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Author: Publisher: ISBN: Category : Languages : en Pages : 138
Book Description
Breast cancer is one of the most common cancers among women in the United States (U.S. CSWG, 2009). Health care, screening behaviors (e.g., mammography) and late-stage disease detection account for significant differences in breast cancer morbidity and mortality among ethnically diverse women (ACS, 2007). The current study sought to identify variables that best predict women's breast cancer screening behaviors and to develop screening typologies for women in a large multiethnic sample (N = 15,130) from the California Health Interview Survey 2005 (CHIS, 2006). The study examined whether ethnicity (Hispanic, African American, Asian, and non-Hispanic white) moderated the relationship between emergent typologies and screening outcomes. Variables of interest addressed the following themes: health behaviors, women's health, cancer history, health insurance, health care utilization, mental health, as well as acculturation, racial discrimination, education, and socioeconomic status. Latent profile analysis (LPA : Lanza, Flaherty, & Collins, 2003) was employed to empirically derive and subsequently predict screening using each variable simultaneously to develop typologies of women. Post-hoc analyses using logistic regression were utilized to explain significant ethnicity by class interactions. Results revealed three substantive risk domains, Health, Stress, and Demographic, were significantly related to breast cancer screening. LPA revealed two classes, deemed Healthy and Health Risk, emerged significant for the Health domain. Health Risk class women engaged in more mammography screening, relative to Healthy class counterparts across all ethnic groups (ps
Author: Publisher: ISBN: Category : Languages : en Pages : 138
Book Description
Breast cancer is one of the most common cancers among women in the United States (U.S. CSWG, 2009). Health care, screening behaviors (e.g., mammography) and late-stage disease detection account for significant differences in breast cancer morbidity and mortality among ethnically diverse women (ACS, 2007). The current study sought to identify variables that best predict women's breast cancer screening behaviors and to develop screening typologies for women in a large multiethnic sample (N = 15,130) from the California Health Interview Survey 2005 (CHIS, 2006). The study examined whether ethnicity (Hispanic, African American, Asian, and non-Hispanic white) moderated the relationship between emergent typologies and screening outcomes. Variables of interest addressed the following themes: health behaviors, women's health, cancer history, health insurance, health care utilization, mental health, as well as acculturation, racial discrimination, education, and socioeconomic status. Latent profile analysis (LPA : Lanza, Flaherty, & Collins, 2003) was employed to empirically derive and subsequently predict screening using each variable simultaneously to develop typologies of women. Post-hoc analyses using logistic regression were utilized to explain significant ethnicity by class interactions. Results revealed three substantive risk domains, Health, Stress, and Demographic, were significantly related to breast cancer screening. LPA revealed two classes, deemed Healthy and Health Risk, emerged significant for the Health domain. Health Risk class women engaged in more mammography screening, relative to Healthy class counterparts across all ethnic groups (ps
Author: Parichart Sabado Publisher: ISBN: Category : Southeast Asian American women Languages : en Pages : 238
Book Description
Southeast Asian women, including Cambodians and Thais, experience higher rates of breast and cervical cancer incidence than any other racial/ethnic group in the U.S. Incidence of cervical cancer among Cambodian and Thai women is among the highest in the U.S. and incidence rate of breast cancer for these two groups is rapidly increasing, while rates are decreasing for other racial/ethnic groups. Cambodians and Thai women also experience higher rates of late-stage breast cancer than non-Hispanic White women, resulting in increased morbidity and mortality from the disease. Despite these staggering statistics, little is known about barriers and facilitators of screening for Cambodian and Thai women, particularly women in Southern California, which is home to the largest population of both groups. This dissertation sought to better understand breast and cervical cancer screening behavior among Cambodian and Thai women in California. Using a mixed methods approach, this study has the following aims: 1) identify individual and environmental level predictors of breast and cervical cancer screening among Cambodian and Thai women in Northern and Southern California, 2) examine the association between behavioral intention and mammogram adherence among Cambodian and Thai women in Southern California, 3) explore ethnic-specific, culturally-based norms and systems-related factors that influence the decision-making process for Cambodian and Thai women in Southern California, and 4) examine the role of community health navigators in assisting Cambodian and Thai women to overcome individual and environmental barriers to mammogram screening in Southern California. Results from this study contribute to breast and cervical cancer literature and expands the existing literature on Cambodian and Thai women. By stratifying data analysis, the quantitative portion of this study identified community-specific individual, social, and environmental level predictors of breast and cervical cancer.
Author: Amelie G. Ramirez Publisher: Springer Nature ISBN: 303029286X Category : Medical Languages : en Pages : 320
Book Description
This open access book gives an overview of the sessions, panel discussions, and outcomes of the Advancing the Science of Cancer in Latinos conference, held in February 2018 in San Antonio, Texas, USA, and hosted by the Mays Cancer Center and the Institute for Health Promotion Research at UT Health San Antonio. Latinos – the largest, youngest, and fastest-growing minority group in the United States – are expected to face a 142% rise in cancer cases in coming years. Although there has been substantial advancement in cancer prevention, screening, diagnosis, and treatment over the past few decades, addressing Latino cancer health disparities has not nearly kept pace with progress. The diverse and dynamic group of speakers and panelists brought together at the Advancing the Science of Cancer in Latinos conference provided in-depth insights as well as progress and actionable goals for Latino-focused basic science research, clinical best practices, community interventions, and what can be done by way of prevention, screening, diagnosis, and treatment of cancer in Latinos. These insights have been translated into the chapters included in this compendium; the chapters summarize the presentations and include current knowledge in the specific topic areas, identified gaps, and top priority areas for future cancer research in Latinos. Topics included among the chapters: Colorectal cancer disparities in Latinos: Genes vs. Environment Breast cancer risk and mortality in women of Latin American origin Differential cancer risk in Latinos: The role of diet Overcoming barriers for Latinos on cancer clinical trials Es tiempo: Engaging Latinas in cervical cancer research Emerging policies in U.S. health care Advancing the Science of Cancer in Latinos proves to be an indispensable resource offering key insights into actionable targets for basic science research, suggestions for clinical best practices and community interventions, and novel strategies and advocacy opportunities to reduce health disparities in Latino communities. It will find an engaged audience among researchers, academics, physicians and other healthcare professionals, patient advocates, students, and others with an interest in the broad field of Latino cancer.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309071542 Category : Medical Languages : en Pages : 353
Book Description
We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 030908265X Category : Medical Languages : en Pages : 781
Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Author: Publisher: ISBN: Category : Languages : en Pages : 10
Book Description
Socioeconomic position (SEP) refers to a range of dimensions that describe absolute and relative position in society including income, education, poverty, deprivation, and social status. The ultimate goal of the proposed work is to inform our understanding of racial and ethnic disparities in breast cancer care and the contribution of SEP and linguistic barriers, particularly for Hispanic women. This work has the potential to contribute to our understanding of disparities in breast cancer care, and to inform strategies to improve access to and quality of care for all women with breast cancer.
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Author: Parichart Sabado
Author: Carolina Moreno
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Author: Amelie G. Ramirez
Author: Institute of Medicine
Author: Institute of Medicine
Author: Aziza Mahamoud
Author: Maybo Heu
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