Cancer health disparities among Asian Americans - What we know and what we need to do

Cancer health disparities among Asian Americans - What we know and what we need to do
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DOI:
10.1002/cncr.21501
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发表时间:
2005-12-15
期刊:
影响因子:
6.2
通讯作者:
Chen, MS
Chen, MS
中科院分区:
医学1区
文献类型:
--
作者:
Chen, MS

文献摘要

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亚裔美国人是美国增长最快的种族群体,他们构成了一个非常异质的人口。作者回顾了文献,并提出了一个议程,以减少癌症健康差距的基础上,这一审查和成就和愿望的国家癌症研究所资助的亚裔美国人网络癌症意识,研究和培训。亚裔美国人的癌症负担是独特的,不寻常的,而且在某种程度上是不必要的。亚裔美国人的癌症负担是独特的,因为亚裔是唯一一个经历癌症作为主要死亡原因的种族/民族人口。亚裔美国人癌症负担的不寻常之处包括感染性来源的癌症,如人乳头瘤病毒诱导的宫颈癌,乙型肝炎B病毒诱导的肝癌和胃癌,比任何其他种族/民族人口都要多,同时,与“西化”有关的癌症数量也在增加。“在某种程度上,如果可以建立癌症筛查的障碍,克服对医生访问的阻力,以及文化上有能力的干预措施,以减少吸烟,不健康的饮食和增加适当的锻炼,那么亚裔美国人的癌症负担是不必要的。减少亚裔美国人的癌症健康差异将涉及对他们独特,不寻常和不必要的癌症负担的研究。
Asian Americans are the nation's fastest growing racial group in terms of percentages, and they constitute a very heterogeneous population. The author reviewed the literature and proposed an agenda to reduce cancer health disparities based on this review and the accomplishments and aspirations of the National Cancer Institute-funded Asian American Network for Cancer Awareness, Research, and Training. The Asian American cancer burden is unique, unusual, and, to a certain extent, unnecessary. The Asian American cancer burden is unique, because Asians are the only racial/ethnic population to experience cancer as the leading cause of death. The unusual aspects of the cancer burden among Asian Americans include experiencing proportionally more cancers of infectious origin, such as human papillomavirus-induced cervical cancer, hepatitis B virus-induced liver cancer, and stomach cancer, than any other racial/ethnic population and, at the same time, experiencing an increasing numbers of cancers associated with "Westernization." To a certain extent, the cancer burden for Asian Americans is unnecessary if barriers to cancer screening, overcoming resistance to physician visits, and culturally competent interventions to reduce smoking, unhealthy diet, and increasing proper exercise can be instituted. Reducing cancer health disparities among Asian Americans will involve research into their unique, unusual, and unnecessary cancer burden.