Journal: Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
This commentary highlights the evolution of health disparities research over the past 50 years, shifting from focusing on downstream factors to addressing upstream structural determinants that influence cancer outcomes.
Using breast cancer disparities as an example, it emphasizes the complex interplay of individual, community, and structural factors driving differences in outcomes. It particularly notes neighborhood influences on breast cancer mortality disparities between Black and White women in Alabama.
The authors advocate for multilevel, community-engaged research strategies involving partnerships among:
- Health services researchers
- Community organizations
- Policymakers
These collaborations aim to rigorously evaluate social policies and programs designed to achieve health equity in cancer care.