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February 2003, Vol 93, No. 2 | American Journal of Public Health 292-298
© 2003 American Public Health Association


RESEARCH AND PRACTICE

Cancer-Related Health Disparities in Women

Karen Glanz, PhD, MPH, Robert T. Croyle, PhD, Veronica Y. Chollette, RN and Vivian W. Pinn, MD

Karen Glanz is with the Cancer Research Center of Hawaii, University of Hawaii, Honolulu. Robert T. Croyle and Veronica Y. Chollette are with the Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Md. Vivian W. Pinn is with the Office of Research on Women’s Health, National Institutes of Health, Bethesda, Md.

Correspondence: Requests for reprints should be sent to Karen Glanz, PhD, MPH, Cancer Research Center of Hawaii, 1960 East-West Rd, Biomedical Sciences Building C-105, University of Hawaii, Honolulu, HI 96822 (e-mail: kglanz{at}hawaii.edu).

Objectives. This article synthesizes information about cancer in 9 populations of minority women: Mexican American, Puerto Rican, Cuban American, African American, Asian American, Native Hawaiian, American Samoan, American Indian, and Alaska Native.

Methods. Cancer registry data, social indicators, government sources, and published articles were searched for information on the background and cancer experience of these 9 racial/ethnic groups.

Results. Approximately 35 million women in these racial/ethnic groups live in the United States, and their numbers are increasing rapidly. Since 1992, incidence rates for major cancer sites have slowed or decreased among these groups, but declines in mortality have not occurred or have been smaller than for Whites. Gaps in early detection have narrowed, but minority women still lag behind Whites. Smoking and obesity remain common in these populations.

Conclusions. More culturally appropriate interventions and research are needed, and these efforts must involve the community and raise the quality of health services.




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