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Anastasia Meidani, Arnaud Alessandrin

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
    Summary

    Cancer patients face significant health inequalities due to socio-economic and racial segregation. These social determinants, including territorial factors, exacerbate discrimination and impact the overall cancer experience.

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    Area of Science:

    • Sociology of health
    • Public health research
    • Cancer care disparities

    Context:

    • Explores the cancer patient experience within diverse socio-economic and ethno-racial contexts.
    • Highlights territorial access as a key indicator of health inequalities in cancer care.
    • Examines the influence of social determinants on cancer patient outcomes.

    Purpose:

    • To characterize social determinants shaping the cancer experience.
    • To analyze socio-economic and ethno-racial inequalities in cancer care.
    • To investigate territorial disparities and their impact on health.

    Summary:

    • Qualitative analysis of 60 interviews and 100 hours of observation reveals universal care access challenges.
    • Identifies "invisibilization" of minority groups in oncology, particularly in urban priority neighborhoods.
    • Trust in healthcare professionals and institutions is crucial, influenced by professional reputation.
    • Gender shapes illness trajectories and social support networks within the cancer journey.

    Impact:

    • Reveals mechanisms producing health inequalities in underserved areas.
    • Demonstrates how territorial, socio-economic, and racial segregation intensifies discrimination feelings among cancer patients.
    • Underscores the need to address systemic segregation to reduce cancer care disparities.

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