Article
Public, Environmental & Occupational Health
Yan Kwan Lau, Harihar Bhattarai, Tanner J. Caverly, Pei-Yao Hung, Evelyn Jimenez-Mendoza, Minal R. Patel, Michele L. Cote, Douglas A. Arenberg, Rafael Meza
Summary: An initial evaluation of the web-based decision aid for lung cancer screening, shouldiscreen.com, was conducted among a nondiverse sample before Medicare coverage decision. This study evaluated the tool among African Americans in Metro Detroit, showing small improvements in knowledge and screening eligibility concordance. Additional design modifications and information delivery modes should be considered for populations with lower educational attainment and computer literacy.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Vanessa B. Sheppard, Arnethea Sutton, Esther Holmes, Megan Edmonds, Michael A. Preston, Asmaa M. Namoos, Matthew Wells, Maria D. Thomson
Summary: This study analyzed strategies and outcomes across four cancer prevention and control studies that recruited and retained African American participants. It found that many African Americans have a strong interest in cancer-related research and common strategies such as connecting with community stakeholders and identifying study leaders were effective. However, the study recruitment methods may not be generalizable to all African American populations due to varying geographic locations, study protocols, target populations, and available resources.
JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE
(2021)
Review
Health Policy & Services
Siddhartha Roy, Sabrina Dickey, Hsiao-Lan Wang, Alexandria Washington, Randy Polo, Clement K. Gwede, John S. Luque
Summary: African Americans experience disparities in colorectal cancer screening compared to other racial groups in the United States. Interventions such as mailed reminders, patient navigation, and tailored educational materials show promise in increasing participation rates in stool blood testing. More research is needed to determine the effectiveness of interventions in this population.
JOURNAL OF COMMUNITY HEALTH
(2021)
Article
Oncology
Navkiran K. Shokar, Jennifer Salinas, Alok Dwivedi
Summary: This study utilized structural equation modeling to identify factors influencing participation in colorectal cancer screening among uninsured Hispanic individuals. The findings indicate that self-efficacy, perceived benefits, and fatalism significantly affect the effectiveness of screening interventions.
Review
Oncology
Ambreen Khan, Charles R. Rogers, Carson D. Kennedy, AnaMaria Lopez, Joanne Jeter
Summary: Hereditary cancer syndromes in the African-American population face disparities in research, genetic testing utilization, and access to tailored treatments, leading to health disparities and inequality.
Article
Oncology
Hui-Yi Lin, Susan E. E. Steck, Indrani Sarkar, Elizabeth T. H. Fontham, Alan Diekman, Lora J. J. Rogers, Calvin T. T. Ratliff, Jeannette T. T. Bensen, James L. L. Mohler, L. Joseph Su
Summary: This study aimed to evaluate the interactions between genetic polymorphisms related to folate metabolism and the aggressiveness of prostate cancer. The study found that specific interactions between genetic polymorphisms were associated with aggressive cancer in both European American and African American prostate cancer patients. These findings are important for personalized intervention and treatment strategies for prostate cancer.
Article
Public, Environmental & Occupational Health
Caroline E. Drolet, Todd Lucas
Summary: African Americans are more likely to develop and die from colorectal cancer than other racial groups in the United States. Perceived barriers to screening exacerbate these disparities, but personal justice beliefs can help reduce the impact of these barriers.
PSYCHOLOGY & HEALTH
(2022)
Article
Geriatrics & Gerontology
Francine Grodstein, Bryan D. James, Yi Chen, Ana W. Capuano, Melinda C. Power, David A. Bennett, Julie P. W. Bynum, Lisa L. Barnes
Summary: Evidence suggests that the health care system is more likely to miss the diagnosis of dementia in African Americans compared to White individuals. Preliminary data shows that the health care system tends to identify dementia more rapidly in older African Americans with worse cognitive and physical health.
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
(2023)
Article
Public, Environmental & Occupational Health
Paula Lozano, Fornessa T. Randal, Aven Peters, Briseis Aschebrook-Kilfoy, Muhammad G. Kibriya, Jiajun Luo, Sameep Shah, Paul Zakin, Andrew Craver, Liz Stepniak, Loren Saulsberry, Sonia Kupfer, Helen Lam, Habibul Ahsan, Karen E. Kim
Summary: Historically, African Americans have had lower rates of colorectal cancer (CRC) screening. Previous studies have focused on individual community characteristics, making it difficult to evaluate the overall impact of the social and built environment. This study aims to estimate the overall effect of community factors on CRC screening and identify the most important ones. The results show that overall community disadvantage is associated with lower adherence to CRC screening, and unemployment, community insecurity, and severe housing cost burden are the most important community factors.
PREVENTIVE MEDICINE REPORTS
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Anupam Basu, Luke Kopulos, Nicole Geissen, Shashvat Sukhal, Sean B. Smith
Summary: In an underserved healthcare system, African Americans were more likely to report <30 pack-years of smoking history, despite higher incidence of lung cancer. The 30-pack-year threshold was not associated with lung cancer diagnosis, raising concerns about its appropriateness in African Americans.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2021)
Article
Obstetrics & Gynecology
Samantha F. Butts
Summary: This review provides an overview of research on the association between African American race and infertility treatments outcomes, focusing on barriers to access. Studies have found durable disparities in the fertility spectrum for African Americans over the past 20 years. System-based practice issues in fertility evaluation and treatment that challenge reproductive health equity will also be discussed.
FERTILITY AND STERILITY
(2021)
Article
Oncology
Carl S. Winkler, John C. Hardaway, M. Erkan Ceyhan, N. Joseph Espat, Abdul Saied Calvino
Summary: This study evaluated colonoscopy utilization among Hispanic patients with a culturally tailored patient navigation program, showing an 85% completion rate of colonoscopy with no difference between males and females. Implementation of a CTPNP is an effective intervention to improve the CC rate and eliminate the historical gender gap in utilization among Hispanic patients.
Article
Endocrinology & Metabolism
Sanjoy K. Paul, Jonathan E. Shaw, Peter Fenici, Olga Montvida
Summary: This study aimed to explore the risks and mediation effects of developing chronic kidney disease (CKD) and heart failure (HF) in young- and usual-onset type 2 diabetes (T2D) among White Americans (WAs) and African Americans (AAs). The study found that AAs had a higher risk of developing CKD and HF compared to WAs, and CKD had a greater mediation effect on the HF risk difference between ethnicities compared to HF on CKD risk difference.
Article
Oncology
Evelyn Jiagge, Dexter X. Jin, Justin Y. Newberg, Tomin Perea-Chamblee, Kelly R. Pekala, Christopher Fong, Michele Waters, David Ma, Yvonne Dei-Adomakoh, Gilles Erb, Kanika S. Arora, Sophia L. Maund, Njoki Njiraini, Atara Ntekim, Susie Kim, Xuechun Bai, Marlene Thomas, Ronwyn van Eeden, Priti Hegde, Justin Jee, Debyani Chakravarthy, Nikolaus Schultz, Michael F. Berger, Garrett M. Frampton, Ethan S. Sokol, Jian Carrot-Zhang
Summary: This study investigates genomic alterations in cancer patients with African ancestry and identifies cross-cancer type associations as well as differences in actionable alterations. The study also highlights the impact of ancestry-environment interaction on driver rates.
Article
Oncology
Kristin Wallace, Georges J. Nahhas, Christine Bookhout, David N. Lewin, Chrystal M. Paulos, Nana Nikolaishvili-Feinberg, Stephanie M. Cohen, Silvia Guglietta, Ali Bakhtiari, E. Ramsay Camp, Elizabeth G. Hill, John A. Baron, Jennifer D. Wu, Alexander V. Alekseyenko
Summary: This study found that in the early stages of carcinogenesis, African Americans (AAs) may have weaker immune response capacity compared to Caucasian Americans (CAs), indicating an immunosuppressive ('cold') tumor environment in AAs. The results also highlight the importance of colonic location of adenoma in influencing these differences; the reduced immune responses in AAs relative to CAs may indicate impaired immune surveillance in early carcinogenesis. Future studies are needed to understand the role of risk factors (such as obesity) in influencing differences in immune responses by race.
FRONTIERS IN ONCOLOGY
(2021)