Author ORCID Identifier
http://orcid.org/0000-0003-1870-6549
Document Type
Article
Publication Date
2020
Publication Title
Journal of Public Health Research
Volume
9
Issue
1696
First Page
255
Keywords
Hispanic paradox, Epidemiologic paradox, Latinx, Barrios, Barrio advanrage, Poverty, Colon cancer
Last Page
258
Abstract
Background: We examined paradoxical and barrio advantaging effects on cancer care among socioeconomically vulnerable Hispanic people in California. Methods: We secondarily analyzed a colon cancer cohort of 3,877 non-Hispanic white (NHW) and 735 Hispanic people treated between 1995 and 2005. A third of the cohort was selected from high poverty neighborhoods. Hispanic enclaves and Mexican American (MA) barrios were neighborhoods where 40% or more of the residents were Hispanic or MA. Key analyses were restricted to high poverty neighborhoods. Results: Hispanic people were more likely to receive chemotherapy (RR=1.18), especially men in Hispanic enclaves (RR=1.33) who were also advantaged on survival (RR=1.20). A survival advantage was also suggested among MA men who resided in barrios (RR=1.80). Conclusions: The findings were supportive of Hispanic paradox and MA barrio advantage theories. They further suggested that such advantages are greater for men, perhaps due to their greater spousal and extended familial support.
DOI
doi:10.4081/jphr.2020.1696
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Escobar, Keren M.; Sivaram, Mollie; Gorey, Kevin M.; Luginaah, Isaac N.; Kanjeekal, Sindu M.; and Wright, Frances C.. (2020). Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations. Journal of Public Health Research, 9 (1696), 255-258.
https://scholar.uwindsor.ca/socialworkpub/119
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