Cancer Disparities Progress Report 2022 Targets Ongoing Public Health Challenge of Health Equity

  • Teens and young adults
  • elderly population
  • Residents of certain geographic locations in the United States, such as rural areas or certain regions

Compared with the non-Hispanic white (NHW) population, the incidence and mortality rates for multiple myeloma in the black population are at least two times higher, and the mortality rate for liver cancer in the Hispanic population is nearly twice that of the NHW population.

Residents of low-income areas also continue to have a disproportionate burden of cancer deaths, with low-income counties consistently experiencing 12.3% higher mortality rates for all cancers and more than 40% higher for stomach cancer when compared to other counties that do not consistently recur. . in the low income bracket.

Additionally, for individuals who live in rural areas, there is a 17% higher mortality rate from all cancers combined, a 34% higher death rate from lung cancer, and a 23% higher death rate from colorectal cancer.

Furthermore, compared to gender-matched individuals, female-to-male transmission individuals are 58% less likely to adhere to cervical cancer screening. In addition, transgender men are more likely to develop cancer compared to gender-matched men.

“Advances in screening and treatment have led to millions of cancer patients continuing to live long and productive lives, but efforts to make this progress equitably available to all subpopulations remain insufficient,” said Lisa A. Newman, MD, Master of Public Health. , chief, AACR Cancer Inequality Report 2022 Steering Committee and Chair of Breast Surgery, NewYork-Presbyterian and Weill Cornell Medicine in New York, said in a press release.

Newman further explained that sometimes not being able to understand the root causes of cancer limits the ability to effectively eradicate cancer for everyone.

“We cannot achieve the ultimate goal of eliminating cancer as a life-threatening disease for everyone unless we comprehensively address the genetic, environmental and lifestyle characteristics that characterize all of our diverse patients. AACR Cancer Inequality Report 2022 Newman said in the press release.

Major breakthroughs are occurring in the massive research being done against cancer disparities, but there is still a huge gap in racial and ethnic minorities that have been severely underrepresented in clinical trials, as well as a lack of understanding of how cancer develops in this population.

Some of the key steps the report highlights as critical in cancer research and education include:

  1. Establish large and comprehensive genomic databases to increase knowledge of cancer-related differences that influence cancer incidence, progression, and response to treatment in patients from different ancestral groups.
  2. Diversify patient growth in clinical trials so that participants are represented from all groups of patients who may benefit from the treatment being tested
  3. Disaggregation of cancer data to account for heterogeneity of people within racial, ethnic, sexual and sexual minorities

The report also documented how, within these barriers, some progress has been made against the cancerous disparities that have occurred over the past few years. For example, the disparity in overall cancer death rates between the white and black population decreased from 26% in 2000 to 13% in 2019.

With regard to Medicaid, its expansion under the Affordable Care Act nearly eliminated the disparity between black and white residents who started chemotherapy within a month of their cancer diagnosis, as well as the disparity between Hispanic and white women who receive timely mammograms.

Furthermore, the likelihood of detecting cancer early for greater success for patients has greatly improved, as cancer screening programs are implemented to customize approaches to cultural needs and reduce structural barriers among marginalized groups.

Real-world data from more than 121,000 patients in the AACR GENIE project showed that 13.4% of individuals were from racial and ethnic minority groups. To add to these efforts, the National Institutes of Health has also created the All of Us Research Program to build one of the most diverse health databases to date, which currently has 100,000 registered people, 50% of whom are underrepresented in the population.

The report concluded that policy makers and other stakeholders must take action to eliminate cancer disparities by expanding access to quality, equitable and affordable health care, and building a more diverse STEM pipeline. and enact comprehensive legislation to eliminate racial and ethnic inequalities in health, specifically the Health Equality and Accountability Act (HEAA) introduced on behalf of the tripartite Congress of Congress, consisting of the Black Congress of Congress, the Congress, the Asia-Pacific American Rally, and the Congress of Hispanic descent. gathering.

“We are very proud to release this second edition of AACR Cancer Tolerances Progress ReportThis is a cornerstone of AACR’s educational and advocacy efforts to address this important issue, Margaret Foti, MD, MD, CEO of AACR, said in the press release. “Cancer-related health disparities are a complex and multifaceted problem that requires a multidisciplinary and collaborative approach, as well as strong, sustainable and predictable federal funding for innovative research. AACR is committed to working with all stakeholders to achieve the bold vision of health equity for all.”

reference

Progress Report on AACR 2022 Cancer Inclusions. American Association for Cancer Research. June 8, 2022. Accessed June 15, 2022. http://www.CancerDisparitiesProgressReport.org/

Leave a Comment