Racial and Ethnic Disparities in Breast Cancer: A Multilevel Perspective

Masi, Christopher M.; Olopade, Olufunmilayo I.

doi:10.1016/j.mcna.2005.02.004

Cited by 31 publications

(14 citation statements)

References 81 publications

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“…Research that simultaneously assesses both genetic and environmental contributions to disease risk, drug response and other health-related variation, and that deliberately puts such findings in the context of self-identified race, is urgently needed [13,41-43]. In the absence of such additional evidence, and despite its amorphous nature, the multi-dimensional and contested concept of race will probably continue to have an important place in biomedical research for many years to come.…”

Section: The Race Dilemma In Researchmentioning

confidence: 99%

Race and ancestry in biomedical research: exploring the challenges

et al. 2009

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The use of race in biomedical research has, for decades, been a source of social controversy. However, recent events, such as the adoption of racially targeted pharmaceuticals, have raised the profile of the race issue. In addition, we are entering an era in which genomic research is increasingly focused on the nature and extent of human genetic variation, often examined by population, which leads to heightened potential for misunderstandings or misuse of terms concerning genetic variation and race. Here, we draw together the perspectives of participants in a recent interdisciplinary workshop on ancestry and health in medicine in order to explore the use of race in research issue from the vantage point of a variety of disciplines. We review the nature of the race controversy in the context of biomedical research and highlight several challenges to policy action, including restrictions resulting from commercial or regulatory considerations, the difficulty in presenting precise terminology in the media, and drifting or ambiguous definitions of key terms.

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Section: The Race Dilemma In Researchmentioning

confidence: 99%

Race and ancestry in biomedical research: exploring the challenges

et al. 2009

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“…These findings have been partially explained by higher reported levels of religiosity or spirituality among African American and Hispanic/Latinas (Schaefer, Blazer, & Koenig, 2008). Given the extensive literature documenting persistent cancer health disparities (Masi & Olopade, 2005) and differences in perceptions of breast cancer treatment (Masi & Gehlert, 2009) for racial and ethnic minorities, it seems likely that other cultural or healthcare system factors (including support service seeking) may be related to differential PTG across racial and ethnic groups. Support program seeking has been shown to be lower among racial/ethnic minority patients (Owen, et al, 2007), for reasons including concerns about racism, language barriers, logistical difficulties such as inadequate transportation and competing familial demands, and cultural differences in attitudes toward the introspection assumed to be part of participating in support groups (Avis et al, 2008; Coward, 2005).…”

Section: Introductionmentioning

confidence: 99%

The Roles of Support Seeking and Race/Ethnicity in Posttraumatic Growth Among Breast Cancer Survivors

Kent

Alfano

Smith

et al. 2013

Journal of Psychosocial Oncology

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Posttraumatic growth (PTG) after cancer can minimize the emotional impact of disease and treatment; however, the facilitators of PTG, including support-seeking, are unclear. We examined the role of support-seeking on PTG among 604 breast cancer survivors ages 40–64 from the Health Eating, Activity, and Lifestyle (HEAL) Study. Multivariable linear regression was used to examine predictors of support-seeking (participation in support groups and confiding in healthcare providers) as well as the the relationship between support-seeking and PTG. Support program participation was moderate (61.1%) compared to the high rates of confiding in health professionals (88.6%), and African Americans (AA) were less likely to report participating than Non-Hispanic Whites (NHWs) (Odds Ratio: 0.14 (0.08, 0.23)). The mean (SD) PTG score was 48.8 (27.4) (range 0–105). Support program participation (β=10.4) and confiding in healthcare providers (β=12.9) were associated (p<0.001) with higher PTG. In analyses stratified by race/ethnicity, PTG was significantly higher in both NHW and AA support program participants (p<0.01), but not significantly higher in Hispanics/Latinas. Confiding in a healthcare provider was only associated with PTG for NHWs (p= 0.02). Support program experiences and patient-provider encounters should be examined to determine which attributes facilitate PTG in diverse populations.

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“…3 Racial disparity in breast cancer mortality has been attributed, in part, to differences in screening, 4 follow-up testing, 5 stage at diagnosis, 6 tumor biology, 7 quality of mammography reading, 3 quality of treatment, 8,9 and a combination of these factors. 10,11 Racial differences in the quality of breast cancer treatment are well documented. For example, compared to their white counterparts, African-American breast cancer patients report fewer conversations with their physicians about what to expect during treatment, the rationale for chemotherapy and radiation therapy, the risk of tumor recurrence, post-treatment appearance, 12 and breast-conserving surgery.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of Breast Cancer Treatment among African-American Women and Men: Implications for Interventions

Masi

Gehlert

2008

J GEN INTERN MED

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In addition to providing logistical and information support, strategies to reduce the breast cancer mortality gap should also address contextual factors important to quality of care. Specific interventions are discussed, including strategies to enhance trust, reduce race-related treatment differences, minimize the impact of treatment on intimate relationships, and reduce negative perceptions of breast cancer surgery, radiation therapy, and chemotherapy.

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Racial and Ethnic Disparities in Breast Cancer: A Multilevel Perspective

Cited by 31 publications

References 81 publications

Race and ancestry in biomedical research: exploring the challenges

Race and ancestry in biomedical research: exploring the challenges

The Roles of Support Seeking and Race/Ethnicity in Posttraumatic Growth Among Breast Cancer Survivors

Perceptions of Breast Cancer Treatment among African-American Women and Men: Implications for Interventions

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