期刊
出版社
MDPI
DOI: 10.3390/ijerph18041384
关键词
rural; racial; ethnic minorities; cancer disparities; access to care; social determinants of health; cancer surveillance; cancer outcomes
资金
- Federal Office of Rural Health Policy (Health Resources and Services Administration, US Department of Health and Human Services) [U1CRH30539]
- National Institutes of Health-National Institute of General Medical Sciences (NIH-NIGMS) [T32-GM081740]
- National Cancer Institute of the National Institutes of Health [P30CA021765]
- American Lebanese and Syrian Associated Charities (ALSAC) of St. Jude Children's Research Hospital
In America, one in every twenty-five people is a racial/ethnic minority living in rural areas. These populations face greater poverty and lack of access to care, putting them at higher risk for cancer and experiencing poorer outcomes. More research is needed to understand the disparities experienced by all rural racial/ethnic minority populations, with policies and interventions aiming to increase access to care and resources to reduce these disparities.
One in every twenty-five persons in America is a racial/ethnic minority who lives in a rural area. Our objective was to summarize how racism and, subsequently, the social determinants of health disproportionately affect rural racial/ethnic minority populations, provide a review of the cancer disparities experienced by rural racial/ethnic minority groups, and recommend policy, research, and intervention approaches to reduce these disparities. We found that rural Black and American Indian/Alaska Native populations experience greater poverty and lack of access to care, which expose them to greater risk of developing cancer and experiencing poorer cancer outcomes in treatment and ultimately survival. There is a critical need for additional research to understand the disparities experienced by all rural racial/ethnic minority populations. We propose that policies aim to increase access to care and healthcare resources for these communities. Further, that observational and interventional research should more effectively address the intersections of rurality and race/ethnicity through reduced structural and interpersonal biases in cancer care, increased data access, more research on newer cancer screening and treatment modalities, and continued intervention and implementation research to understand how evidence-based practices can most effectively reduce disparities among these populations.
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