Ramirez Amelie G, Munoz Edgar, Rodriguez-Rodriguez Lorna, Bernal-Mizrachi Leon, Lopez Jose Aron, Pinheiro Paulo S, Segarra-Vasquez Barbara, Talavera Gregory, Carvajal-Carmona Luis G, Duque Adolfo Diaz, Despres Cliff, Trapido Edward J
The University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
City of Hope National Medical Center, Duarte, CA, United States.
Front Public Health. 2025 Jul 23;13:1591074. doi: 10.3389/fpubh.2025.1591074. eCollection 2025.
Cancer disparities among Latinos in the United States persist as a significant public health challenge, characterized by inequitable outcomes throughout the cancer continuum. Latinos experience elevated rates and poorer prognoses in certain cancers compared to other populations, driven by complex, multilevel interactions involving environmental exposures, genetic factors, cultural practices, and systemic inequalities. Recognizing the substantial heterogeneity among Latinos-including differences in national origin, immigration experiences, socioeconomic status, language, and race-is crucial, as oversimplification risks masking key disparities. To comprehensively understand these dynamics, the Task Force: Latino Researchers Against Cancer (TFLRAC) convened specialists in oncology, public health, and behavioral sciences to systematically examine the multiple influences contributing to these disparities. Findings highlight environmental hazards, genetic susceptibilities, cultural stigmas, and linguistic barriers as significant drivers. Systemic issues such as discrimination, colorism, inadequate healthcare coverage, workforce disparities, socioeconomic challenges, and underrepresentation in clinical trials further compound these inequities. Addressing these disparities requires a multifaceted strategy, including targeted research, culturally tailored interventions, and comprehensive policy reforms to improve healthcare access, workforce diversity, and clinical trial inclusion. Collaborative efforts across academia, healthcare systems, community organizations, governmental agencies, and industry partners are imperative to achieve equitable cancer outcomes among Latinos.
美国拉丁裔群体中的癌症差异依然是一项重大的公共卫生挑战,其特点是在癌症防治的整个过程中存在不公平的结果。与其他人群相比,拉丁裔在某些癌症方面的发病率更高且预后更差,这是由环境暴露、遗传因素、文化习俗和系统性不平等之间复杂的多层次相互作用所导致的。认识到拉丁裔群体内部存在的巨大异质性,包括祖籍、移民经历、社会经济地位、语言和种族方面的差异至关重要,因为过度简化可能会掩盖关键的差异。为了全面理解这些动态情况,拉丁裔抗癌研究人员特别工作组(TFLRAC)召集了肿瘤学、公共卫生和行为科学领域的专家,系统地研究导致这些差异的多种影响因素。研究结果突出了环境危害、遗传易感性、文化耻辱感和语言障碍是主要驱动因素。诸如歧视、肤色主义、医疗保健覆盖不足、劳动力差异、社会经济挑战以及在临床试验中代表性不足等系统性问题进一步加剧了这些不平等现象。解决这些差异需要采取多方面的策略,包括有针对性的研究、针对文化特点的干预措施以及全面的政策改革,以改善医疗保健服务的可及性、劳动力多样性以及临床试验的纳入情况。学术界、医疗保健系统、社区组织、政府机构和行业合作伙伴之间的合作努力对于实现拉丁裔群体癌症防治结果的公平性至关重要。