Purpose To examine cancer treatment disparities at a National Cancer Institute-designated comprehensive cancer center (NCI-CCC) and non-specialty hospitals. Materials and Methods Florida hospital discharge datasets were used. ICD9-CM codes were used to define patients with female reproductive organ cancers (FROC), male reproductive organ cancers (MROC), and OTHER cancer diagnoses. A total of 7462 NCI-CCC patients and 21,875 non-specialty hospital patients were included in the statistical analysis. Data analysis was conducted in SAS 9.2.Results Increases in age reduced the odds of receiving treatment at the NCI-CCC. Male patients were more likely than female patients to be treated at the NCI-CCC. Age-adjusted odds of African American and Hispanic out/inpatients being treated at the NCI-CCC were significantly lower than those of White out/inpatients. Only patients with workers' compensation, charity, or other insurance had higher odds of being treated at the NCI-CCC. The odds of minority patients receiving outpatient treatment at the NCI-CCC declined after 2005. The odds of receiving inpatient treatment at the NCI-CCC significantly increased after 2006. Conclusions More targeted outreach by the NCI-CCC is required. However, we expect the creation of local Accountable Care Organizations (ACOs) to reduce the numbers of minority and older patients at the NCI-CCC. Coordinated quality care at ACOs implies a potential for retaining the patient market share held by non-specialty hospitals and a potential for increased demand for ACO care by minority and older patients.

Research on mental health inequalities typically focuses on variations in individuals' stress exposure and coping strategies (i.e., perceptions of support adequacy). This study extends prior research by asking how the stress-support-distress process operates among Black w2omen. Data come from a 2003 survey by the Center for the Study of Public Health Impacts of Hurricanes at Louisiana State University (LSU). Our findings challenge the prototypic stress-health models that fail to acknowledge social group differences in the stress-support-distress process. More importantly, our research points to the need for health professionals to consider how formal support systems (i.e., health promotion programs) and internal resources (i.e., health education) can positively impact Black women's mental health.

Using data from the National Longitudinal Study of Adolescent Health, this research asks whether and how differences exist in sexual health among Black women ( n = 425) across age. Specifically, this longitudinal research measures the effects of psychological distress, parental influence, and self-image on sexual behavior for Black women. Results indicate that depression had a significant positive direct effect on risky sexual behavior for emerging adults. Findings also reveal that parental relationships impact sexual behavior for both emerging and young adults. Implications for future research and practical applications are discussed.

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