关键词: cancer ethnicity health disparities race rural

Mesh : Humans Neoplasms / ethnology epidemiology United States / epidemiology Rural Population / statistics & numerical data Ethnicity / statistics & numerical data Healthcare Disparities / ethnology statistics & numerical data Health Status Disparities

来  源:   DOI:10.1177/10732748241261558   PDF(Pubmed)

Abstract:
BACKGROUND: Cancer is the second-leading cause of death in the United States. Most studies have reported rural versus urban and Black versus White cancer disparities. However, few studies have investigated racial disparities in rural areas.
OBJECTIVE: We conducted a literature review to explore the current state of knowledge on racial and ethnic disparities in cancer attitudes, knowledge, occurrence, and outcomes in rural United States.
METHODS: A systematic search of PubMed and Embase was performed. Peer-reviewed articles published in English from 2004-2023 were included. Three authors independently reviewed the articles and reached a consensus.
RESULTS: After reviewing 993 articles, a total of 30 articles met the inclusion criteria and were included in the present review. Studies revealed that underrepresented racial and ethnic groups in rural areas were more likely to have low cancer-related knowledge, low screening, high incidence, less access to treatment, and high mortality compared to their White counterparts.
CONCLUSIONS: Underrepresented racial and ethnic groups in rural areas experienced a high burden of cancer. Improving social determinants of health may help reduce cancer disparities and promote health.
摘要:
背景:癌症是美国第二大死亡原因。大多数研究报告了农村与城市以及黑人与白人癌症的差异。然而,很少有研究调查农村地区的种族差异。
目的:我们进行了文献综述,以探讨关于癌症态度中种族和民族差异的知识现状。知识,发生,以及美国农村地区的结果。
方法:对PubMed和Embase进行了系统检索。包括2004-2023年以英语发表的同行评审文章。三位作者独立回顾了文章并达成共识。
结果:在回顾了993篇文章之后,共有30篇文章符合纳入标准,被纳入本综述.研究表明,农村地区代表性不足的种族和族裔群体更有可能拥有较低的癌症相关知识,低筛选,发病率高,获得治疗的机会减少,与白人相比,死亡率高。
结论:农村地区代表性不足的种族和族裔群体经历了很高的癌症负担。改善健康的社会决定因素可能有助于减少癌症差异并促进健康。
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