Community and Research Perspectives on Cancer Disparities in Wisconsin. Prev Chronic Dis 2020 Oct 08;17:E122
Date
10/10/2020Pubmed ID
33034557Pubmed Central ID
PMC7553208DOI
10.5888/pcd17.200183Scopus ID
2-s2.0-85092803110 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
INTRODUCTION: Significant disparities are apparent in geographic areas and among racial/ethnic minority groups in Wisconsin. Cancer disparities are complex and multifactorial and require collaborative, multilevel efforts to reduce their impact. Our objective was to understand cancer disparities and identify opportunities to collaborate across community and research sectors to address them.
METHODS: From May 2017 through October 2018, we assembled groups of community members and researchers and conducted 10 listening sessions and 29 interviews with a total of 205 participants from diverse backgrounds. Listening sessions and interviews were scheduled on the basis of participant preference and consisted of a brief review of maps illustrating the breast and lung cancer burden across Wisconsin, and a semistructured set of questions regarding causes, solutions, and opportunities. Interviews followed the same structure as listening sessions, but were conducted between a facilitator and 1 or 2 individuals. Major themes were summarized from all sessions and coded. We used the Model for Analysis of Population Health and Health Disparities to identify areas for collaboration and to highlight differences in emphasis between community participants and researchers.
RESULTS: Participants identified the need to address individual behavioral risks and medical mistrust and to build equitable multilevel partnerships. Communities provided insights on the impact of environment and location on cancer disparities. Researchers shared thoughts about societal poverty and policy issues, biologic responses, genetic predisposition, and the mechanistic influence of lifestyle factors on cancer incidence and mortality.
CONCLUSION: Listening sessions and interviews provided insight into contributors to cancer disparities, barriers to improving outcomes, and opportunities to improve health. The unique perspectives of each group underscored the need for multisector teams to tackle the complex issue of cancer disparities.
Author List
Olson J, Cawthra T, Beyer K, Frazer D, Ignace L, Maurana C, Millon-Underwood S, Pinsoneault L, Salazar J, Walker A, Williams C, Stolley MAuthors
Kirsten M. Beyer PhD, MPH Professor in the Institute for Health and Equity department at Medical College of WisconsinCheryl A. Maurana PhD SVP Str Acad Ptnrshp, Dir, Prof in the Institute for Health and Equity department at Medical College of Wisconsin
Jessica Olson PhD Director, Assistant Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Melinda Stolley PhD Center Associate Director, Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Breast NeoplasmsDemography
Female
Health Services Accessibility
Healthcare Disparities
Humans
Lung Neoplasms
Male
Qualitative Research
Wisconsin
