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Review
. 2020 Jan;70(1):31-46.
doi: 10.3322/caac.21586. Epub 2019 Oct 29.

Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy

Kassandra I Alcaraz  1 , Tracy L Wiedt  2 , Elvan C Daniels  3 , K Robin Yabroff  4 , Carmen E Guerra  5 , Richard C Wender  2
Affiliations
Free article
Review

Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy

Kassandra I Alcaraz et al. CA Cancer J Clin. 2020 Jan.
Free article

Abstract

Although cancer mortality rates declined in the United States in recent decades, some populations experienced little benefit from advances in cancer prevention, early detection, treatment, and survivorship care. In fact, some cancer disparities between populations of low and high socioeconomic status widened during this period. Many potentially preventable cancer deaths continue to occur, and disadvantaged populations bear a disproportionate burden. Reducing the burden of cancer and eliminating cancer-related disparities will require more focused and coordinated action across multiple sectors and in partnership with communities. This article, part of the American Cancer Society's Cancer Control Blueprint series, introduces a framework for understanding and addressing social determinants to advance cancer health equity and presents actionable recommendations for practice, research, and policy. The article aims to accelerate progress toward eliminating disparities in cancer and achieving health equity.

Keywords: health care disparities; health equity; policy; social determinants of health; social discrimination.

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References

    1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer J Clin. 2019;69:7-34.
    1. Braveman P. What are health disparities and health equity? We need to be clear. Public Health Rep. 2014;129(suppl 2):5-8.
    1. Bronfenbrenner U. Toward an experimental ecology of human development. Am Psychol. 1977;32:513-531.
    1. McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Affairs (Millwood). 2002;21:78-93.
    1. Remington PL, Catlin BB, Gennuso KP. The County Health Rankings: rationale and methods. Popul Health Metr. 2015;13:11.

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