• Follow us

Health

Unfair Diagnosis: Socioeconomic Gap Drives Cancer Outcomes

While the United States has experienced a 27 percent decline in death rates overall over the last 25 years, cancer outcomes continue to be greatly influenced by socioeconomic status and race. Specifically, poor people and people of color have significantly higher cancer mortality rates than average.

A newly released study in the January 2019 issue of the American Cancer Society's CA: A Cancer Journal for Clinicians shows a decline in the mortality gap between blacks and whites, moving from 33 percent in 1993 to 15 percent in 2016. But the findings note that blacks have the highest cancer mortality rate when compared to other racial and ethnic groups.

People living in poverty have lower rates of routine screening and a lower likelihood of getting the best possible treatment. In the U.S., Poverty USA reported that in 2016, Native Americans experienced the highest rate of poverty at 27.6 percent followed by blacks at 26.3 percent and Hispanics at 23.4 percent. For whites, the poverty rate is 12.4 percent, and for Asians 12.3 percent.

Other studies have highlighted the disparities in cancer outcomes for communities of color. A recent study in the journal Cancer Epidemiology, Biomarkers & Prevention shows that black and Hispanic women in Chicago were less likely to be diagnosed at top-tier centers compared to their white counterparts.

In the study of 989 patients over three years, 35 percent of white patients were diagnosed with breast cancer at relatively late stages compared to 47 percent of blacks and 53 percent of Hispanic patients. Researchers attributed the disparity in diagnosis, in part, to the lack of care at high-performing centers of excellence where experts and state-of-the-art diagnostics are available. This finding is particularly important as the stage at cancer diagnosis influences survival.

As a former nurse clinician working in an underserved community on Chicago’s South Side known for its high breast cancer mortality rates, I have experienced the challenge of trying to readily refer women with breast symptoms to any of our leading academic medical centers for care. Uninsured women in particular were more times than not referred to our county hospital, where fewer resources and state of the art diagnostics were available. Even today, zip code and insurance status can influence whether women receive breast cancer care at centers of excellence.

And while breast cancer survival rates have improved over time, the American Cancer Society affirms that disparities exist particularly when comparing white and black women. The relative five-year survival rate is 92 percent for white women and 83 percent for black women.

Black women in particular are more likely to experience more aggressive tumor types and late stage at diagnosis, both of which are contributing factors in cancer outcomes. Also, while treatments have improved over time, in 2015 black women were 35 percent more likely to die from the disease when compared to white women.

I have identified additional barriers for women as young as age 20 in my own studies with African American women. The fear of a potential diagnosis of breast cancer prompted some women to put off being screened or following up once a breast problem was identified.

Young African American women under age 40 have shared with me that providers don’t take them seriously when they present with breast concerns, noting they are too young to have breast cancer.

Today we have a growing number of African American women under age 40 who are being diagnosed with the disease. This is even more disturbing because young African American women tend to present with very aggressive tumor types and need prompt specialized services that will address the comprehensive and unique needs that younger women face.

I know this firsthand as young African American women and their families continue to express frustration with the health care delivery system and the difficulties in getting care at our leading academic medical facilities, especially if they are uninsured or lack adequate insurance coverage.

Cancer advocates have long sounded the alarm, for example noting disparities in cancer outcomes among black women and underserved women residing in the Chicago area. In 2007, the Metropolitan Chicago Breast Cancer Task Force found a 68 percent higher mortality death rate for black women compared to white women. This was in part due to the lack of access to high quality diagnostics and comprehensive services.

Findings helped to shape public policy and inform citywide initiatives aimed at addressing system issues such as access to high quality mammography screening.

As a longtime breast cancer advocate and nurse researcher, I was thrilled to see the focus shift to improving system barriers thought to influence outcomes vs the traditional focus on frequently cited behavioral factors.

Due to the tremendous efforts of the Metropolitan Chicago Breast Cancer Task Force and other partners, since 2017 Chicago has started leading the nation in reducing breast cancer mortality particularly among black women residing in nine urban areas throughout the U.S. Breast cancer mortality is down from 68 percent in 2005 to 39 percent in 2017.

This is not the case for other women residing in other low-income communities throughout the U.S. The fight to improve access to high quality cancer services is far from over just as the fight to ensure access to health care in general is far from over. The two are inextricably linked.

Access to equitable quality cancer services as with any health care service is greatly influenced by socioeconomic status. For example, uninsured adults are more likely than those with insurance to postpone or forego health care altogether. A recent Gallup poll noted that three in 10 Americans forego medical care or defer treatment due to the high cost of medical care.

Key findings from the Kaiser Family Foundation revealed an increase in the number of uninsured in 2017 by approximately 700,000. That is primarily in states without Medicaid expansion. Eleven percent of blacks and 19 percent of Hispanics are at the highest risk for being uninsured, compared to 7 percent of whites.

Many of the uninsured and those without adequate insurance coverage lack access to specialty care providers due to an inability to pay and inadequate reimbursement rates for specialty providers.

Surviving cancer should not be determined by your ethnicity or your income level. But until the gap in access to care is eliminated, that will be the prognosis.

Read More



Leave A Comment

More News

Scientific American: Health

We Need to Stop Drug-Resistant Malaria at Its 2019-01-31 12:00:00Immediate, targeted interventions in Southeast Asia could prevent a pandemic -- Read more on ScientificAmerican.com

The Topography of Disease 2019-01-29 12:00:00A 19th-century doctor famously mapped cholera’s toll to try and understand its origin and spread—but that's only part of the story -- Rea

We Need to Talk about Intestinal Worms 2019-01-29 07:00:00More than a half billion children were treated for these debilitating parasites in 2017—but even more are still suffering -- Read more on Scient

Vaccinating Mice May Finally Slow Lyme Disease 2019-01-29 06:45:00Killing ticks and inoculating people has failed, so researchers try immunizing mice via vaccine-laced food -- Read more on ScientificAmerican.com

When Physicians Need to Ask for Help 2019-01-28 12:00:00I learned during my last year of medical training—the most difficult year of my life—that “going it alone” did not make me str

The Trump Administration Is Jeopardizing Public Health 2019-01-28 10:00:00The EPA has been transformed from an environmental guardian into an agency that eschews science and uses cost-benefit analyses to reject regulations t

When Lyme Disease Strikes an Unborn Child 2019-01-25 07:00:00A mom can pass the pathogen to her fetus—but the World Health Organization has removed “congenital Lyme disease” from its definitive

Why Rocking to Sleep Is a Matchless Sedative—and 2019-01-24 11:00:00Back-and-forth motions may tweak the sensory organs that control our balance and spatial orientation -- Read more on ScientificAmerican.com

Are We Innately Immune to Cancer? 2019-01-24 07:00:00At some level, yes, and new therapies could boost the body’s natural anti-cancer responses -- Read more on ScientificAmerican.com

Unfair Diagnosis: Socioeconomic Gap Drives Cancer Outcomes 2019-01-23 12:00:00Too often, ethnicity and income level determine whether a patient survives cancer -- Read more on ScientificAmerican.com

4 Ways to Improve Your Posture and Lose 2019-01-23 10:30:00A nicely aligned body is a nicely stacked body -- Read more on ScientificAmerican.com

Ebola Vaccine Supplies Are Expected to Last 2019-01-23 09:00:00The World Health Organization predicts the Democratic Republic of the Congo has enough of the experimental vaccine -- Read more on ScientificAmerican.

MedicineNet Daily News

Fertility Treatments Don't Raise Cancer Risk for Offspring 2019-02-08 02:00:00Title: Fertility Treatments Don't Raise Cancer Risk for OffspringCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12

Even Brief EMS Delay Can Cost Lives After 2019-02-08 02:00:00Title: Even Brief EMS Delay Can Cost Lives After Car CrashCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12:00:00 A

Opioid OD Deaths Are Saving Lives Through Transplantation 2019-02-08 02:00:00Title: Opioid OD Deaths Are Saving Lives Through TransplantationCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12:0

Benign Ovarian Cysts Should Be Left in Place, 2019-02-08 02:00:00Title: Benign Ovarian Cysts Should Be Left in Place, Study SuggestsCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 1

In West Virginia, Few Opioid OD Survivors Get 2019-02-08 02:00:00Title: In West Virginia, Few Opioid OD Survivors Get Good Follow-Up Care: StudyCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review

AHA News: Actress Susan Lucci Thriving After Emergency 2019-02-08 02:00:00Title: AHA News: Actress Susan Lucci Thriving After Emergency Heart ProcedureCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review:

Trump's Goal of No New HIV Cases by 2019-02-08 02:00:00Title: Trump's Goal of No New HIV Cases by 2030 Is Possible, Health Officials SayCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Rev

MS Drug Costs Skyrocket After Medicare Rule Change: 2019-02-08 02:00:00Title: MS Drug Costs Skyrocket After Medicare Rule Change: StudyCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12:0

Education No Match Against Alzheimer's 2019-02-08 02:00:00Title: Education No Match Against Alzheimer'sCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12:00:00 AM

Hunting, Harvesting Leave Big Animals at Risk of 2019-02-08 02:00:00Title: Hunting, Harvesting Leave Big Animals at Risk of Extinction: StudyCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/

Cablivi Approved for Rare Clotting Disorder 2019-02-08 02:00:00Title: Cablivi Approved for Rare Clotting DisorderCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12:00:00 AM

Patient Tested for Ebola at Philadelphia Hospital 2019-02-08 02:00:00Title: Patient Tested for Ebola at Philadelphia HospitalCategory: Health NewsCreated: 2/6/2019 12:00:00 AMLast Editorial Review: 2/7/2019 12:00:00 AM

Santé

Action de perturbations au CIUSSS du Nord-de-l'Île-de-Montréal 2019-02-06 16:40:00Dénonçant les « compressions draconiennes » en soutien à domicile instaurées par le Centre int&eacut

Ceux qui s'entraînent changent leur alimentation 2019-02-06 13:25:00Les gens qui commencent à s'entraîner modifient aussi leur alimentation, et ce même si on leur demande de ne pas le faire, d&eacut

Boissons sucrées alcoolisées : Éduc'alcool dénonce 2019-02-06 09:49:00L'organisme Éduc'alcool lance un appel ultime au gouvernement du Canada pour qu'il encadre adéquatement les boissons alcoolisé

Médecins spécialistes: le milliard «versé en trop» a 2019-02-06 07:09:00Le milliard de dollars « versé en trop » aux médecins spécialistes que comptait récupérer Fra

Appel à la vigilance après l'identification d'un cas 2019-02-05 07:32:00La Direction régionale de santé publique (DRSP) de Montréal a lancé un appel à la vigilance, samedi, car un cas de

Des traitements de fertilité liés à des complications 2019-02-04 13:28:00Quand les femmes désirent au plus haut point avoir un enfant et que cela ne fonctionne pas, plusieurs se tournent vers les traitements de ferti

Prévention du suicide: des familles réclament des actions 2019-02-04 05:00:00Lorsqu'ils cherchaient de l'aide pour leur enfant malade, ils se sont sentis «muselés dans le système de santé». Ma

Bar ouvert pour une infirmière voleuse de narcotiques 2019-02-03 05:00:00Alors même que la crise des opioïdes suscite l'inquiétude, une infirmière a réussi à voler 500 doses de n

Quand l'amour n'a pas le temps: un mariage 2019-02-02 13:12:00Quand l'amour n'a plus le temps. Hospitalisé aux soins palliatifs après un brutal et inattendu diagnostic de cancer incurable, Amara a

Syphilis: les médecins appelés à plus de prudence 2019-02-02 11:51:00Le Collège des médecins appelle les médecins à redoubler de prudence dans le dépistage de la syphilis, une infectio

Hôpital de Maniwaki: «On joue avec la vie 2019-02-01 06:58:00Interruption de service en chirurgie. Clinique d'hémodialyse qui fonctionne à moitié. Centre d'oncologie affaibli. Les services

Un comité se penche sur la stérilisation forcée 2019-01-31 19:56:00Les femmes autochtones ne sont probablement pas les seules à avoir été stérilisées sans leur consentement explicite

Radio-Canada | Santé

Pour arrêter de fumer, le vapotage serait deux 2019-02-05 19:55:00La première grande étude comparative sur l'efficacité de la cigarette électronique pour cesser de fumer, publiée r

Des voyageurs exposés à la rougeole à Pearson 2019-02-05 17:34:00Des voyageurs qui sont passés par le terminal 1 de l'aéroport Pearson de Toronto le 27 janvier doivent surveiller les symptômes d

Le suicide : en parler d'abord! 2019-02-04 11:53:00La campagne nationale de lutte contre le suicide dans les communautés autochtones au Québec vise à ce que les personnes atteintes

Une alerte aux opiacés dans le Grand Sudbury 2019-02-04 07:26:00Une nouvelle forme d'héroïne est en circulation dans les rues du Grand Sudbury, prévient le Service de santé publique de Su

Dire « oui, je le veux » aux 2019-02-02 20:24:00Hospitalisé aux soins palliatifs après un brutal et inattendu diagnostic de cancer incurable, Amara a pu épouser sa fiancé

Syphilis chez les femmes enceintes : les médecins 2019-02-02 15:12:00Le Collège des médecins du Québec appelle les médecins à redoubler de prudence dans le dépistage de la syphi

Comment mieux s’occuper des femmes excisées au Québec? 2019-02-01 14:49:00Les professionnels de la santé et de l'immigration voient de plus en plus de cas d'excision, et ils ne sont pas toujours bien outillés

La ministre de la Santé réitère l'engagement du 2019-01-31 15:22:00« Le gouvernement Ford veut renforcer le système public », selon la ministre de la Santé. Christine Elliott a rép&eac

Aux origines du sida 2019-01-31 14:19:00Il y a 20 ans était dévoilée une découverte primordiale dans la connaissance du sida. Radio-Canada a couvert et expliqu&ea

Le plus important don jamais versé à un 2019-01-31 12:52:00L'hôpital sudburois Horizon Santé-Nord (HSN) reçoit 5 M$ de la part de Marcel et France Labelle de Cochrane pour terminer la cons

Santé en Ontario : un premier rapport qui 2019-01-31 08:01:00Le groupe de médecins chargé de conseiller le gouvernement de Doug Ford en matière de santé ouvre la voie à une r&e

Le vapotage favoriserait les infections fongiques de la 2019-01-31 06:06:00L'inhalation de la vapeur produite par une cigarette électronique favoriserait la prolifération d'un champignon, le Candida albicans,

Global News : Health

How to avoid catching a cold at work 2019-02-07 06:00:02It's cold and flu season and your co-workers are coughing. You don’t want to catch whatever virus they have. What do you do?

Heart problems can affect your brain too, report 2019-02-07 00:01:26Heart and Stroke is warning that many heart conditions can lead to long-term problems with cognition.

Why a new blood drop emoji could help 2019-02-06 16:55:20Coding consortium Unicode, which distributes emojis across mobile devices, said it will include the "period emoji" in March.

Last year she lost her newborn to a 2019-02-06 16:18:58A mother's worst nightmare ended up being a life-saving moment for someone else.

Light cannabis use may increase sperm count: study 2019-02-06 15:50:42Previous studies have linked heavy pot use to a decreased sperm count.

Sex after 50: How to have intimacy again 2019-02-06 14:03:54While it’s normal to be anxious about intimacy at first, research shows that sex gets better the older you get.

When Life Gives You Parkinson’s podcast: Parkinson’s and 2019-02-06 12:22:54The When Life Gives You Parkinson's podcast hears from caregivers, including Rebecca Gifford, Larry's wife.

Halifax woman’s fight to change Canada’s assisted-dying law 2019-02-06 11:26:40A video was released Wednesday by Dying With Dignity Canada, as part of the charity's national campaign to amend Canada's assisted-dying law.

Drug companies offered to freeze prices in order 2019-02-06 10:44:13Drug companies offered to forego revenue and freeze prices ahead of a planned crackdown on Canadian prescription drug prices, documents show.

Inhaling smoke from wildfires equal to smoking a 2019-02-06 07:51:02The smoke is like a "chemical soup" that can be trapped in the lungs and cause a number of health issues, the University of Alberta researcher said.

Trump says U.S. can end HIV within 10 2019-02-05 23:06:40Trump said the U.S. could be free of the human immunodeficiency virus (HIV) that causes AIDS within 10 years if he secures funding under his national

Health Canada moving to restrict vape advertisements to 2019-02-05 13:15:31The proposed restrictions would remove ads for vaping from public places where youth might see them, and require the ads to include health warnings.

Santé

Pour une meilleure prévention du VPH 2019-02-05 20:59:17Malgré la campagne de vaccination amorcée en 2008 au Québec, le nombre de cas de cancer liés au virus du papillome humain

Vapotage chez les jeunes: Santé Canada veut resserrer 2019-02-05 14:11:18Afin de freiner l’engouement du vapotage auprès des jeunes, Santé Canada a l’intention d’imposer des règles plu

Elle doit payer 9900$ pour 30 comprimés par 2019-02-05 01:01:27Élisabeth Delpy souffre d’un cancer «pour non-fumeuse» dont la cause serait génétique.

Encore des traitements d’électrochocs pour soigner les problèmes 2019-02-04 21:54:06L'Hôpital Notre-Dame de Montréal a recommencé à donner des traitements d'électrochocs à des patients attein

Des niveaux de métaux toxiques élevés dans la 2019-02-04 20:12:58Des concentrations inquiétantes de matières dangereuses pour la santé ont été découvertes dans les produits

Résistance aux antibiotiques: des scientifiques dénoncent des «prédictions 2019-02-04 12:44:53Des chercheurs dénoncent des «prédictions catastrophistes» au sujet de l’antibiorésistance, considér&eac

Microbiote: certaines bactéries pourraient jouer un rôle dans 2019-02-04 12:23:11Des bactéries présentes dans notre intestin pourraient avoir un impact sur notre équilibre mental.

Forte augmentation des cancers chez les jeunes adultes 2019-02-04 11:58:06Plus la tranche d’âge est jeune, plus ces cancers gagnent rapidement du terrain, rapportent-ils lundi dans la revue médicale The La

Pollution: les plus pauvres et les plus vulnérables 2019-02-04 10:17:31Les personnes les plus pauvres et les plus vulnérables en Europe sont aussi les plus exposées à la pollution de l’air et so

Un père de 9 enfants perd son combat 2019-02-04 10:14:54Le cancer a finalement eu raison de la vie d’Alain Frenette, ce père de neuf enfants de la Trois-Rivières qui a ému la prov

Cancer du col de l’utérus: le vaccin est 2019-02-04 00:05:46La vaccination contre les papillomavirus humains (HPV) est «sûre et indispensable pour éliminer le cancer du col de l’ut&eacu

Un dentifrice naturel et révolutionnaire? 2019-02-03 22:25:34Une pâte dentifrice naturelle inventée par un dentiste québécois et qui réduit de 60 % le risque de carie se retrouv


Disclaimer and Notice:WorldProNews.com is not responsible of these news or any information published on this website.