Health Disparities in Cancer
According to CDC' Office of Minority Health and Health Equity (OMHHE), life expectancy and overall health have improved for most Americans in recent years, but not all Americans have benefited equally. CDC and its partners monitor trends in cancer incidence (diagnosis), mortality (deaths), and survival (life after a cancer diagnosis) to identify which groups are affected more than others.
Health disparities are differences in the incidence, prevalence, mortality, and survival of a disease and the related adverse health conditions that exist among specific population groups. Disparities affect many populations, including racial and ethnic minorities, residents of rural areas, women, children and adolescents, the elderly, people with disabilities, and the uninsured.1
Among U.S. men, for all cancers combined—
- The rate of new cancer cases is highest among black men, followed by white, Hispanic*, Asian/Pacific Islander, and American Indian/Alaska Native men.2
- Death rates are highest among black men, followed by white, American Indian/Alaska Native, Hispanic*, and Asian/Pacific Islander men.2
Among U.S. women, for all cancers combined—
- The rate of new cancer cases is highest among white women, followed by black, Hispanic*, Asian/Pacific Islander, and American Indian/Alaska Native women.2
- Death rates are highest among black women, followed by white, American Indian/Alaska Native, Hispanic*, and Asian/Pacific Islander women.2
*Hispanic is not mutually exclusive from white, black, Asian/Pacific Islander, or American Indian/Alaska Native.
A recent study found lower cancer screening rates among Asians compared with other groups. Hispanics were less likely to be screened than non-Hispanics.3
What CDC Is Doing
Researchers at CDC have been studying which groups of people have not benefited equally from recent improvements in health care. Some of CDC's recent studies were about—
- The lack of paid sick leave as a barrier to cancer screening and medical care-seeking.
- Black-white differences in receipt and completion of adjuvant chemotherapy among breast cancer patients in a rural region of the U.S.
- Influence of race, insurance, socioeconomic status, and hospital type on receipt of guideline-concordant adjuvant systemic therapy for locoregional breast cancers.
- Racial and ethnic variations in incidence and survival of cutaneous melanoma in the United States.
- Racial and regional disparities in lung cancer incidence.
- Testicular cancer: A narrative review of the role of socioeconomic position from risk to survivorship.
- The health burden and economic costs of cutaneous melanoma mortality by race/ethnicity.
CDC Programs That Help Reduce Health Disparities in Cancer
- CDC's National Breast and Cervical Cancer Early Detection Program provides mammograms, Pap tests, and breast and cervical cancer treatment to low-income, medically underserved, and uninsured women through states, tribes, and territories.
- CDC's National Comprehensive Cancer Control Program provides seed money, structure, and support for comprehensive cancer control plans in all 50 states, the District of Columbia, 7 tribes, and 7 U.S. Associated Pacific Islands and territories. Many plans include strategies to reduce cancer disparities.
- CDC's Colorectal Cancer Control Program provides funding to 25 states and 4 tribes across the United States for five years. The program supports population-based screening efforts and provides colorectal cancer screening services to low-income men and women aged 50–64 years who are underinsured or uninsured for screening, when no other insurance is available.
- CDC funds the Cancer Prevention and Control Research Network, which works with communities and partners to find ways to increase screening for cancer and reduce health disparities related to cancer.
1National Cancer Institute. Health Disparities Defined. Rockville, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute.
2U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999–2008 Incidence and Mortality Web-based Report. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2012. Available at: http://www.cdc.gov/uscs.
3Centers for Disease Control and Prevention (CDC). Cancer screening—United States, 2010. MMWR 2012;61(3):41–45.
- Health Disparities in Cancer
- Office of Minority Health and Health Equity (OMHHE)
- Eliminate Disparities in Cancer Screening and Management Fact Sheet
- Racial and Ethnic Approaches to Community Health Across the United States (REACH U.S.)
- Cancer Statistics by Demographic
- United States Cancer Statistics
- National Breast and Cervical Cancer Early Detection Program
- National Comprehensive Cancer Control Program
- National Program of Cancer Registries
- Colorectal Cancer Control Program
Listen to or download a podcast
- Cancer: Help for the Uninsured [PODCAST 2:17 minutes] (2009)
- Pap Tests and Foreign-Born Women [PODCAST 6:38 minutes] (2007)
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