Cancer incidence disparities in Upper Manhattan New York City neighborhoods: the role of race/ethnicity, socioeconomic status, and known risk factors

Details

• Alternative Title:
  Eur J Cancer Prev
• Personal Author:
  Hashim, Dana ; Farhat, Zeinab ; Wallenstein, Sylvan ; Manczuk, Marta ; Holcombe, Randall F. ; Thorpe, Lorna ; Schymura, Maria J. ; Lucchini, Roberto G. ; Boffetta, Paolo
• 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.
  
  
• Subjects:
  Adult Aged Ethnicity Female Follow-Up Studies Health Status Disparities Health Surveys Humans Incidence Male Middle Aged Neoplasms Prognosis Racial Groups Residence Characteristics Risk Factors Social Class

  More +
• Source:
  Eur J Cancer Prev. 25(4):349-356.
• Pubmed ID:
  26186470
• Pubmed Central ID:
  PMC4715792
• Document Type:
  Journal Article
• Funding:
  P30 ES023515/ES/NIEHS NIH HHS/United States ; U48 DP005008/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  New York City, NY
• Volume:
  25
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:14889d70a173bb329df62a1460376469716d529a6b38cd1f0d7c4e3e5152f674
• Download URL:
  https://stacks.cdc.gov/view/cdc/52924/cdc_52924_DS1.pdf
• File Type:
  [PDF - 250.53 KB ]