期刊
JOURNAL OF CANCER EDUCATION
卷 28, 期 1, 页码 171-178出版社
SPRINGER
DOI: 10.1007/s13187-012-0430-4
关键词
Cancer; Ethnic minority; Health disparity; Oncology; Community needs assessment
资金
- Tisch Cancer Institute
- Research Supplement to Promote Diversity in Health-Related Research [R01CA120658]
- National Center for Research Resources' Clinical and Translational Science Award (CTSA) [UL1RR029887]
In the largely African American and Hispanic communities of East and Central Harlem in New York City (NYC), health inequities are glaring. Mortality from cancer is 20-30 % higher than in Manhattan and 30-40 % higher than rates in the general population in NYC. Despite advances in risk assessment, early detection, treatment, and survivorship, individuals in Harlem and similar urban communities are not benefiting equally. Guided by community-based participatory research, this study serves as an important step in understanding cancer care needs and the range of factors that impact the disparate rates of cancer in East and Central Harlem. Forty individual interviews were conducted with community leaders and residents. Major themes included: need for appropriate supportive services; health care access and financial challenges; beliefs related to stigma, trust, and accountability; and the impact of the physical environment on health. Education was seen as a critical area of need and intervention.
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