Opportunities to address lung cancer disparities among African Americans

Race and socioeconomic status are well known to influence lung cancer incidence and mortality patterns in the U.S. Lung cancer incidence and mortality rates are higher among blacks than whites. In this article we review opportunities to address disparities in lung cancer incidence, mortality, and su...

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Bibliographic Details
Published in:	Cancer medicine (Malden, MA) Vol. 3; no. 6; pp. 1467 - 1476
Main Authors:	Coughlin, Steven S., Matthews‐Juarez, Patricia, Juarez, Paul D., Melton, Courtnee E., King, Mario
Format:	Journal Article
Language:	English
Published:	United States John Wiley & Sons, Inc 01-12-2014 Blackwell Publishing Ltd
Subjects:	African Americans African Americans - statistics & numerical data Black lung cancer survivorship Cancer therapies Cigarette smoking Clinical Cancer Research Diagnosis Drug addiction Health Status Disparities Humans Lung cancer Lung Neoplasms - epidemiology Lung Neoplasms - ethnology Mortality prevention Risk Factors Socioeconomic factors Survival Survival Rate United States - epidemiology United States United States > US cigarette smoking lung cancer African Americans health status disparities cancer survivorship prevention
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Summary:	Race and socioeconomic status are well known to influence lung cancer incidence and mortality patterns in the U.S. Lung cancer incidence and mortality rates are higher among blacks than whites. In this article we review opportunities to address disparities in lung cancer incidence, mortality, and survivorship among African Americans. First, we summarize recent advances in the early detection and treatment of lung cancer. Then we consider black‐white disparities in lung cancer treatment including factors that may contribute to such disparities; the literature on smoking cessation interventions for patients with or without a lung cancer diagnosis; and the important roles played by cultural competency, patient trust in their physician, and health literacy in addressing lung cancer disparities, including the need for culturally competent lung cancer patient navigators. Intervention efforts should focus on providing appropriate quality treatment for lung cancer and educating African Americans about the value of having these treatments in order to reduce these disparities. Culturally competent, patient navigation programs are needed that support lung cancer patients, especially socioeconomically disadvantaged patients, from the point of diagnosis to the initiation and completion of treatment, including cancer staging. Intervention efforts should focus on providing appropriate quality treatment for lung cancer and educating African Americans about the value of having these treatments in order to reduce disparities. Culturally competent, patient navigation programs are needed that support lung cancer patients, especially socioeconomically disadvantaged patients, from the point of diagnosis to the initiation and completion of treatment, including.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Funding Information No funding information provided.
ISSN:	2045-7634 2045-7634
DOI:	10.1002/cam4.348