Anti-Asian American Racism: A Wake-Up Call for Population-Based Cancer Research
Anti-Asian American Racism: A Wake-Up Call for Population-Based Cancer Research
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DOI：
10.1158/1055-9965.epi-21-0445
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发表时间：
2021-08-01
影响因子：
3.8
通讯作者：
Gomez, Scarlett Lin
中科院分区：
文献类型：
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作者：
Dee, Edward Christopher;Chen, Sophia;Gomez, Scarlett Lin
自COVID-19疫情开始以来，亚裔美国人受到越来越多的公开歧视和暴力仇恨犯罪，凸显了种族主义对亚裔美国人的健康影响。由于亚裔美国人是唯一一个癌症是主要死亡原因的群体，这些反亚裔种族主义的表现引发了种族主义对亚裔美国人癌症连续体的影响的问题。在这篇评论中，我们描述了“模范少数族裔”的神话如何忽视了亚裔美国人的多样性。忽视社会文化趋势、移民模式、社会经济地位、健康行为和护理障碍的多样性掩盖了亚裔美国人在癌症风险、获得护理和结果方面的差异。我们建议癌症流行病学家，人口科学研究人员和肿瘤学提供者直接关注：（i）研究结构性和个人介导的种族主义对癌症风险和结果的影响;（ii）确保研究反映单个种族群体的独特性，包括交叉性，并揭示潜在的差异;以及（iii）应用一种批判性种族理论方法，考虑每个群体独特的生活经历。对癌症健康差异的更细致入微的理解，以及这些差异的驱动因素如何与种族相关，并在亚裔美国人中有所不同，可能会阐明缓解这些差异的方法。
Since the start of the COVID-19 pandemic, Asian Americans have been subjected to rising overt discrimination and violent hate crimes, highlighting the health implications of racism toward Asian Americans. As Asian Americans are the only group for whom cancer is the leading cause of death, these manifestations of anti-Asian racism provoke the question of the impact of racism across the cancer continuum for Asian Americans. In this Commentary, we describe how the myth of the "model minority" overlooks the diversity of Asian Americans. Ignoring such diversity in sociocultural trends, immigration patterns, socioeconomic status, health behaviors, and barriers to care masks disparities in cancer risk, access to care, and outcomes across Asian American populations. We recommend cancer epidemiologists, population science researchers, and oncology providers direct attention toward: (i) studying the impacts of structural and personally mediated racism on cancer risk and outcomes; (ii) ensuring studies reflect the uniqueness of individual ethnic groups, including intersectionality, and uncover underlying disparities; and (iii) applying a critical race theory approach that considers the unique lived experiences of each group. A more nuanced understanding of cancer health disparities, and how drivers of these disparities are associated with race and differ across Asian American ethnicities, may elucidate means through which these disparities can be alleviated.