American Indians and Alaska Natives Resolving disparate cancer outcomes

American Indians and Alaska Natives Resolving disparate cancer outcomes
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DOI:
10.1188/20.cjon.107-110
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发表时间:
2020-02-01
影响因子:
1.1
通讯作者:
Haozous, Emily A.
Haozous, Emily A.
中科院分区:
医学4区
文献类型:
--
作者:
Haozous, Emily A.

文献摘要

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美国印第安人和阿拉斯加原住民(AIAN)与美国其他种族和族裔群体相比,已被记录为癌症死亡率高的人群。在美国其他人群经历癌症结局改善的同时,AIAN中的癌症差异仍然存在。在这个多样化的人群中,癌症结果的差异可以归因于一系列复杂的因素,其中包括获得护理,经济,医疗和个人障碍,以及不信任和剥夺权利。总的来说,AIAN是一个多样化的人群,由573个文化上不同的部落,民族和部落组成。对于寻求癌症护理的AIAN,护理的复杂障碍可能有制度,经济,在向AIAN提供癌症护理时,应考虑在社会决定因素和社会因素的背景下获得医疗保健的挑战。
American Indians and Alaska Natives (AIANs) have been documented as a population with high rates of cancer mortality in comparison to other racial and ethnic groups in the United States. During a time when other populations in the United States are experiencing improvements in cancer outcomes, cancer disparities in AIANs persist. The disparities in cancer outcomes in this diverse population can be attributed to a complex constellation of factors, which include access-to-care, economic, medical, and individual barriers, and mistrust and disenfranchisement.AT A GLANCEAIANs are a diverse population, consisting of 573 culturally distinct tribes, nations, and pueblos.For AIANs who seek cancer care, complex barriers to care can have institutional, economic, cultural and social contexts.When providing cancer care to AIANs, the challenges of healthcare access within a context of social determinants and societal factors should be considered.