Disparities in Obesity, Physical Activity Rates, and Breast Cancer Survival
| Autor: | Rita Kramer, Gayenell S. Magwood, Erika T. Brown, Lindsay L. Peterson, Ashley Evans-Knowell, David P. Turner, Kendrea D. Knight, Kimberly Cannady, Marvella E. Ford, Mathew J. Gregoski |
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| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Psychological intervention Ethnic group Breast Neoplasms Context (language use) Motor Activity Article 03 medical and health sciences 0302 clinical medicine Breast cancer Ethnicity medicine Humans Obesity skin and connective tissue diseases Exercise Survival rate Socioeconomic status 030505 public health business.industry Mortality rate Health Status Disparities medicine.disease Survival Rate 030220 oncology & carcinogenesis Female 0305 other medical science business Demography |
| Popis: | The significantly higher breast cancer (BCa) mortality rates of African-American (AA) women compared to non-Hispanic (NHW) white women constitute a major US health disparity. Investigations have primarily focused on biological differences in tumors to explain more aggressive forms of BCa in AA women. The biology of tumors cannot be modified, yet lifestyle changes can mitigate their progression and recurrence. AA communities have higher percentages of obesity than NHWs and exhibit inefficient access to care, low socioeconomic status, and reduced education levels. Such factors are associated with limited healthy food options and sedentary activity. AA women have the highest prevalence of obesity than any other racial/ethnic/gender group in the United States. The social ecological model (SEM) is a conceptual framework on which interventions could be developed to reduce obesity. The SEM includes intrapersonal factors, interpersonal factors, organizational relationships, and community/institutional policies that are more effective in behavior modification than isolation from the participants' environmental context. Implementation of SEM-based interventions in AA communities could positively modify lifestyle behaviors, which could also serve as a powerful tool in reducing risk of BCa, BCa progression, and BCa recurrence in populations of AA women. |
| Databáze: | OpenAIRE |
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