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Cancer incidence disparities in Upper Manhattan New York City neighborhoods: the role of race/ethnicity, socioeconomic status, and known risk factors
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Jul 2016
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Source: Eur J Cancer Prev. 25(4):349-356.
[PDF-250.53 KB]
Details:
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Alternative Title:Eur J Cancer Prev
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Description:OBJECTIVE
We examined effects of race/ethnicity and neighborhood, a proxy of socioeconomic status, on cancer incidence in New York City neighborhoods: East Harlem (EH), Central Harlem (CH), and Upper East Side (UES).
METHODS
In this ecological study, Community Health Survey (CHS) data (2002–2006) and New York State Cancer Registry incidence data (2007–2011) were stratified by gender, age, race/ethnicity, and neighborhood. Logistic regression models were fitted to each cancer incidence rate with race/ethnicity, neighborhood, and CHS-derived risk factors as predictor variables.
RESULTS
Neighborhood was significantly associated with all cancers and 14 out of 25 major cancers. EH and CH residence conferred higher risk of all cancers compared to UES (OR=1.34; CI: 1.07, 1.68 and OR=1.39; CI: 1.12, 1.72, respectively). Prevalence of diabetes and tobacco smoking were the largest contributors to high cancer rates.
CONCLUSIONS
Despite juxtaposition and similar proximity to medical centers, cancer incidence disparities persist among EH, CH, and UES neighborhoods. Targeted, neighborhood-specific outreach may aid in reducing cancer incidence rates.
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Pubmed ID:26186470
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Pubmed Central ID:PMC4715792
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Volume:25
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Issue:4
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