Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population

Aims: This study aims to examine the racial and ethnic disparity in cancer prevalence and determine if comorbidities can explain this disparity. Study design: This was a cross-sectional study. Methods: The study examined cancer prevalence among adults who self-identified as White, Black, and Other r...

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Main Authors: Maxwell Akonde, Rajat Das Gupta, Ottovon Bismark Dakurah, Reston Hartsell
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535221001002
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spelling doaj-f11fc013b12f423598051e15b03bb0402021-08-30T04:14:16ZengElsevierPublic Health in Practice2666-53522021-11-012100175Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States populationMaxwell Akonde0Rajat Das Gupta1Ottovon Bismark Dakurah2Reston Hartsell3Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA; Corresponding author.Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USAAfrican Cancer Institute, Stellenbosch University, South AfricaDepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USAAims: This study aims to examine the racial and ethnic disparity in cancer prevalence and determine if comorbidities can explain this disparity. Study design: This was a cross-sectional study. Methods: The study examined cancer prevalence among adults who self-identified as White, Black, and Other races in the US population according to data from the 2017 National Health Interview Survey. Results: Cancer was 58.5% [OR = 0.415; 95% CI: 0.346–0.498] and 57.5% [OR = 0.425; 95%CI: 0.346–0.522] more likely to be found in the White compared to the Black adults and White compared to Other race adults, respectively. After adjusting for the comorbidities, the odds of cancer in White adults increased marginally compared to Black adults [OR = 0.407; 95%CI: 0.338–0.490] and decreased marginally compared to Other race adults [OR = 0.462; 95%CI: 0.374–0.569] even though the odds remained significant. Ever smoking, age of 50 years or more, Former and current alcohol consumption, overweight and obesity, being female and physical inactivity were found to be significantly associated with higher odds of cancer. Conclusions: This study did identify a racial and ethnic disparity in cancer prevalence between White and Black adults and White and Other adult races. However, this racial and ethnic disparity could not be explained by comorbidities.http://www.sciencedirect.com/science/article/pii/S2666535221001002ComorbidityRacial/ethnicCancerAdultDisparity
collection DOAJ
language English
format Article
sources DOAJ
author Maxwell Akonde
Rajat Das Gupta
Ottovon Bismark Dakurah
Reston Hartsell
spellingShingle Maxwell Akonde
Rajat Das Gupta
Ottovon Bismark Dakurah
Reston Hartsell
Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population
Public Health in Practice
Comorbidity
Racial/ethnic
Cancer
Adult
Disparity
author_facet Maxwell Akonde
Rajat Das Gupta
Ottovon Bismark Dakurah
Reston Hartsell
author_sort Maxwell Akonde
title Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population
title_short Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population
title_full Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population
title_fullStr Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population
title_full_unstemmed Comorbidity as a predictor of racial and ethnic disparities in cancer in the United States population
title_sort comorbidity as a predictor of racial and ethnic disparities in cancer in the united states population
publisher Elsevier
series Public Health in Practice
issn 2666-5352
publishDate 2021-11-01
description Aims: This study aims to examine the racial and ethnic disparity in cancer prevalence and determine if comorbidities can explain this disparity. Study design: This was a cross-sectional study. Methods: The study examined cancer prevalence among adults who self-identified as White, Black, and Other races in the US population according to data from the 2017 National Health Interview Survey. Results: Cancer was 58.5% [OR = 0.415; 95% CI: 0.346–0.498] and 57.5% [OR = 0.425; 95%CI: 0.346–0.522] more likely to be found in the White compared to the Black adults and White compared to Other race adults, respectively. After adjusting for the comorbidities, the odds of cancer in White adults increased marginally compared to Black adults [OR = 0.407; 95%CI: 0.338–0.490] and decreased marginally compared to Other race adults [OR = 0.462; 95%CI: 0.374–0.569] even though the odds remained significant. Ever smoking, age of 50 years or more, Former and current alcohol consumption, overweight and obesity, being female and physical inactivity were found to be significantly associated with higher odds of cancer. Conclusions: This study did identify a racial and ethnic disparity in cancer prevalence between White and Black adults and White and Other adult races. However, this racial and ethnic disparity could not be explained by comorbidities.
topic Comorbidity
Racial/ethnic
Cancer
Adult
Disparity
url http://www.sciencedirect.com/science/article/pii/S2666535221001002
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