NDLI: Social determinants of Black-White disparities in breast cancer mortality: a review.

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Social determinants of Black-White disparities in breast cancer mortality: a review.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Gerend, Mary A. Pai, Manacy
Description	Country affiliation: United States Author Affiliation: Gerend MA ( Department of Medical Humanities and Social Sciences, College of Medicine, Florida State University, 1115 West Call Street, Tallahassee, FL 32306-4300, USA. mary.gerend@med.fsu.edu)
Abstract	Despite the recent decline in breast cancer mortality, African American women continue to die from breast cancer at higher rates than do White women. Beyond the fact that breast cancer tends to be a more biologically aggressive disease in African American than in White women, this disparity in breast cancer mortality also reflects social barriers that disproportionately affect African American women. These barriers hinder cancer prevention and control efforts and modify the biological expression of disease. The present review focuses on delineating social, economic, and cultural factors that are potentially responsible for Black-White disparities in breast cancer mortality. This review was guided by the social determinants of health disparities model, a model that identifies barriers associated with poverty, culture, and social injustice as major causes of health disparities. These barriers, in concert with genetic, biological, and environmental factors, can promote differential outcomes for African American and White women along the entire breast cancer continuum, from screening and early detection to treatment and survival. Barriers related to poverty include lack of a primary care physician, inadequate health insurance, and poor access to health care. Barriers related to culture include perceived invulnerability, folk beliefs, and a general mistrust of the health care system. Barriers related to social injustice include racial profiling and discrimination. Many of these barriers are potentially modifiable. Thus, in addition to biomedical advancements, future efforts to reduce disparities in breast cancer mortality should address social barriers that perpetuate disparities among African American and White women in the United States.
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	11
Volume Number	17
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology African Continental Ancestry Group Statistics & Numerical Data Breast Neoplasms Ethnology Mortality European Continental Ancestry Group Health Status Disparities Socioeconomic Factors Cultural Characteristics Poverty Risk Factors
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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