دورية أكاديمية
Deconstructing, Addressing, and Eliminating Racial and Ethnic Inequities in Prostate Cancer Care
| العنوان: | Deconstructing, Addressing, and Eliminating Racial and Ethnic Inequities in Prostate Cancer Care |
|---|---|
| المؤلفون: | Nyame, YA, Cooperberg, MR, Cumberbatch, MG, Eggener, SE, Etzioni, R, Gomez, SL, Haiman, C, Huang, F, Lee, CT, Litwin, MS, Lyratzopoulos, G, Mohler, JL, Murphy, AB, Pettaway, C, Powell, IJ, Sasieni, P, Schaeffer, EM, Shariat, SF, Gore, JL |
| المصدر: | European Urology , 82 (4) pp. 341-351. (2022) |
| بيانات النشر: | Elsevier BV |
| سنة النشر: | 2022 |
| المجموعة: | University College London: UCL Discovery |
| مصطلحات موضوعية: | Health services, Prostate cancer, Racial disparities, Social determinants |
| الوصف: | CONTEXT: Men of African ancestry have demonstrated markedly higher rates of prostate cancer mortality than men of other races and ethnicities around the world. In fact, the highest rates of prostate cancer mortality worldwide are found in the Caribbean and Sub-Saharan West Africa, and among men of African descent in the USA. Addressing this inequity in prostate cancer care and outcomes requires a focused research approach that creates durable solutions to address the structural, social, environmental, and health factors that create racial disparities in care and outcomes. OBJECTIVE: To introduce a conceptual model for evaluating racial inequities in prostate cancer care to facilitate the development of translational research studies and interventions. EVIDENCE ACQUISITION: A collaborative review of literature relevant to racial inequities in prostate cancer care and outcomes was performed. Existing literature was used to highlight various components of the conceptual model to inform future research and interventions toward equitable care and outcomes. EVIDENCE SYNTHESIS: Racial inequities in prostate cancer outcomes are driven by a series of structural and social determinants of health that impact exposures, mediators, and outcomes. Social determinants of equity, such as laws/policies, economic systems, and structural racism, affect the inequitable access to environmental and neighborhood exposures, in addition to health care access. Although the incidence disparity remains problematic, various studies have demonstrated parity in outcomes when social and health factors, such as access to equitable care, are normalized. Few studies have tested interventions to reduce inequities in prostate cancer among Black men. CONCLUSIONS: Worldwide, men of African ancestry demonstrate worse outcomes in prostate cancer, a phenomenon driven largely by social factors that inform biologic, environmental, and health care risks. A conceptual model was presented that organizes the many factors that influence prostate cancer ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text; image |
| اللغة: | English |
| العلاقة: | https://discovery.ucl.ac.uk/id/eprint/10148520/4/Lyratzopoulos_EurUrol_DispartiesCollabReview_Revision_2.24.22.CLEAN.pdfTest; https://discovery.ucl.ac.uk/id/eprint/10148520/5/Lyratzopoulos_Figure%201%20Updated.pdfTest; https://discovery.ucl.ac.uk/id/eprint/10148520/1/Lyratzopoulos_Figure%202.pdfTest; https://discovery.ucl.ac.uk/id/eprint/10148520/3/Lyratzopoulos_Figure%203.pdfTest; https://discovery.ucl.ac.uk/id/eprint/10148520/2/Lyratzopoulos_Table%201%20Revision.pdfTest; https://discovery.ucl.ac.uk/id/eprint/10148520Test/ |
| الإتاحة: | https://discovery.ucl.ac.uk/id/eprint/10148520/4/Lyratzopoulos_EurUrol_DispartiesCollabReview_Revision_2.24.22.CLEAN.pdfTest https://discovery.ucl.ac.uk/id/eprint/10148520/5/Lyratzopoulos_Figure%201%20Updated.pdfTest https://discovery.ucl.ac.uk/id/eprint/10148520/1/Lyratzopoulos_Figure%202.pdfTest https://discovery.ucl.ac.uk/id/eprint/10148520/3/Lyratzopoulos_Figure%203.pdfTest https://discovery.ucl.ac.uk/id/eprint/10148520/2/Lyratzopoulos_Table%201%20Revision.pdfTest https://discovery.ucl.ac.uk/id/eprint/10148520Test/ |
| حقوق: | open |
| رقم الانضمام: | edsbas.91484A48 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |