Melanoma Disparities among US Hispanics: Use of the Social Ecological Model to Contextualize Reasons for Inequitable Outcomes and Frame a Research Agenda.
Melanoma Disparities among US Hispanics: Use of the Social Ecological Model to Contextualize Reasons for Inequitable Outcomes and Frame a Research Agenda.
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DOI：
10.1155/2016/4635740
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发表时间：
2016
影响因子：
1.1
通讯作者：
Eschbach K
中科院分区：
文献类型：
--
作者：
Harvey VM;Oldfield CW;Chen JT;Eschbach K
皮肤黑色素瘤是一个重要的公共卫生问题，在美国每年有数千人死亡。鉴于晚期疾病的预后不良和治疗选择有限，早期发现和诊断至关重要。虽然非西班牙裔白人的黑色素瘤发病率较高，但西班牙裔通常在疾病晚期被诊断出来，发病率和死亡率较高。目前，有一个缺乏的文献调查的根本原因，这些趋势之间的西班牙裔。鉴于西班牙裔是美国人口增长最快的部分，癌症控制工作必须阐明其黑色素瘤预后不良的主要决定因素。在此，我们使用社会生态模型作为一个框架，以探讨众多的影响黑色素瘤的差异在西班牙裔，并提供建议，规划未来的研究和干预措施。
Cutaneous melanoma is a significant public health concern, accounting for thousands of deaths annually in the US. Early detection and diagnosis are critical given the poor prognosis and limited treatment options of advanced-stage disease. While non-Hispanic whites have higher incidence rates of melanoma, Hispanics are typically diagnosed at later disease stages and suffer higher morbidity and mortality. Currently, there is a paucity of literature investigating the root causes underlying these trends among Hispanics. Given that Hispanics are the most rapidly expanding demographic segment in the US, it is essential for cancer control efforts to elucidate the major determinants of their poor melanoma outcomes. Herein, we use the social ecological model as a framework to explore the multitude of influences on melanoma disparities among Hispanics and provide recommendations for planning future studies and interventions.