A contemporary framework of health equity applied to gynecologic cancer care: A Society of Gynecologic Oncology evidenced-based review

Sarah M. Temkin, B. J. Rimel, Amanda S. Bruegl, Camille C. Gunderson, Anna L. Beavis, Kemi M. Doll

Research output: Contribution to journalReview article

  • 2 Citations

Abstract

Health disparities are defined as the preventable difference in the burden of disease, injury, and violence, or opportunity to achieve optimal health that socially disadvantaged populations experience compared to the population as a whole. Disparities in incidence and cancer outcomes for women with gynecologic malignancies have been well described particularly for American women of Black race. The etiology of these disparities has been tied to socio-economics, cultural, educational and genetic factors. While access to high quality treatment has been primarily linked to survival from cervical and ovarian cancer, innate biologic distinctions have been principally cited as reasons for differences in incidence and mortality in cancers of the uterine corpus. This article will update the framework of disparities to incorporate a broader understanding of the social determinants of health and how they affect health equity by addressing the root causes of disparities within the health care system. Special populations are identified who are at risk for health inequities which include but are not limited to Black race, underserved racial and ethnic minorities (e.g. indigenous peoples, low English fluency), trans/gender nonconforming people and rural populations. Each of these populations at risk have unique structural barriers within the healthcare system impacting gynecologic cancer outcomes. The authors provide practical recommendations for practitioners aimed at eliminating cancer related outcome disparities.

LanguageEnglish (US)
Pages70-77
Number of pages8
JournalGynecologic Oncology
Volume149
Issue number1
DOIs
StatePublished - Apr 1 2018

Fingerprint

Neoplasms
Health
Social Determinants of Health
Population
Delivery of Health Care
Uterine Neoplasms
Incidence
Vulnerable Populations
Rural Population
Violence
Uterine Cervical Neoplasms
Ovarian Neoplasms
Economics
Survival
Mortality
Health Equity
Wounds and Injuries
Therapeutics

Keywords

  • Health equity
  • Racial disparities

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

Cite this

A contemporary framework of health equity applied to gynecologic cancer care : A Society of Gynecologic Oncology evidenced-based review. / Temkin, Sarah M.; Rimel, B. J.; Bruegl, Amanda S.; Gunderson, Camille C.; Beavis, Anna L.; Doll, Kemi M.

In: Gynecologic Oncology, Vol. 149, No. 1, 01.04.2018, p. 70-77.

Research output: Contribution to journalReview article

Temkin, Sarah M. ; Rimel, B. J. ; Bruegl, Amanda S. ; Gunderson, Camille C. ; Beavis, Anna L. ; Doll, Kemi M. / A contemporary framework of health equity applied to gynecologic cancer care : A Society of Gynecologic Oncology evidenced-based review. In: Gynecologic Oncology. 2018 ; Vol. 149, No. 1. pp. 70-77.
@article{c1f65742d677431c99b4103e68d04d2c,
title = "A contemporary framework of health equity applied to gynecologic cancer care: A Society of Gynecologic Oncology evidenced-based review",
abstract = "Health disparities are defined as the preventable difference in the burden of disease, injury, and violence, or opportunity to achieve optimal health that socially disadvantaged populations experience compared to the population as a whole. Disparities in incidence and cancer outcomes for women with gynecologic malignancies have been well described particularly for American women of Black race. The etiology of these disparities has been tied to socio-economics, cultural, educational and genetic factors. While access to high quality treatment has been primarily linked to survival from cervical and ovarian cancer, innate biologic distinctions have been principally cited as reasons for differences in incidence and mortality in cancers of the uterine corpus. This article will update the framework of disparities to incorporate a broader understanding of the social determinants of health and how they affect health equity by addressing the root causes of disparities within the health care system. Special populations are identified who are at risk for health inequities which include but are not limited to Black race, underserved racial and ethnic minorities (e.g. indigenous peoples, low English fluency), trans/gender nonconforming people and rural populations. Each of these populations at risk have unique structural barriers within the healthcare system impacting gynecologic cancer outcomes. The authors provide practical recommendations for practitioners aimed at eliminating cancer related outcome disparities.",
keywords = "Health equity, Racial disparities",
author = "Temkin, {Sarah M.} and Rimel, {B. J.} and Bruegl, {Amanda S.} and Gunderson, {Camille C.} and Beavis, {Anna L.} and Doll, {Kemi M.}",
year = "2018",
month = "4",
day = "1",
doi = "10.1016/j.ygyno.2017.11.013",
language = "English (US)",
volume = "149",
pages = "70--77",
journal = "Gynecologic Oncology",
issn = "0090-8258",
publisher = "Academic Press Inc.",
number = "1",

}

TY - JOUR

T1 - A contemporary framework of health equity applied to gynecologic cancer care

T2 - Gynecologic Oncology

AU - Temkin, Sarah M.

AU - Rimel, B. J.

AU - Bruegl, Amanda S.

AU - Gunderson, Camille C.

AU - Beavis, Anna L.

AU - Doll, Kemi M.

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Health disparities are defined as the preventable difference in the burden of disease, injury, and violence, or opportunity to achieve optimal health that socially disadvantaged populations experience compared to the population as a whole. Disparities in incidence and cancer outcomes for women with gynecologic malignancies have been well described particularly for American women of Black race. The etiology of these disparities has been tied to socio-economics, cultural, educational and genetic factors. While access to high quality treatment has been primarily linked to survival from cervical and ovarian cancer, innate biologic distinctions have been principally cited as reasons for differences in incidence and mortality in cancers of the uterine corpus. This article will update the framework of disparities to incorporate a broader understanding of the social determinants of health and how they affect health equity by addressing the root causes of disparities within the health care system. Special populations are identified who are at risk for health inequities which include but are not limited to Black race, underserved racial and ethnic minorities (e.g. indigenous peoples, low English fluency), trans/gender nonconforming people and rural populations. Each of these populations at risk have unique structural barriers within the healthcare system impacting gynecologic cancer outcomes. The authors provide practical recommendations for practitioners aimed at eliminating cancer related outcome disparities.

AB - Health disparities are defined as the preventable difference in the burden of disease, injury, and violence, or opportunity to achieve optimal health that socially disadvantaged populations experience compared to the population as a whole. Disparities in incidence and cancer outcomes for women with gynecologic malignancies have been well described particularly for American women of Black race. The etiology of these disparities has been tied to socio-economics, cultural, educational and genetic factors. While access to high quality treatment has been primarily linked to survival from cervical and ovarian cancer, innate biologic distinctions have been principally cited as reasons for differences in incidence and mortality in cancers of the uterine corpus. This article will update the framework of disparities to incorporate a broader understanding of the social determinants of health and how they affect health equity by addressing the root causes of disparities within the health care system. Special populations are identified who are at risk for health inequities which include but are not limited to Black race, underserved racial and ethnic minorities (e.g. indigenous peoples, low English fluency), trans/gender nonconforming people and rural populations. Each of these populations at risk have unique structural barriers within the healthcare system impacting gynecologic cancer outcomes. The authors provide practical recommendations for practitioners aimed at eliminating cancer related outcome disparities.

KW - Health equity

KW - Racial disparities

UR - http://www.scopus.com/inward/record.url?scp=85044125309&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044125309&partnerID=8YFLogxK

U2 - 10.1016/j.ygyno.2017.11.013

DO - 10.1016/j.ygyno.2017.11.013

M3 - Review article

VL - 149

SP - 70

EP - 77

JO - Gynecologic Oncology

JF - Gynecologic Oncology

SN - 0090-8258

IS - 1

ER -