Social Determinants of Cancer Risk Among American Indian and Alaska Native Populations: An Evidence Review and Map

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Authors: Stephanie Melkonian, Jolie Crowder, Emily Adam, Mary White, Lucy Peipins

Publication Year: 2022

Last Updated: September 21, 2022

Journal: Health Equity

Keywords: Cancer; Health Disparities; Social Determinants of Health

 

Short Abstract: Objectives: To explore current literature on social determinants of health (SDOH) and cancer among American Indian and Alaska Native (AI/AN) populations.

 

Abstract: Objectives: To explore current literature on social determinants of health (SDOH) and cancer among American Indian and Alaska Native (AI/AN) populations. Methods: We searched Ovid MEDLINE®️, CINAHL, and PsycINFO databases for articles published during 2000 to 2020, which included terms for SDOH and cancer occurrence in AI/AN populations. We derived the data extraction elements from the PROGRESS-Plus framework. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-Equity extension guided the evidence map. Results: From 2180 screened articles, 297 were included. Most were observational (93.9%), employed a cross-sectional design (83.2%), were categorized as cancer occurrence and surveillance research (62%), and included no cancer-related risk factors (70.7%). Race, gender, and place were the most frequently included PROGRESS-Plus categories. Religion, relationship features, and characteristics of discrimination were least common. Only 12% of articles mentioned historical/current trauma or historical context. Conclusions: Gaps exist in our understanding of SDOH as drivers of cancer disparities in AI/AN populations. Future studies in health equity science may incorporate historical and cultural factors into SDOH frameworks tailored for AI/AN populations.

 

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9536331/#!po=1.19048

Type of Resource: Best Practices Newsletter