文章基本信息

标题：Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations
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作者：Keren M. Escobar ; Kevin M. Gorey ; Mollie Sivaram 等
期刊名称：Journal of Public Health Research
印刷版ISSN：2279-9028
电子版ISSN：2279-9036
出版年度：2020
卷号：9
期号：3
页码：255-258
DOI：10.4081/jphr.2020.1696
出版社：PAGEPress Publications
摘要：Background: We examined paradoxical and barrio advantaging effects on cancer care among socioeconomically vulnerable Hispanic people in California.Methods: We analyzed a colon cancer cohort of 3,877 non-Hispanic white (NHW) and 735 Hispanic people between 1995 and 2005. A third of the cohort was selected from high poverty neighborhoods. Hispanic enclaves and Mexican American (MA) barrios were neighborhoods where 40% or more of the residents were Hispanic or MA. Key analyses were restricted to poor neighborhoods.Results: Hispanic people were more likely to receive chemotherapy (RR = 1.18), especially men in Hispanic enclaves (RR = 1.33) who were also advantaged on survival (RR = 1.20). A survival advantage was also suggested among MA men who resided in barrios (RR = 1.80).Conclusions: The findings were supportive of Hispanic paradox and barrio advantage theories, further suggesting that such advantages are greater for men due to their greater familial supports.
关键词：Hispanic paradox;Hispanic enclave;barrio advantage;poverty;colon cancer