event focusing on improving health for blacks in Forsyth put on by the Winston-Salem Urban League. Mason said mortality rates for African-American babies are three times as high as the rates for white babies in Forsyth, the largest gap in the state. She said mortality rates for African-American infants are also higher in Forsyth than in any of the other urban counties in North Carolina.Item Reducing Disparities in the Burden of Cancer: The Role of Patient Navigators(2006) Fowler, Tisha; Steakley, Caryn; Garcia, A. Roland; Kwok, Jennifer; Bennett, L. MichelleNo abstract available.Item Recent breast cancer trends among Asian/Pacific Islander, Hispanic, and African-American women in the US: changes by tumor subtype(2007) Hausauer, Amelia K; Keegan, Theresa HM; Chang, Ellen T; Clarke, Christina AAbstract available at publisher's website.Item Cancer Screening — United States, 2010(2012) Klabunde, Carrie N.; Brown, Martin; Ballard-Barbash, Rachel; White, Mary C.; Thompson, Trevor; Plescia, Marcus; King, Sallyann ColemanEach year, approximately 350,000 persons are diagnosed with breast, cervical, or colorectal cancer in the United States, and nearly 100,000 die from these diseases (1). The U.S. Preventive Services Task Force (USPSTF) recommends screening tests for each of these cancers to reduce morbidity and mortality (2). Healthy People 2020 sets national objectives for use of the recommended cancer screening tests and identifies the National Health Interview Survey (NHIS) as the means to measure progress. Data from the 2010 NHIS were analyzed to assess use of the recommended tests by age, race, ethnicity, education, length of U.S. residence, and source and financing of health care to identify groups not receiving the full benefits of screening and to target specific interventions to increase screening rates. Overall, the breast cancer screening rate was 72.4% (below the Healthy People 2020 target of 81.1%), cervical cancer screening was 83.0% (below the target of 93.0%), and colorectal cancer screening was 58.6% (below the target of 70.5%). Screening rates for all three cancer screening tests were significantly lower among Asians than among whites and blacks. Hispanics were less likely to be screened for cervical and colorectal cancer. Higher screening rates were positively associated with education, availability and use of health care, and length of U.S. residence. Continued monitoring of screening rates helps to assess progress toward meeting Healthy People 2020 targets and to develop strategies to reach those targets.Item Genetic Abnormalities of the EGFR Pathway in African American Patients With Non-Small-Cell Lung Cancer(2009) Leidner, R. S.; Fu, P.; Clifford, B.; Hamdan, A.; Jin, C.; Eisenberg, R.; Boggon, T. J.; Skokan, M.; Franklin, W. A.; Cappuzzo, F.; Hirsch, F. R.; Varella-Garcia, M.; Halmos, B.Abstract available at publisher's website.