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    Alley-side Pickup: 10am - 7pm

    3038 Hennepin Ave Minneapolis, MN
    612-822-4611

Open Daily: 10am - 10pm | Alley-side Pickup: 10am - 7pm
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612-822-4611
Toward the Elimination of Cancer Disparities: Clinic and Public Health Perspectives

Toward the Elimination of Cancer Disparities: Clinic and Public Health Perspectives

Koh, Howard K.

Hardcover

Medical Reference

ISBN10: 038789442X
ISBN13: 9780387894423
Publisher: Springer Nature
Published: Jun 10 2009
Pages: 384
Weight: 1.61
Height: 0.88 Width: 6.14 Depth: 9.21
Language: English
Thesocietalburdenofcancerisoneofthemajorpublichealthchallengesofour time. Yetthatburdenisnotequallysharedbyall. Troublingdisparitieshave been documented not only by racial/ethnic group but also by social class, insurancestatus, geography, andahostofotherdimensions. Furthermore, suchdisparitiesrepresenttheendresultofaconstellationofforcesstemming frominsideandoutsidethehealthcaresystem. Manycancerdisparitiesshould bepreventable. Fewhaveattemptedtocapturethebreadthanddepthofthedimensionsof cancerdisparitiesfrombothclinicalaswellaspublichealthperspectives. To addressthisneed, wepresentthisvolumeto: broaden concepts of disparities beyond traditional discussions of race/ ethnicitytoexplorehow, where, andwhytheyoccur; focusoncancerdisparitiesintheUS, whilecitingsomemajorexamplesfrom abroad; analyzecertainmajorcancerswithrespecttodisparities, withemphasison socioeconomicposition; examinethesourcesofdisparitiesfrombothinsideandoutsidethehealth caresystem; identifyinitialinterventionsthatattempttoreduceandeliminatethesed- parities;and identifyissuesthatdeserveattentionwithrespecttofutureresearch. Ourmonographaddressescancerdisparitiesacrossthecontinuum(fromp- vention to mortality and by the domains of social inequality). We begin by exploringbroaddimensionsuchasdefinitionsofdisparities, datasystems, the roleofgenesandenvironment, andtheroleofworkandoccupationincancer disparities. Thenwemoveintospecificchallengesincancerdisparitiessuchas tobaccouseandlungcancer, breastcancer, colorectalcancer, prostatecancer, cervicalcancer, melanoma, andhepatocellularcarcinoma. Wethenconcludewith someavenuestoaddresscancerdisparities, includingpolicyandadvocacy, health v vi Preface communication, overcoming barriers to cancer care, and community-based approaches. Oureffortsarefarfromexhaustive, buttheyrepresentoneofthe firstattemptstoaddresscancerdisparitiesfromsuchacomprehensiveperspective. Thisvolumereflectstheworkofanumberofnationalexpertsincancer disparities. Many are members of the Executive Committee of the Cancer Disparities Program-in-Development of the Dana-Farber/Harvard Cancer Center. Still others are also investigators in the National Cancer Institute Community Network Program MassCONECT (Massachusetts Community NetworkstoEliminateCancerDisparitiesthroughEducation, Researchand Training). Also, thisvolumeupdatesandexpandsaearlier2005monographon thetopicpublishedinthejournalCancerCausesandControl. Allauthorsare dedicatedtothegoalofeliminatingcancerdisparitiesandIamindebtedto them. IamparticularlygratefultoRachelWarren, TerraZipoyrnSnider, andDr. ClaudiaArriggfortheirunendingencouragementandsupport. Itismyhope thatthismonographrepresentsanothercontributiontowardhelpingallpeople enjoytheirhighestattainablestandardofhealth. Boston, MA HowardK. Koh, MD, MPH Contents PartI DimensionsofCancerDisparities 1 Defining, Investigating, andAddressingCancerInequities: CriticalIssues. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 NancyKrieger, KarenM. Emmons, andDavidWilliams 2 CancerDisparities: DataSystems, Sources, andInterpretation. . . . . 29 BarbaraD. Powe, AhmedinJemal, DexterCooper, andLokieHarmond 3 Genes, Environment, andCancerDisparities. . . . . . . . . . . . . . . . . . . 49 AlexandraE. Shields, StephanieM. Fullerton, andKennethOlden 4 WorkandOccupation: ImportantIndicatorsofSocioeconomic PositionandLifeExperiencesInfluencingCancerDisparities. . . . . . 83 GlorianSorensen, GraceSembajwe, AmyHarley, andLisaQuintiliani PartII SpecificChallengesinCancerDisparities 5 DisparitiesinTobaccoUseandLungCancer. . .

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