Cancer Care in East and Central Harlem: Community Partnership Needs Assessment
| Autor: | Sara Kaleya, Tiffany Edwards, Jamilia Sly, Carrie R. Wong, Lina Jandorf, Hurdley Freemantle, Jennie Ellison, Madrid Poultney, Joseph Hong, Carmen Villegas, Cristina Villagra, Barbara Brenner, Nina A. Bickell |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Gerontology
Male Community-Based Participatory Research Population Community-based participatory research Participatory action research Stigma (botany) Article Health Services Accessibility Neoplasms Health care Medicine Humans Community Health Services education Health Education Qualitative Research Quality of Health Care education.field_of_study business.industry Public Health Environmental and Occupational Health Hispanic or Latino Middle Aged Black or African American Oncology Needs assessment Accountability Health education Female New York City business Needs Assessment |
| Popis: | In the largely African American and Hispanic communities of East and Central Harlem in New York City (NYC), health inequities are glaring. Mortality from cancer is 20–30 % higher than in Manhattan and 30–40 % higher than rates in the general population in NYC. Despite advances in risk assessment, early detection, treatment, and survivorship, individuals in Harlem and similar urban communities are not benefiting equally. Guided by community-based participatory research, this study serves as an important step in understanding cancer care needs and the range of factors that impact the disparate rates of cancer in East and Central Harlem. Forty individual interviews were conducted with community leaders and residents. Major themes included: need for appropriate supportive services; health care access and financial challenges; beliefs related to stigma, trust, and accountability; and the impact of the physical environment on health. Education was seen as a critical area of need and intervention. |
| Databáze: | OpenAIRE |
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