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International Journal of Colorectal Disease
Erschienen in: International Journal of Colorectal Disease 6/2020

21.04.2020 | Review

Social determinants of colorectal cancer risk, stage, and survival: a systematic review

verfasst von: Steven S. Coughlin

Erschienen in: International Journal of Colorectal Disease | Ausgabe 6/2020

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Abstract

Background

Several social determinants of health have been examined in relation to colorectal cancer incidence, stage at diagnosis, and survival including income, education, neighborhood disadvantage, immigration status, social support, and social network. Colorectal cancer incidence rates are positively associated with income and other measures of socioeconomic status. In contrast, low socioeconomic status tends to be associated with poorer survival.

Methods

The present review is based upon bibliographic searches in PubMed and CINAHL and relevant search terms. Articles published in English from 1970 through April 1, 2019 were identified using the following MeSH search terms and Boolean algebra commands: colorectal cancer AND (incidence OR stage OR mortality) AND (social determinants OR neighborhood disadvantage OR racial discrimination OR immigration OR social support).

Results

This review indicates that poverty, lack of education, immigration status, lack of social support, and social isolation play important roles in colorectal cancer stage at diagnosis and survival.

Conclusions

To address social determinants of colorectal cancer, effective interventions are needed that account for the social contexts in which patients live.
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Metadaten
Titel
Social determinants of colorectal cancer risk, stage, and survival: a systematic review
verfasst von
Steven S. Coughlin
Publikationsdatum
21.04.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
International Journal of Colorectal Disease / Ausgabe 6/2020
Print ISSN: 0179-1958
Elektronische ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-020-03585-z

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