Racism and prostate cancer: a multilayered issue

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Racism and prostate cancer: a multilayered issue
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  • 📰 Nature
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Population-health researcher Joseph Ravenell explains the various origins of racial disparities in prostate cancer outcomes.

). Joseph Ravenell, a population-health researcher at New York University Grossman School of Medicine in New York City, spoke toabout the causes of disparities in prostate cancer outcomes, and why important work to provide equal access to care might not eliminate racial inequity by itself.Most disparities are due to social determinants of health — factors such as socioeconomic status, access to care and insurance coverage.

Social determinants of health usually fall into areas that health-care providers think they have little control over. But, I think it’s really important for us to change that way of thinking. We need to start focusing on social determinants as the root causes of health disparities. This mindset will help us to address more than just the medical problems that we diagnose in our offices.

My team and I are also studying the possibility of approaching this problem the other way round, by bringing community health workers into our clinics — not medical professionals, but trusted people from the community who can be trained to communicate specific health messages. If these people can be brought in to talk to Black men about prostate cancer screening, for instance, we might be better able to ensure that patients can make an informed decision.

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