公共卫生优先事项:美国非洲裔妇女妇科癌症研究的差异

Clinical medicine insights. Women's health Pub Date : 2016-07-27 eCollection Date: 2016-01-01 DOI:10.4137/CMWH.S39867
Leeya F Pinder, Brett D Nelson, Melody Eckardt, Annekathryn Goodman
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引用次数: 10

摘要

非洲出生的移民是美国增长最快的人口之一,近年来其人口规模几乎翻了一番。然而,它也是保健研究中代表性最不足的群体之一,特别是以妇科和乳腺恶性肿瘤为重点的研究。虽然有机会获得先进的医疗保健系统,但随着移民移民到美国,他们面临着与本土出生人口相同的基于种族和社会阶层的医疗保健不平等,卫生知识的限制和对美国卫生系统的不熟悉加剧了这种不平等。鉴于美国不断涌入非洲出生的移民,我们试图了解这一人群在宫颈癌和乳腺癌研究中的代表性,认识到这些人群在居住在原籍国时患这些疾病的基线风险很高。我们确定,对这些不成比例影响他们的疾病的研究有限;然而,有一些可识别的和潜在的可修改的因素导致了证据的缺乏。这篇临床评论试图强调现有文献中明显缺乏涉及非洲出生移民的妇科和乳腺恶性肿瘤的研究,证明需要对这一人群进行更有力的研究,并提供对这一不断增长的人口的持续健康至关重要的障碍和解决方案的基本见解。
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A Public Health Priority: Disparities in Gynecologic Cancer Research for African-Born Women in the United States.

African-born immigrants comprise one of the fastest growing populations in the U.S., nearly doubling its population size in recent years. However, it is also one of the most underrepresented groups in health-care research, especially research focused on gynecologic and breast malignancies. While the opportunity exists for access to an advanced health-care system, as immigrants migrate to the U.S., they encounter the same health-care inequalities that are faced by the native-born population based on ethnicity and social class, potentiated by limitations of health literacy and lack of familiarity with U.S. health systems. Given the continued influx of African-born immigrants in the U.S., we sought to understand the representation of this population in cervical and breast cancer research, recognizing the population's high risk for these diseases at baseline while residing in their native countries. We determined that there is limited research in these diseases that disproportionately affect them; yet, there are identifiable and potentially modifiable factors that contribute to this paucity of evidence. This clinical commentary seeks to underscore the clear lack of research available involving African-born immigrants with respect to gynecologic and breast malignancies in the existing literature, demonstrate the need for more robust research in this population, and provide fundamental insights into barriers and solutions critical to the continued health of this growing population.

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