2018
DOI: 10.1093/carcin/bgy047
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Lung cancer health disparities

Abstract: Compared with all other racial and ethnic groups in the United States, African Americans are disproportionally affected by lung cancer, both in terms of incidence and survival. It is likely that smoking, as the main etiological factor associated with lung cancer, contributes to these disparities, but the precise mechanism is still unclear. This paper seeks to explore the history of lung cancer disparities and review to the literature regarding the various factors that contribute to them.

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Cited by 83 publications
(85 citation statements)
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References 188 publications
(222 reference statements)
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“…In TCGA-lung adenocarcinoma, AFR-derived tumours had higher detection rates of SBS4, attributed to tobacco exposure (LUAD: Δproportion = 0.39, 95%CI = 0.23-0.55, adjusted LNR p = 5.5x10 -3 ; Figure 2A, Supplementary Figure 2). Higher rates of SBS4 detection in AFR-derived lung adenocarcinoma despite reportedly comparable smoking rates between Black and White populations 52 may reflect differences in nicotine metabolism 53 , elevated use of mentholated cigarettes in Black populations 52,54 or simple selection bias in the cohort of lung adenocarcinomas studied in TCGA. In PCAWG-breast cancer, SBS3 occurred more frequently in AFR-derived samples (Breast-AdenoCA: Δproportion = 0.33, 95%CI = 0.13-0.54, adjusted LNR p = 0.097).…”
Section: Ancestry Associations In Mutational Signaturesmentioning
confidence: 99%
“…In TCGA-lung adenocarcinoma, AFR-derived tumours had higher detection rates of SBS4, attributed to tobacco exposure (LUAD: Δproportion = 0.39, 95%CI = 0.23-0.55, adjusted LNR p = 5.5x10 -3 ; Figure 2A, Supplementary Figure 2). Higher rates of SBS4 detection in AFR-derived lung adenocarcinoma despite reportedly comparable smoking rates between Black and White populations 52 may reflect differences in nicotine metabolism 53 , elevated use of mentholated cigarettes in Black populations 52,54 or simple selection bias in the cohort of lung adenocarcinomas studied in TCGA. In PCAWG-breast cancer, SBS3 occurred more frequently in AFR-derived samples (Breast-AdenoCA: Δproportion = 0.33, 95%CI = 0.13-0.54, adjusted LNR p = 0.097).…”
Section: Ancestry Associations In Mutational Signaturesmentioning
confidence: 99%
“…On the other hand, the relevant literature showed that health disparities exist across a range of clinical settings [9,10]. Studies examining disparities of osteoporosis in the US multiethnic population are limited, and the distribution and trend of self-reported osteoporosis in the US population remain unknown.…”
Section: Introductionmentioning
confidence: 99%
“…Lung cancer-the second most common cancer in the United States and the leading cause of cancer-related death 5 -has persistent disparities in both incidence and mortality. AAs have the highest lung cancer incidence and mortality rates compared with other racial or ethnic groups 1,6 . These disparities persist even after considering tobacco smoking exposure-the strongest risk factor for lung cancer development 6 .…”
mentioning
confidence: 99%
“…AAs have the highest lung cancer incidence and mortality rates compared with other racial or ethnic groups 1,6 . These disparities persist even after considering tobacco smoking exposure-the strongest risk factor for lung cancer development 6 .…”
mentioning
confidence: 99%