Eliciting the Social Determinants of Cancer Prevention and Control in the Catchment of an Urban Cancer Center.
Cancer
Nominal Group Technique
Prevention
Screening
Social Determinants of Health
Journal
Ethnicity & disease
ISSN: 1945-0826
Titre abrégé: Ethn Dis
Pays: United States
ID NLM: 9109034
Informations de publication
Date de publication:
2021
2021
Historique:
entrez:
1
2
2021
pubmed:
2
2
2021
medline:
27
10
2021
Statut:
epublish
Résumé
The objectives of this study were two-fold: 1) to engage community stakeholders in identifying the top three social determinant of health (SDOH) barriers to the early detection and treatment of cancer in their respective communities; and 2) to develop a tailored plan responsive to the potential social risks identified within the catchment of an urban academic cancer center. Stakeholders from four neighborhoods in Brooklyn, New York with disproportionate cancer burden were recruited; the nominal group technique, a semi-quantitative research method, was used to elicit the SDOH barriers. Responses were consolidated into categories and ranked by points received. 112 stakeholders participated in four community-based meetings. The SDOH categories of economic stability, education, and community and social context were identified as the top barriers. The themes of lost wages/employment, competing priorities, and the inability to afford care embodied the responses about economic stability. The domain of education was best described by the themes of low health literacy, targeted health topics to fill gaps in knowledge, and recommendations on the best modalities for improving health knowledge. Lastly, within the category of community and social context, the themes of stigma, bias, and discrimination, eroding support systems, and cultural misconceptions were described. The implications of our study are three-fold. First, they highlight the strengths of the nominal group technique as a methodology for engaging community stakeholders. Second, our analysis led to identifying a smaller set of social priorities for which tailored screening and practical solutions could be implemented within our health care system. Third, the results provide insight into the actual types of interventions and resources that communities expect from the health care sector.
Identifiants
pubmed: 33519152
doi: 10.18865/ed.31.1.23
pii: ed.31.1.23
pmc: PMC7843052
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
23-30Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL150160
Pays : United States
Informations de copyright
Copyright © 2021, Ethnicity & Disease, Inc.
Déclaration de conflit d'intérêts
Competing Interests: None declared.
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