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Disparities in cancer mortality in Los Angeles County, 1999-2013: an analysis comparing trends in under-resourced and affluent regions
- Source :
- Cancer Causes Control, Cancer causes & control : CCC, vol 31, iss 12
- Publication Year :
- 2020
-
Abstract
- PURPOSE: While cancer mortality has declined by 27% between 1991 and 2016 in the United States, there are large disparities in cancer mortality by racial/ethnic groups, socio-economic status and access to care. The purpose of this analysis is to compare trends in cancer mortality among regions (Service Planning Areas, SPAs) in Los Angeles (LA) County that vary with respect to racial/ethnic distribution and social determinants of health, including poverty, education and access to care. METHODS: We estimated age- and race/ethnicity-standardized mortality for lung, colorectal (CRC) and breast cancer for eight SPAs from 1999 to 2013. We calculated three recommended measures of disparities that reflect absolute, relative and between-group disparities. RESULTS: In all of LA County, statistically significant declines in age- and race/ethnicity-standardized mortality ranged from 30% for lung cancer to 20% for CRC to 15% for breast cancer. Despite some of the largest declines in the most under-resourced SPAs (South LA, East LA, South Bay), disparities between the lowest and highest mortality by SPA did not significantly change from 1999 to 2013. CONCLUSIONS: Despite significant declines in cancer mortality in LA County from 1999 to 2013, and in racial/ethnic groups, there was little progress towards reducing disparities among SPAs. Highest mortalities for the three cancers were observed in Antelope Valley, San Fernando Valley, San Gabriel Valley, South LA and East LA. Findings demonstrate the importance of examining regional differences in cancer mortality to identify areas with highest needs for interventions and policies to reduce cancer disparities.
- Subjects :
- Male
Cancer Research
Lung Neoplasms
ethnicity-standardized cancer mortality
Epidemiology
Ethnic group
Psychological intervention
Determinants of health
0302 clinical medicine
Absolute disparities
Medicine
030212 general & internal medicine
Cancer
Relative disparities
Los Angeles
Age- and race/ethnicity-standardized cancer mortality
Colo-Rectal Cancer
Oncology
030220 oncology & carcinogenesis
Public Health and Health Services
Between-group disparities
Health Resources
Female
Cancer mortality trends
Colorectal Neoplasms
Adult
medicine.medical_specialty
Oncology and Carcinogenesis
Breast Neoplasms
and race
Article
03 medical and health sciences
Age
Breast cancer
Breast Cancer
Humans
Social determinants of health
Socioeconomic status
Poverty
business.industry
Prevention
Public health
Health Status Disparities
medicine.disease
Good Health and Well Being
Social Class
Digestive Diseases
business
Demography
Subjects
Details
- ISSN :
- 15737225
- Volume :
- 31
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Cancer causescontrol : CCC
- Accession number :
- edsair.doi.dedup.....de4121157097017af7c278545634eb52