info:eu-repo/semantics/article
Cancer health disparities in racial/ethnic minorities in the United States
Fecha
2020-09Registro en:
Zavala, Valentina A.; Bracci, Paige M.; Carethers, John M.; Carvajal Carmona, Luis; Coggins, Nicole B.; et al.; Cancer health disparities in racial/ethnic minorities in the United States; Nature Publishing Group; British Journal Of Cancer; 124; 2; 9-2020; 315-332
0007-0920
1532-1827
CONICET Digital
CONICET
Autor
Zavala, Valentina A.
Bracci, Paige M.
Carethers, John M.
Carvajal Carmona, Luis
Coggins, Nicole B.
Cruz Correa, Marcia R.
Davis, Melissa
de Smith, Adam J.
Dutil, Julie
Figueiredo, Jane C.
Fox, Rena
Graves, Kristi D.
Gomez, Scarlett Lin
Llera, Andrea Sabina
Neuhausen, Susan L.
Newman, Lisa
Nguyen, Tung
Palmer, Julie R.
Palmer, Nynikka R.
Pérez Stable, Eliseo J.
Piawah, Sorbarikor
Rodriquez, Erik J.
Sanabria Salas, María Carolina
Schmit, Stephanie L.
Serrano Gomez, Silvia J.
Stern, Mariana Carla
Weitzel, Jeffrey
Yang, Jun J.
Zabaleta, Jovanny
Ziv, Elad
Fejerman, Laura
Resumen
There are well-established disparities in cancer incidence and outcomes by race/ethnicity that result from the interplay between structural, socioeconomic, socio-environmental, behavioural and biological factors. However, large research studies designed to investigate factors contributing to cancer aetiology and progression have mainly focused on populations of European origin. The limitations in clinicopathological and genetic data, as well as the reduced availability of biospecimens from diverse populations, contribute to the knowledge gap and have the potential to widen cancer health disparities. In this review, we summarise reported disparities and associated factors in the United States of America (USA) for the most common cancers (breast, prostate, lung and colon), and for a subset of other cancers that highlight the complexity of disparities (gastric, liver, pancreas and leukaemia). We focus on populations commonly identified and referred to as racial/ethnic minorities in the USA—African Americans/Blacks, American Indians and Alaska Natives, Asians, Native Hawaiians/other Pacific Islanders and Hispanics/Latinos. We conclude that even though substantial progress has been made in understanding the factors underlying cancer health disparities, marked inequities persist. Additional efforts are needed to include participants from diverse populations in the research of cancer aetiology, biology and treatment. Furthermore, to eliminate cancer health disparities, it will be necessary to facilitate access to, and utilisation of, health services to all individuals, and to address structural inequities, including racism, that disproportionally affect racial/ethnic minorities in the USA.