Causes and Evidence-Based Solutions Elk CanCer Disparities Landrine Ronit Elk, PhD Hope Landrine, PhD Editors CanCer C There has been remarkable progress in understanding, preventing, detecting, diagnosing, and treating cancer, a resulting in a reduction of cancer incidence and mortality in the United States. Despite this, the cancer burden varies considerably by race/ethnicity and socioeconomic status. Cancer incidence rates vary markedly between n racial/ethnic groups, but even more startling are the differences in outcome across groups. Cancer Disparities: Causes and Evidence-Based Solutions helps readers understand the scope and causes of C Disparities this inequity by providing a detailed analysis of the many factors that result in cancer disparities across the cancer continuum, including the role of race/ethnicity, socioeconomic status, access to and use of services, e insurance status, geographic variables, and differences in treatment provided to patients. r Further, it is the first book to describe evidence-based, concrete solutions that can be used to reduce or even eliminate cancer health disparities. Fifteen previously unpublished studies of interventions designed specifi- D cally to achieve health equity are described. These studies focus on contextually and culturally appropriate strategies to enhance cancer prevention, screening and early detection, treatment, symptom management, i and quality of life in underserved populations. s A wide range of populations (including African American, Native American, Latino, and other groups) is p Causes and Evidence-Based Solutions included within the studies, and a variety of cancers including breast, colorectal, prostate, cervical, and lung a cancer are the focus of the interventions. Descriptions of interventions include measures of effectiveness, and are written in sufficient detail for other r groups/readers to replicate and/or adapt them within their own communities. i t Several chapters are written by faculty of the American Cancer Society and their collaborators, well-respected and widely published authorities in their field. The intervention studies were conducted by nationally respected i experts who competed successfully in the prestigious and highly competitive national Peer Review System of e the American Cancer Society. s KEy FEaTuREs • Offers an in-depth look at the latest research regarding cancer disparities • Presents 15 never-before-published, evidence-based interventions that readers can replicate • P rovides real-life examples of how barriers to cancer prevention, care, and information can be reduced or eliminated through interventions with individuals, groups, communities, health care Ronit Elk systems, and policy change • Includes interventions for African American, Latino, Native American, and other populations Hope Landrine • Written by highly respected and published cancer researchers Editors ACS Product Code 974601 ISBN 978-0-8261-0882-1 11 W. 42nd Street New York, NY 10036-8002 www.springerpub.com 9 780826 108821 Cancer Disparities Causes and Evidence-Based Solutions http://avaxho.me/blogs/ChrisRedfield # 7140 Cust: Springer Au: Ronit Elk Pg. No. i K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services Ronit Elk, PhD is Director of Cancer Control and Prevention Research and Director of the Priority Program in Health Disparities of the Extramural Research Grants at the American Cancer Society. Born in Israel, she grew up in Israel, Turkey, India, Uganda, Kenya, and South Africa. She received her PhD in Cape Town, South Africa, and shortly thereafter immigrated with her family to the United States. Prior to joining the American Cancer Society, Dr. Elk was an Associate Professor in the Department of Psychiatry and Behavioral Sciences at the University of Texas Health Sciences Center in Houston. She was Principal Investigator of two large National Institutes of Health (NIH) grants ($3 million); and co-investigator or consultant on 12 additional NIH grants. She has served on several research panels of the NIH, and published over 40 scientific papers in peer-reviewed journals. During her 10-year tenure with the American Cancer Society, she has spearheaded the Cancer Control and Prevention Research program, and led the targeted program in Disparities Research, resulting in a dramatic increase in applications and funded grants in these areas. She recently received the Society of Behavioral Medicine, Cancer Special Interest Group award, in recognition of her contribution to this field. Dr. Elk is the author, with Dr. Monica Morrow, of Breast Cancer for Dummies. She is also the author of two children’s books, A Surprise at Dancing Fields and It’s the Elephant’s Picnic. Hope Landrine, PhD is Director of the Center for Health Disparities Research and Professor of Psychology at East Carolina University. She received her PhD in Clinical Psychology at the University of Rhode Island, postdoctoral training in Social Psychology at Stanford University, and postdoctoral training in Cancer Prevention and Control as a National Cancer Institute Fellow at the University of Southern California Medical School. Her research focuses on sociocultural and contextual factors in cancer and other chronic disease disparities among African Americans. She has published numerous articles and books on this topic, and received six national awards for her research, including the American Psychological Association (APA) Dalmas Taylor Award for Lifetime, Distinguished Contributions to Research on Ethnic Minorities, and Fellow status in APA Divisions 35 (Women), 9 (Social Issues), 38 (Health), and 45 (Ethnic Minorities) for outstanding contributions to research. She is the former Director of Multicultural Health Behavior Research at the American Cancer Society, and continues to collaborate with American Cancer Society and National Cancer Institute scholars on studies of Black–White cancer disparities. Her current grants focus on improving quality of care for Black women breast cancer patients in oncology practices, and on novel strategies for providing cancer education to low-income, rural, minority communities. # 7140 Cust: Springer Au: Ronit Elk Pg. No. ii K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services Cancer Disparities Causes and Evidence-Based Solutions Ronit Elk, PhD Hope Landrine, PhD Editors # 7140 Cust: Springer Au: Ronit Elk Pg. No. iii K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services Copyright © 2012 American Cancer Society All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, [email protected] or on the web at www.copyright.com. Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Jennifer Perillo Production Editor: Lindsay Claire Composition: S4Carlisle Publishing Services ISBN: 978-0-8261-0882-1 E-book ISBN: 978-0-8261-0883-8 10 11 12 13/ 5 4 3 2 1 The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new information becomes available, changes in procedures become necessary. We recommend that the reader always consult current research and specific institutional policies before performing any clinical procedure. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or third- party Internet Web sites referred to in this publication and does not guarantee that any content on such Web sites is, or will remain, accurate or appropriate. Library of Congress Cataloging-in-Publication Data Cancer disparities : causes and evidence-based solutions / [edited by] Ronit Elk, Hope Landrine. p. ; cm. Includes bibliographical references. ISBN 978-0-8261-0882-1 — ISBN 978-0-8261-0883-8 (e-book) I. Elk, Ronit. II. Landrine, Hope, 1954- [DNLM: 1. Neoplasms—epidemiology—United States. 2. African Americans—United States. 3. Health Status Disparities—United States. 4. Healthcare Disparities—United States. 5. Hispanic Americans—United States. 6. Socioeconomic Factors—United States. QZ 220 AA1] LC-classification not assigned 614.5’9990973—dc23 2011028433 Special discounts on bulk quantities of our books are available to corporations, professional associations, pharmaceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom book, including chapters from more than one of our titles, we can provide that service as well. For details, please contact: Special Sales Department, Springer Publishing Company, LLC 11 West 42nd Street, 15th Floor, New York, NY 10036-8002 Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842 Email: [email protected] Printed in the United States of America by Bang Printing. # 7140 Cust: Springer Au: Ronit Elk Pg. No. iv K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services We owe a debt of gratitude to the many people— researchers, clinicians, policy makers, community advocates, and others—who have committed their lives’ work to reducing health disparities: The leaders who paved the way; Those who are currently engaged in the work, and Future generations who will continue their commitment until health equity is achieved. To my father and grandfather who instilled in me the value of “tikkun olam” (fixing the world) through example. # 7140 Cust: Springer Au: Ronit Elk Pg. No. v K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services # 7140 Cust: Springer Au: Ronit Elk Pg. No. vi K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services Contents Contributors xi Preface by Linda G. Blount xix Acknowledgments xxv Introduction by Otis W. Brawley xxvii part I: UNDErStaNDING CaNCEr DISparItIES 1. The Biology of Cancer and Its Relationship to Disparities in Cancer Occurrence and Outcomes 3 Brooke Sylvester, Olufunmilayo I. Olopade, and Margaret K. Offermann 2. Racial/Ethnic and Socioeconomic Disparities in Cancer Incidence, Stage, Survival, and Mortality in the United States 37 Jiemin Ma, Rebecca Siegel, and Ahmedin Jemal 3. Disparities in Cancer Risk Factors and Cancer Screening in the United States 59 Vilma Cokkinides, J. Lee Westmaas, Priti Bandi, and Elizabeth Ward 4. Disparities in Cancer Treatment: Factors That Impact Health Equity in Breast, Colon, and Lung Cancer 89 Ronit Elk, Arden Morris, Tracy L. Onega, Pamela Ganschow, Dawn Hershmann, Otis W. Brawley, and Samuel Cykert 5. Racial, Ethnic, and Socioeconomic Health Disparities Among Cancer Survivors and Informal Caregivers 121 Tenbroeck Smith, Kevin Stein, Youngmee Kim, Dexter Cooper, Katherine Virgo, Irma Corral, and Hope Landrine 6. The Geography of Cancer and Its Risk Factors: Implications of Neighborhood Disparities for Cancer Disparities 141 Hope Landrine, Irma Corral, Yongping Hao, Chiewkwei Kaw, Joy L. King, and Julia C. Fondren vii # 7140 Cust: Springer Au: Ronit Elk Pg. No. vii K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services viii Contents part II: INtErVENtIONS FOr ELIMINatING CaNCEr DISparItIES section A: eliminating Disparities in cancer Risk Factors 7. 5-a-Day and Fit-for-Life Badge Programs for Cancer Prevention in Boy Scouts 169 Amy Shirong Lu, Janice Baranowski, Debbe Thompson, Karen W. Cullen, Tom Baranowski, Russ Jago, and Richard Buday 8. A Systematic Approach to Developing Contextually, Culturally, and Gender-Sensitive Interventions for African American Men: The Example of Men 4 Health 193 Derek M. Griffith, Katie Gunter, and Julie Ober Allen 9. The North Carolina BEAUTY and Health Project: Preventing Cancer in African American Beauty Salons 211 Laura A. Linnan, Cherise B. Harrington, John M. Rose, Veronica Carlisle, and Morris Boswell 10. Promoting Healthy Eating by Strengthening Family Relations: Design and Implementation of the Entre Familia: Reflejos de Salud Intervention 237 Guadalupe X. Ayala, Leticia Ibarra, Elva Arredondo, Lucy Horton, Erika Hernandez, Humberto Parada, Donald Slymen, Cheryl Rock, Moshe Engelberg, and John P. Elder section B: eliminating Disparities in cancer screening 11. Racial Disparities in Breast and Cervical Cancer: Can Legislative Action Work? 253 E. Kathleen Adams and Li-Nien Chien 12. Messengers for Health: Apsáalooke Women Capture the Vision of Wellness 277 Vanessa Watts Simonds, Suzanne Christopher, Beldine Crooked Arm Pease, Lois Jefferson, Carol Howe, Deb LaVeaux, Myra Lefthand, Rochelle Lodgepole, Alma McCormick, Larna Old Elk, Eleanor Pretty On Top, Colleen Simpson, Maudine Stewart, and Chaplain Carol Whiteman 13. Tools for Improving Colorectal Cancer Screening Rates: Multimedia Versus Print in an Underserved Community 293 Gregory Makoul, David W. Baker, Denise Scholtens, and Ann Trauscht 14. Partnering With Safety-Net Primary Care Clinics: A Model to Enhance Screening in Low-Income Populations—Principles, Challenges, and Key Lessons 315 Samantha Hendren, Sharon Humiston, and Kevin Fiscella # 7140 Cust: Springer Au: Ronit Elk Pg. No. viii K S4DcESIGaN SrERVlICiESS OlF e Title: Cancer Disparities: Causes & Evidence-Based Solutions, Server: Short / Normal Publishing Services