Kolb Bethany, Wallace Anne Marie, Hill Deidre, Royce Melanie
Office of Student Services, University of New Mexico, School of Medicine, USA.
Oncology (Williston Park). 2006 Sep;20(10):1256-61; discussion 1261, 1265, 1268-70.
The 2005 National Health Disparities Report found disparities related to race, ethnicity, and socioeconomic status in the United States health-care system. While varying in magnitude, disparities were observed in almost all aspects of health care including cancer. Disparities were noted across quality and access to health care, levels and types of health care, various health-care settings, and within many subpopulations. In this review, we explore the disparities in cancer care among racial and ethnic minorities. In particular we consider numerous factors that may influence health care for racial and ethnic minority groups including socioeconomic issues, access, cultural beliefs, risk factors, and comorbidities. Although there are extensive confounding factors that vary with each subgroup, trends that may help individual practitioners better understand this complex issue become evident through closer evaluation of available data.
《2005年国家卫生差异报告》发现，美国医疗保健系统中存在与种族、族裔和社会经济地位相关的差异。尽管差异程度各不相同，但在医疗保健的几乎所有方面（包括癌症）都观察到了差异。在医疗保健的质量和可及性、医疗保健的水平和类型、各种医疗保健环境以及许多亚人群体中都发现了差异。在本综述中，我们探讨了少数种族和族裔群体在癌症护理方面的差异。我们特别考虑了可能影响少数种族和族裔群体医疗保健的众多因素，包括社会经济问题、可及性、文化信仰、风险因素和合并症。尽管存在广泛的混杂因素，且每个亚组各不相同，但通过对现有数据进行更仔细的评估，可以明显看出有助于个体从业者更好理解这一复杂问题的趋势。
