Ethnic density and cancer: A review of the evidence.
Ethnic density and cancer: A review of the evidence.
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作者:
Fang CY;Tseng M
Accumulating data suggest that factors in the social environment may be associated with cancer-related outcomes. Ethnic density, defined as the proportion of racial/ethnic minority individuals who reside in a given geographic area, is one of the most frequently studied social environment factors, but studies on ethnic density and cancer have yielded inconsistent findings. Thus, the objective of this review was to summarize the extant data on ethnic density and cancer-related outcomes (cancer risk, stage at diagnosis, and mortality) with a view to identifying pathways by which ethnic density may contribute to outcomes across populations. In general, the findings indicated that ethnic density was associated with increased risk for cancers of an infectious origin (e.g., liver, cervical), but lower risk for breast and colorectal cancers, particularly among Hispanic and Asian Americans. Hispanic ethnic density was associated with greater odds of late-stage cancer diagnosis, whereas Black ethnic density was associated with greater mortality. In addition, this review highlights several methodological and conceptual issues surrounding the measurement of ethnic neighborhoods and their available resources. Clarifying the role of neighborhood ethnic density is critical to developing a greater understanding of the health risks and benefits accompanying these environments, and how they may affect racial and ethnic disparities in cancer-related outcomes.
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影响因子:
4.9
作者:
DeChello, Laurie M;Gregorio, David I;Samociuk, Holly
通讯作者:
Samociuk, Holly
影响因子:
6.2
作者:
Advani, Pragati S.;Ying, Jun;Theriault, Richard;Melhem-Bertrand, Amal;Moulder, Stacy;Bedrosian, Isabelle;Tereffe, Welela;Black, Shon;Pini, Tunghi May;Brewster, Abenaa M.
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通讯作者:
Birkmeyer, John D.
DOI:
10.1007/s11524-005-9014-5
发表时间:
2006-03-01
影响因子:
6.6
作者:
Borrell, LN;Castor, D;Terry, MB
通讯作者:
Terry, MB
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作者:
Chen, JY;Diamant, AL;Wold, C
通讯作者:
Wold, C