Residential Segregation and Racial Cancer Disparities: A Systematic Review
Background This paper provides the first review of empirical studies of segregation and black-white cancer disparities. Methods We searched all years of PubMed (through May 2016) using these terms: racial segregation, residential segregation, neighborhood racial composition (first terms) and (second...
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| Veröffentlicht in: | Journal of racial and ethnic health disparities 2017-12, Vol.4 (6), p.1195-1205 |
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| creator | Landrine, Hope Corral, Irma Lee, Joseph G. L. Efird, Jimmy T. Hall, Marla B. Bess, Jukelia J. |
| description | Background
This paper provides the first review of empirical studies of segregation and black-white cancer disparities.
Methods
We searched all years of PubMed (through May 2016) using these terms: racial segregation, residential segregation, neighborhood racial composition (first terms) and (second terms) cancer incidence, mortality, survival, stage at diagnosis, screening. The 17 (of 668) articles that measured both segregation and a cancer outcome were retained.
Results
Segregation contributed significantly to cancer and to racial cancer disparities in 70% of analyses, even after controlling for socioeconomic status and health insurance. Residing in segregated African-American areas was associated with higher odds of later-stage diagnosis of breast and lung cancers, higher mortality rates and lower survival rates from breast and lung cancers, and higher cumulative cancer risks associated with exposure to ambient air toxics. There were no studies of many types of cancer (e.g., cervical). Studies differed in their measure of segregation, and 40% used an invalid measure. Possible mediators of the segregation effect usually were not tested.
Conclusions
Empirical analysis of segregation and racial cancer disparities is a recent area of research. The literature is limited to 17 studies that focused primarily on breast cancer. Studies differed in their measure of segregation, yet segregation nonetheless contributed to cancer and to racial cancer disparities in 70% of analyses. This suggests the need for further research that uses valid measures of segregation, examines a variety of types of cancers, and explores the variables that may mediate the segregation effect. |
| doi_str_mv | 10.1007/s40615-016-0326-9 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_LD.</sourceid><recordid>TN_cdi_proquest_journals_2932314714</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>48706793</jstor_id><sourcerecordid>48706793</sourcerecordid><originalsourceid>FETCH-LOGICAL-c394t-9e50942933673e266b4f41b67b2117dc34e5432ba07825425fe4cec567fe83063</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMottT-AA_Kgufo5HtzlPoJBaHqOWR3Z8uWdrcm24P_3tTVevM0YfK-z8BDyDmDawZgbqIEzRQFpikIrqk9ImPOrKZ5Lszx99tQYSwfkWmMKwBgXCkr9CkZ8RyE1cDHRC0wNhW2fePX2SsuAy5933Rt5tsqW_hyv575tsSQ3TVx60PTNxjPyEnt1xGnP3NC3h_u32ZPdP7y-Dy7ndNSWNlTiwqs5FYIbQRyrQtZS1ZoU3DGTFUKiUoKXngwOVeSqxpliaXSpsZcgBYTcjVwt6H72GHs3arbhTaddInKBZOGyZRiQ6oMXYwBa7cNzcaHT8fA7V25wZVLrtzelbOpc_lD3hUbrA6NXzMpwIdATF_tEsPf6f-oF0NpFfsuHKAyN6BN0vAFhWt6vA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2932314714</pqid></control><display><type>article</type><title>Residential Segregation and Racial Cancer Disparities: A Systematic Review</title><source>Ethnic NewsWatch (Alumni)</source><creator>Landrine, Hope ; Corral, Irma ; Lee, Joseph G. L. ; Efird, Jimmy T. ; Hall, Marla B. ; Bess, Jukelia J.</creator><creatorcontrib>Landrine, Hope ; Corral, Irma ; Lee, Joseph G. L. ; Efird, Jimmy T. ; Hall, Marla B. ; Bess, Jukelia J.</creatorcontrib><description>Background
This paper provides the first review of empirical studies of segregation and black-white cancer disparities.
Methods
We searched all years of PubMed (through May 2016) using these terms: racial segregation, residential segregation, neighborhood racial composition (first terms) and (second terms) cancer incidence, mortality, survival, stage at diagnosis, screening. The 17 (of 668) articles that measured both segregation and a cancer outcome were retained.
Results
Segregation contributed significantly to cancer and to racial cancer disparities in 70% of analyses, even after controlling for socioeconomic status and health insurance. Residing in segregated African-American areas was associated with higher odds of later-stage diagnosis of breast and lung cancers, higher mortality rates and lower survival rates from breast and lung cancers, and higher cumulative cancer risks associated with exposure to ambient air toxics. There were no studies of many types of cancer (e.g., cervical). Studies differed in their measure of segregation, and 40% used an invalid measure. Possible mediators of the segregation effect usually were not tested.
Conclusions
Empirical analysis of segregation and racial cancer disparities is a recent area of research. The literature is limited to 17 studies that focused primarily on breast cancer. Studies differed in their measure of segregation, yet segregation nonetheless contributed to cancer and to racial cancer disparities in 70% of analyses. This suggests the need for further research that uses valid measures of segregation, examines a variety of types of cancers, and explores the variables that may mediate the segregation effect.</description><identifier>ISSN: 2197-3792</identifier><identifier>EISSN: 2196-8837</identifier><identifier>DOI: 10.1007/s40615-016-0326-9</identifier><identifier>PMID: 28039602</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>African Americans ; Breast cancer ; Censuses ; Cervical cancer ; Datasets ; Diagnosis ; Empirical analysis ; Epidemiology ; Health disparities ; Health insurance ; Health risks ; Health status ; Lung cancer ; Lungs ; Medical diagnosis ; Medical screening ; Medicine ; Medicine & Public Health ; Minority & ethnic groups ; Mortality ; Mortality rates ; Neighborhoods ; ORIGINAL PAPERS ; Prostate cancer ; Quality of Life Research ; Racial inequality ; Racial segregation ; Residential areas ; Residential segregation ; Segregation ; Social Inequality ; Social Structure ; Socioeconomic status ; Socioeconomics ; Survival ; Systematic review</subject><ispartof>Journal of racial and ethnic health disparities, 2017-12, Vol.4 (6), p.1195-1205</ispartof><rights>W. Montague Cobb-NMA Health Institute 2016</rights><rights>W. Montague Cobb-NMA Health Institute 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-9e50942933673e266b4f41b67b2117dc34e5432ba07825425fe4cec567fe83063</citedby><cites>FETCH-LOGICAL-c394t-9e50942933673e266b4f41b67b2117dc34e5432ba07825425fe4cec567fe83063</cites><orcidid>0000-0003-4774-1108</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/48706793$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2932314714?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,799,12719,12798,12825,21367,27901,27902,30976,33721,35782,35787,41464,42533,43781,44305,44306,51294,57992,58225</link.rule.ids><linktorsrc>$$Uhttps://www.proquest.com/docview/2932314714?pq-origsite=primo$$EView_record_in_ProQuest$$FView_record_in_$$GProQuest</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28039602$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Landrine, Hope</creatorcontrib><creatorcontrib>Corral, Irma</creatorcontrib><creatorcontrib>Lee, Joseph G. L.</creatorcontrib><creatorcontrib>Efird, Jimmy T.</creatorcontrib><creatorcontrib>Hall, Marla B.</creatorcontrib><creatorcontrib>Bess, Jukelia J.</creatorcontrib><title>Residential Segregation and Racial Cancer Disparities: A Systematic Review</title><title>Journal of racial and ethnic health disparities</title><addtitle>J. Racial and Ethnic Health Disparities</addtitle><addtitle>J Racial Ethn Health Disparities</addtitle><description>Background
This paper provides the first review of empirical studies of segregation and black-white cancer disparities.
Methods
We searched all years of PubMed (through May 2016) using these terms: racial segregation, residential segregation, neighborhood racial composition (first terms) and (second terms) cancer incidence, mortality, survival, stage at diagnosis, screening. The 17 (of 668) articles that measured both segregation and a cancer outcome were retained.
Results
Segregation contributed significantly to cancer and to racial cancer disparities in 70% of analyses, even after controlling for socioeconomic status and health insurance. Residing in segregated African-American areas was associated with higher odds of later-stage diagnosis of breast and lung cancers, higher mortality rates and lower survival rates from breast and lung cancers, and higher cumulative cancer risks associated with exposure to ambient air toxics. There were no studies of many types of cancer (e.g., cervical). Studies differed in their measure of segregation, and 40% used an invalid measure. Possible mediators of the segregation effect usually were not tested.
Conclusions
Empirical analysis of segregation and racial cancer disparities is a recent area of research. The literature is limited to 17 studies that focused primarily on breast cancer. Studies differed in their measure of segregation, yet segregation nonetheless contributed to cancer and to racial cancer disparities in 70% of analyses. This suggests the need for further research that uses valid measures of segregation, examines a variety of types of cancers, and explores the variables that may mediate the segregation effect.</description><subject>African Americans</subject><subject>Breast cancer</subject><subject>Censuses</subject><subject>Cervical cancer</subject><subject>Datasets</subject><subject>Diagnosis</subject><subject>Empirical analysis</subject><subject>Epidemiology</subject><subject>Health disparities</subject><subject>Health insurance</subject><subject>Health risks</subject><subject>Health status</subject><subject>Lung cancer</subject><subject>Lungs</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Mortality rates</subject><subject>Neighborhoods</subject><subject>ORIGINAL PAPERS</subject><subject>Prostate cancer</subject><subject>Quality of Life Research</subject><subject>Racial inequality</subject><subject>Racial segregation</subject><subject>Residential areas</subject><subject>Residential segregation</subject><subject>Segregation</subject><subject>Social Inequality</subject><subject>Social Structure</subject><subject>Socioeconomic status</subject><subject>Socioeconomics</subject><subject>Survival</subject><subject>Systematic review</subject><issn>2197-3792</issn><issn>2196-8837</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><sourceid>LD-</sourceid><sourceid>LD.</sourceid><sourceid>QXPDG</sourceid><recordid>eNp9kE1LAzEQhoMottT-AA_Kgufo5HtzlPoJBaHqOWR3Z8uWdrcm24P_3tTVevM0YfK-z8BDyDmDawZgbqIEzRQFpikIrqk9ImPOrKZ5Lszx99tQYSwfkWmMKwBgXCkr9CkZ8RyE1cDHRC0wNhW2fePX2SsuAy5933Rt5tsqW_hyv575tsSQ3TVx60PTNxjPyEnt1xGnP3NC3h_u32ZPdP7y-Dy7ndNSWNlTiwqs5FYIbQRyrQtZS1ZoU3DGTFUKiUoKXngwOVeSqxpliaXSpsZcgBYTcjVwt6H72GHs3arbhTaddInKBZOGyZRiQ6oMXYwBa7cNzcaHT8fA7V25wZVLrtzelbOpc_lD3hUbrA6NXzMpwIdATF_tEsPf6f-oF0NpFfsuHKAyN6BN0vAFhWt6vA</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Landrine, Hope</creator><creator>Corral, Irma</creator><creator>Lee, Joseph G. L.</creator><creator>Efird, Jimmy T.</creator><creator>Hall, Marla B.</creator><creator>Bess, Jukelia J.</creator><general>Springer Science + Business Media</general><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>LD-</scope><scope>LD.</scope><scope>M0S</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>QXPDG</scope><orcidid>https://orcid.org/0000-0003-4774-1108</orcidid></search><sort><creationdate>20171201</creationdate><title>Residential Segregation and Racial Cancer Disparities</title><author>Landrine, Hope ; Corral, Irma ; Lee, Joseph G. L. ; Efird, Jimmy T. ; Hall, Marla B. ; Bess, Jukelia J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c394t-9e50942933673e266b4f41b67b2117dc34e5432ba07825425fe4cec567fe83063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>African Americans</topic><topic>Breast cancer</topic><topic>Censuses</topic><topic>Cervical cancer</topic><topic>Datasets</topic><topic>Diagnosis</topic><topic>Empirical analysis</topic><topic>Epidemiology</topic><topic>Health disparities</topic><topic>Health insurance</topic><topic>Health risks</topic><topic>Health status</topic><topic>Lung cancer</topic><topic>Lungs</topic><topic>Medical diagnosis</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minority & ethnic groups</topic><topic>Mortality</topic><topic>Mortality rates</topic><topic>Neighborhoods</topic><topic>ORIGINAL PAPERS</topic><topic>Prostate cancer</topic><topic>Quality of Life Research</topic><topic>Racial inequality</topic><topic>Racial segregation</topic><topic>Residential areas</topic><topic>Residential segregation</topic><topic>Segregation</topic><topic>Social Inequality</topic><topic>Social Structure</topic><topic>Socioeconomic status</topic><topic>Socioeconomics</topic><topic>Survival</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Landrine, Hope</creatorcontrib><creatorcontrib>Corral, Irma</creatorcontrib><creatorcontrib>Lee, Joseph G. 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L.</au><au>Efird, Jimmy T.</au><au>Hall, Marla B.</au><au>Bess, Jukelia J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Residential Segregation and Racial Cancer Disparities: A Systematic Review</atitle><jtitle>Journal of racial and ethnic health disparities</jtitle><stitle>J. Racial and Ethnic Health Disparities</stitle><addtitle>J Racial Ethn Health Disparities</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>4</volume><issue>6</issue><spage>1195</spage><epage>1205</epage><pages>1195-1205</pages><issn>2197-3792</issn><eissn>2196-8837</eissn><abstract>Background
This paper provides the first review of empirical studies of segregation and black-white cancer disparities.
Methods
We searched all years of PubMed (through May 2016) using these terms: racial segregation, residential segregation, neighborhood racial composition (first terms) and (second terms) cancer incidence, mortality, survival, stage at diagnosis, screening. The 17 (of 668) articles that measured both segregation and a cancer outcome were retained.
Results
Segregation contributed significantly to cancer and to racial cancer disparities in 70% of analyses, even after controlling for socioeconomic status and health insurance. Residing in segregated African-American areas was associated with higher odds of later-stage diagnosis of breast and lung cancers, higher mortality rates and lower survival rates from breast and lung cancers, and higher cumulative cancer risks associated with exposure to ambient air toxics. There were no studies of many types of cancer (e.g., cervical). Studies differed in their measure of segregation, and 40% used an invalid measure. Possible mediators of the segregation effect usually were not tested.
Conclusions
Empirical analysis of segregation and racial cancer disparities is a recent area of research. The literature is limited to 17 studies that focused primarily on breast cancer. Studies differed in their measure of segregation, yet segregation nonetheless contributed to cancer and to racial cancer disparities in 70% of analyses. This suggests the need for further research that uses valid measures of segregation, examines a variety of types of cancers, and explores the variables that may mediate the segregation effect.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>28039602</pmid><doi>10.1007/s40615-016-0326-9</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4774-1108</orcidid></addata></record> |
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| identifier | ISSN: 2197-3792 |
| ispartof | Journal of racial and ethnic health disparities, 2017-12, Vol.4 (6), p.1195-1205 |
| issn | 2197-3792 2196-8837 |
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| source | Ethnic NewsWatch (Alumni) |
| subjects | African Americans Breast cancer Censuses Cervical cancer Datasets Diagnosis Empirical analysis Epidemiology Health disparities Health insurance Health risks Health status Lung cancer Lungs Medical diagnosis Medical screening Medicine Medicine & Public Health Minority & ethnic groups Mortality Mortality rates Neighborhoods ORIGINAL PAPERS Prostate cancer Quality of Life Research Racial inequality Racial segregation Residential areas Residential segregation Segregation Social Inequality Social Structure Socioeconomic status Socioeconomics Survival Systematic review |
| title | Residential Segregation and Racial Cancer Disparities: A Systematic Review |
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