Department of Public Health, College of Health and Human Services, Southern Connecticut State University, New Haven, CT, USA.
Cancer Control. 2024 Jan-Dec;31:10732748241261558. doi: 10.1177/10732748241261558.
Cancer is the second-leading cause of death in the United States. Most studies have reported rural versus urban and Black versus White cancer disparities. However, few studies have investigated racial disparities in rural areas.
We conducted a literature review to explore the current state of knowledge on racial and ethnic disparities in cancer attitudes, knowledge, occurrence, and outcomes in rural United States.
A systematic search of PubMed and Embase was performed. Peer-reviewed articles published in English from 2004-2023 were included. Three authors independently reviewed the articles and reached a consensus.
After reviewing 993 articles, a total of 30 articles met the inclusion criteria and were included in the present review. Studies revealed that underrepresented racial and ethnic groups in rural areas were more likely to have low cancer-related knowledge, low screening, high incidence, less access to treatment, and high mortality compared to their White counterparts.
Underrepresented racial and ethnic groups in rural areas experienced a high burden of cancer. Improving social determinants of health may help reduce cancer disparities and promote health.
癌症是美国的第二大死亡原因。大多数研究报告了农村与城市以及黑人和白人之间的癌症差异。然而，很少有研究调查农村地区的种族差异。
我们进行了文献综述，以探讨美国农村地区癌症态度、知识、发生和结果方面的种族和民族差异的现有知识状况。
对 PubMed 和 Embase 进行了系统搜索。纳入了 2004 年至 2023 年期间以英文发表的同行评审文章。三位作者独立审查文章并达成共识。
在审查了 993 篇文章后，共有 30 篇文章符合纳入标准并包含在本次综述中。研究表明，与白人相比，农村地区代表性不足的种族和族裔群体更有可能癌症相关知识较低、筛查率低、发病率高、治疗机会少、死亡率高。
农村地区代表性不足的种族和族裔群体癌症负担沉重。改善健康的社会决定因素可能有助于减少癌症差异并促进健康。
Zotero 插件