Nguyen Anh Bao, Chawla Neetu, Noone Anne-Michelle, Srinivasan Shobha
Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, Maryland.
Cancer Epidemiol Biomarkers Prev. 2014 Nov;23(11):2266-72. doi: 10.1158/1055-9965.EPI-14-0387.
The goal of health equity requires the collection and reporting of disaggregated data in underrepresented populations such as Asian American (AA) and Native Hawaiian and Other Pacific Islander (NHOPI) communities. A recent Department of Health and Human Services report outlines the necessity for disaggregated data, which would offer communities, providers, and planners better tools to address health problems. In a recent collaboration, the National Cancer Institute (NCI) and several registries published a series of articles tracking cancer incidence data on AA and NHOPI communities using data from the NCI's Surveillance, Epidemiology, and End Results (SEER) program. The findings indicate a need for concentrated focus and planning for the next stages of cancer prevention and control for AA and NHOPI subpopulations. In this article, we provide (i) the context for the perpetuation of the model minority myth as well as historical and sociocultural factors that have shaped health and disease for AA and NHOPI subgroups; (ii) potential strategies for research and public health policy for AA and NHOPI groups using subpopulation-based approaches while addressing challenges and limitations; and (iii) a portfolio analysis of currently funded projects within the NCI/DCCPS to identify gaps and areas of potential research.
健康公平的目标要求收集和报告在亚裔美国人(AA)以及夏威夷原住民和其他太平洋岛民(NHOPI)等代表性不足的人群中的分类数据。美国卫生与公众服务部最近的一份报告概述了分类数据的必要性,这类数据将为社区、医疗服务提供者和规划者提供更好的工具来解决健康问题。在最近的一次合作中,美国国家癌症研究所(NCI)和几个登记处发表了一系列文章,利用NCI的监测、流行病学和最终结果(SEER)项目的数据跟踪AA和NHOPI社区的癌症发病率数据。研究结果表明,需要对AA和NHOPI亚人群体癌症预防和控制的下一阶段进行集中关注和规划。在本文中,我们提供了:(i)模范少数族裔神话长期存在的背景,以及塑造了AA和NHOPI亚群体健康与疾病状况的历史和社会文化因素;(ii)针对AA和NHOPI群体,采用基于亚群体的方法进行研究和制定公共卫生政策的潜在策略,同时应对挑战和局限性;以及(iii)对NCI/DCCPS内目前已获资助项目的组合分析,以确定潜在研究的差距和领域。