Policy Pathways to Breast Health Equity in Racially Segregated Areas with Concentrated Poverty

在贫困集中的种族隔离地区实现公平的政策途径 摘要 与白色相比，黑人妇女在乳腺癌中生存的机会不平等 妇女;她们死亡的可能性高1.43倍，尽管她们的发病率较低（127.8 分别为133.7）。对于设计实现乳房健康公平的可修改政策途径至关重要的是， 确定1）处于不利地位的种族隔离社区（即，隔离 社区人口稠密的黑人谁生活在贫困中）和2）因素驱动的 社区的决定和政策，创造了这些不利的种族 隔离的社区我们的总体目标是确定最有效的政策 消除处于不利地位的种族隔离社区的作用， 促进两种乳腺癌结果的差异-晚期诊断和死亡率。 通过混合方法设计，我们充分利用了基于人口的纵向状态 癌症登记、CDC死亡率和人口普查邮政编码数据，以及焦点小组/访谈数据 来自乳腺癌幸存者、城市规划者、政治分析家和孟菲斯的决策者， TN，描绘可修改的与地点有关的系统因素，可以减少种族差异， 乳房健康这项研究的成功完成将为以下方面提供必要的基础： 制定公共政策干预措施，重点关注公平和社会正义问题， 不同疾病状态的差异。

Policy Pathways to Equity in Racially Segregated Areas with Concentrated Poverty ABSTRACT Black women face an unequal opportunity to survive breast cancer, when compared with white women; they are 1.43 times more likely to die, even though their incidence rates are lower (127.8 vs 133.7, respectively). Vital for designing modifiable policy pathways to breast health equity, are identifying the roles of 1) disadvantaged racially segregated neighborhoods (i.e., segregated communities that are densely populated by blacks who live in poverty) and 2) factors driven by community decisions and policies that created these disadvantaged racially segregated neighborhoods. Our overall objective is to determine the most effective policy pathways for disbanding the role of disadvantaged racially segregated neighborhoods in facilitating disparities in two breast cancer outcomes –late-stage diagnosis and mortality. Enriched by a mixed-method design, we leverage use of longitudinal population-based state Cancer registry, CDC mortality, and Census zip code data, and also focus group/interview data from breast cancer survivors, city planners, political analysts, and policymakers in Memphis, TN, to delineate modifiable place-related system factors that can reduce racial disparities in breast health. Successful completion of this research will provide the necessary foundation for designing public policy interventions that focus on equity and social justice concerns to resolve disparities in various disease states.