Department of Surgery New York Presbyterian Queens, Weill Cornell Medicine, Flushing, NY, USA.
Department of Surgery New York Presbyterian, Weill Cornell Medicine, New York, NY, USA.
Ann Surg Oncol. 2023 Apr;30(4):2121-2127. doi: 10.1245/s10434-023-13103-4. Epub 2023 Jan 18.
The Asian American Pacific Islander (AAPI) population is a heterogeneous group of people from geographically and ethnically distinct regions of the world. Traditionally, these patients have been reported as one large aggregate in the breast cancer literature under the race category of "Asian." A detailed examination of this group shows compelling evidence that breast cancer manifests differently among Asian ethnic subgroups, resulting in overlooked health disparities when these races are grouped together. The AAPI community is the fastest growing ethnic group in the United States, and their incidence of breast cancer is increasing at rates greater than among their non-Asian counterparts. When these patients are disaggregated by race, they show wide variations in breast cancer screening, presentation, treatment, and outcomes. This population often faces additional unique challenges in the health care system due to cultural, social, health literacy, and language barriers, which can contribute to further disparity. Our landmark series aims to showcase the breadth of the breast cancer burden in the AAPI population and highlight the need for disaggregated ethnic data.
亚裔美国人太平洋岛民(AAPI)群体是来自世界各地地理和种族上截然不同地区的一群多样化的人群。传统上,这些患者在乳腺癌文献中被归为“亚洲人”这一种族类别下的一个大群体。对这一群体的详细研究表明,有确凿证据表明乳腺癌在亚裔亚群中表现不同,当这些种族被归为一组时,就会忽视健康差异。AAPI 社区是美国增长最快的族裔群体,他们的乳腺癌发病率增长速度高于非亚裔人群。当这些患者按种族分类时,他们在乳腺癌筛查、表现、治疗和结果方面存在广泛差异。由于文化、社会、健康素养和语言障碍等因素,这些患者在医疗体系中经常面临额外的独特挑战,这可能导致进一步的差异。我们的标志性系列旨在展示 AAPI 人群中乳腺癌负担的广度,并强调需要按族裔分类的族裔数据。