Considering the Role of Social Determinants of Health in Black-White Breast Cancer Disparities
Considering the Role of Social Determinants of Health in Black-White Breast Cancer Disparities
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DOI：
10.1007/978-1-4939-0863-9_15
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发表时间：
2015-01-01
期刊：
影响因子：
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通讯作者：
Gehlert, Sarah
中科院分区：
文献类型：
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作者：
Hudson, Darrell L.;Gehlert, Sarah
尽管白人女性更有可能患乳腺癌，但黑人女性更有可能死于这种疾病。许多社会因素被认为是乳腺癌死亡率差异的社会决定因素，包括种族/民族、社会阶层、性别和邻里关系。本章阐述了如何利用在从微生物到社会等多个影响层面上发生的种族和族裔乳腺癌差异的决定因素的知识来制定消除这些差异的干预措施。此外，本章提出了一个模型来确定黑人女性乳腺癌的社会决定因素，以向下迭代的方式检查因果关系链中的每个环节。最后，本章审查了干预的具体领域，包括需要解决社会孤立问题，改进早期发现工作，在临床信息之外纳入社会因素，以及发展能够帮助实现这些目标的社区合作伙伴。
Although White women are more likely to develop breast cancer, Black women are more likely to die from the disease. A number of social factors have been implicated as social determinants of this disparity in breast cancer mortality, including race/ethnicity, social class, gender, and neighborhood. This chapter illustrates how knowledge of the determinants of racial and ethnic breast cancer disparities that occur at multiple levels of influence, ranging from the microbiological to the societal, might be used to develop interventions to eliminate those disparities. Further, this chapter presents a model to identify social determinants of breast cancer in Black women, examining each link in the chain of causation in a downward, iterative manner. Finally, the chapter examines specific areas of intervention, including the need to address social isolation, improving early detection efforts, the inclusion of social factors in addition to clinical information, and the development of community partners that can help achieve these goals.