Journal of Racial and Ethnic Health Disparities最新文献

{"title":"Protective Effects of Community Institutions Against Suicide Death Among Indigenous Survivors of Historical Trauma in Rural Alaska.","authors":"Matthew Berman","doi":"10.1007/s40615-025-02665-6","DOIUrl":"https://doi.org/10.1007/s40615-025-02665-6","url":null,"abstract":"<p><p>The pattern of historical trauma arising from the internal colonialism of North American Indigenous populations has generated a range of adverse behavioral health outcomes, especially in Arctic areas such as rural Alaska, where suicide rates exceed three times the national average. Although the overall suicide risks are high for Alaska Indigenous people, suicide outcomes vary substantially among communities. The study examined whether indicators constructed from publicly available data of community institutions associated with the cultural continuity hypothesis correlated with lower suicide rates in the 140 small, largely Indigenous communities in rural Alaska. Results of negative binomial regressions for place-level suicide deaths showed that indicators representing community institutions were significantly associated with a large relative and absolute reduction in suicide deaths over an 11-year period among the study communities. Significant effects were found for community institutions in governance, religious practice, livelihoods, and culture. Specific patterns suggested that less fragmentation within each community, signified by unified governance (one local authority), a single religious congregation, economic inclusion, and language fluency across age groups reduced suicide risk. The findings suggest that community institutions that promote cultural continuity may offer protection for a variety of health challenges for survivors of historical trauma, although research to identify the protective role of these institutions must take careful account of the local historical context.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigma, Silence and Strength: A Co-produced Inquiry into Mental Health Conversations in Black African Communities in the UK.","authors":"Hannah M Degge, Roselyne Masamha, Abigail Daniels, Franklin Onukwugha","doi":"10.1007/s40615-025-02669-2","DOIUrl":"https://doi.org/10.1007/s40615-025-02669-2","url":null,"abstract":"<p><p>In Black African communities, communication and discussions about mental health challenges and concerns are often limited, avoided or difficult to initiate and maintain as a regular part of wellbeing conversations. Therefore, using a co-production approach as a means of generating new knowledge, our study sought to identify the barriers young people and parents from Black African backgrounds face, in expressing their feelings/emotions and having conversations about mental health and wellbeing. Two Focus Group Discussions involving 19 young people (aged 11-19 years) and 12 in-depth interviews (IDIs) with parents and/community leaders was conducted. Data were analysed using Braun and Clark's thematic analysis approach. Our analysis revealed shared barriers across both groups, presented under four themes: understanding of mental health and source of support; lack of good communication in families; beliefs about societal perceptions; and response to racism incidents. Differences emerged on both groups shared expectations when dealing with issues of emotional concerns. Also, there is a sharp distinction in how young people and adults made sense of the cause of these barriers. While young people associated the cause to their parents' 'immigrant' aspiration for success, adults on the other hand attributed them to factors like a lack of close parent-child relationships and their own past childhood experiences. Furthermore, some parents' efforts to build resilience against racism, often through acculturation were found to inadvertently limit open conversations about mental health. Understanding these perceptions can help improve mental health literacy and inform culturally appropriate strategies for supporting mental health communication within Black African families and communities.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial or Ethnic Disparities in Incidence, Treatment, and Prognosis of Adult Intracranial Meningiomas.","authors":"Chao Li, Qingyue Yuan, Ziwei Zhang, Shuo Li, Xianzhen Chen","doi":"10.1007/s40615-025-02650-z","DOIUrl":"https://doi.org/10.1007/s40615-025-02650-z","url":null,"abstract":"<p><strong>Purposes: </strong>This study aims to explore racial or ethnic differences in incidence, treatment, and prognosis among adult intracranial meningioma patients.</p><p><strong>Methods: </strong>Patients were selected from the SEER database. Average annual age-adjusted incidence rates (AAAIRs) were calculated. Chi-square tests assessed incidence differences between females and males. Logistic and Cox regression were used to identify the impact of race or ethnicity on treatment and prognosis. Additionally, mediation analyses were performed to examine the mediating effect of socioeconomic variables.</p><p><strong>Results: </strong>This study enrolled 86574 patients. For non-Hispanic races, non-Hispanic Black (NHBlack) had the highest AAAIRs for grade I and II meningiomas. While for Hispanic races, Hispanic White (HWhite) had the highest AAAIRs for meningiomas of all grades. Almost all Hispanic races had lower AAAIRs compared to corresponding non-Hispanic races for meningiomas of all grades. Females had significantly higher AAAIRs than males for grade I and II meningiomas. As for treatment, compared to non-Hispanic White (NHWhite) patients, HWhite patients were more likely to receive surgery, any radiotherapy, and radiotherapy without surgery. And only NHBlack patients exhibited worse OS at 3, 12, and 60 months compared to NHWhite in full adjustment models. The mediation analyses showed that marital status, median household income, and rural-urban continuum code partially mediate the association between race and survival.</p><p><strong>Conclusions: </strong>Racial or ethnic disparities exist in the incidence, treatment, and survival of adult intracranial meningioma patients. Further studies are needed to understand racial or ethnic differences and improve prognosis for all meningioma patients.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population Attributable Fraction for Cognitive Impairment in Mexican American Older Adults.","authors":"Mellanie V Springer, Wen Chang, Steven G Heeringa, Emily M Briceño, Roshanak Mehdipanah, Xavier F Gonzales, Nicholas Hartman, Deborah A Levine, Kenneth M Langa, Darin B Zahuranec, Nelda Garcia, Lewis B Morgenstern","doi":"10.1007/s40615-025-02687-0","DOIUrl":"https://doi.org/10.1007/s40615-025-02687-0","url":null,"abstract":"<p><strong>Background: </strong>The contribution of modifiable risk factors to cases of mild cognitive impairment (MCI) and Alzheimer's disease and related dementias (AD/ADRD) among Hispanic/Latin (a,o,x) adults is unclear.</p><p><strong>Objective: </strong>To determine the population attributable fraction (PAF), the proportion of MCI and AD/ADRD cases that would be eliminated with elimination of modifiable risk factors.</p><p><strong>Methods: </strong>This was a cross-sectional analysis nested within a prospective cohort study (2018 - 2023) of Mexican American older adults. Logistic regression estimated the odds of probable MCI or AD/ADRD (defined by education-specific cutoff scores on the Montreal Cognitive Assessment) associated with age, sex, education, medical comorbidities, cigarette smoking, and alcohol consumption. We calculated the PAF for MCI and AD/ADRD associated with individual and combined risk factors.</p><p><strong>Results: </strong>Among 1,272 participants, the prevalence of MCI was 48% and of AD/ADRD was 23%. Having no more than a high school education was associated with a PAF for MCI of 17% (95% CI, 10 - 24%) and a PAF for AD/ADRD of 52% (95% CI, 40 - 64%). Heart disease and diabetes were each associated with a PAF for MCI of 5% (95% CI, 3 - 7% and 95% CI, 1 - 10% respectively). A history of stroke was associated with a PAF for AD/ADRD of 7% (95% CI, 3 - 11%). The elimination of all modifiable risk factors was associated with 28% of MCI and 55% of AD/ADRD cases.</p><p><strong>Discussion: </strong>Low educational attainment and cardiovascular comorbidities greatly contribute to cases of MCI and AD/ADRD among Mexican American adults.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145286410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prenatal Oral Health for Black Women.","authors":"Amy R Billizon, Adonis J Billizon-Johnson, Eric Matthews","doi":"10.1007/s40615-025-02700-6","DOIUrl":"https://doi.org/10.1007/s40615-025-02700-6","url":null,"abstract":"<p><strong>Introduction: </strong>Prenatal oral care is a huge concern due to hormonal changes women undergo during pregnancy, during which pregnant women become susceptible to many oral diseases, such as periodontal disease. Disparities in oral health often affect women who fall into these categories: low-income, uninsured, and minority ethnic/racial groups. Having limited knowledge and a lack of access are significant contributing factors to the adverse effects of pregnancies. This qualitative phenomenological study aims to understand the perspectives of pregnant Black women and dental health care providers with oral health knowledge, oral health practices, insurance, and dental visits. Additionally, it offers perspectives of health care providers and minority pregnant women on how improvements to their dental care and hygiene can be enhanced.</p><p><strong>Method: </strong>A purposive sample of 10 participants, including five prenatal Black women and five health/dental providers, was recruited from New Orleans Public Health members and national medical and dental school networks. Qualitative data were collected through open-ended Zoom interviews with five Black women who were pregnant during 2020- 2022, and with five practicing physicians and dentists. Understanding why oral diseases affect this underserved population at high rates can help improve the practices in place.</p><p><strong>Results: </strong>Overall themes of concern were oral health education, additional oral health training for health care providers, including cultural competencies, and improved insurance practices.</p><p><strong>Discussion: </strong>Findings suggest increasing educational awareness for health care providers and Black pregnant women can help reduce oral diseases, while enhancing insurance practices can give this underserved population a holistic care approach.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visualizing Pathways to HIV Prevention for Black Women in Orange County, Florida: A Concept Mapping Study.","authors":"J Richelle Joe, Shan-Estelle Brown, Andrea Dunn","doi":"10.1007/s40615-025-02569-5","DOIUrl":"https://doi.org/10.1007/s40615-025-02569-5","url":null,"abstract":"<p><p>The National HIV/AIDS Strategy identifies Black cisgender women as a key population for HIV prevention, while the Ending the HIV Epidemic initiative names Orange County, Florida, as a priority jurisdiction. Although Black cisgender women are overrepresented among new HIV diagnoses, they are underrepresented among recipients of PrEP services. The simultaneous and overlapping racial and gender identities of Black cisgender women have historically placed them in a precarious position when seeking healthcare, including sexual health information and services. In an effort to dismantle this complex form of systemic racism, our interdisciplinary team conducted a community engaged research project using group concept mapping to visualize methods of facilitating comprehensive HIV prevention for Black cisgender women in Orange County, Florida with specific actionable steps for healthcare providers and community stakeholders. Community stakeholders attended nine stakeholder meetings, during which they generated, sorted, and rated 79 statements in response to the prompt How can everyone in Central Florida improve Black women's sexual health, create satisfying healthcare experiences for them, and enhance HIV prevention services? Using multi-dimensional scaling and hierarchical cluster analyses, we generated a concept map with nine clusters which was discussed with community stakeholders to develop a plan for advancing HIV prevention among Black women in Orange County, Florida.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural Food Practices During Pregnancy and the Postpartum Period Among African Migrant Women Living in Australia: A Qualitative Study.","authors":"Bolanle R Olajide, Paige van der Pligt, Vidanka Vasilevski, Fiona H McKay","doi":"10.1007/s40615-025-02690-5","DOIUrl":"https://doi.org/10.1007/s40615-025-02690-5","url":null,"abstract":"<p><p>Among African societies, cultural food practices can restrict or prohibit women from consuming specific foods during pregnancy. These restrictions can limit both the quantity and quality of food intake. Understanding these practices is crucial for supporting women to identify appropriate food during pregnancy and to navigate nutrition information. This study aimed to explore the cultural food practices of African migrant women living in Australia and to identify their sources of nutrition information during pregnancy and the postpartum period. Semi-structured, in-depth interviews with fifteen women who were either currently pregnant or had experienced pregnancy within the past 5 years were conducted. Participants were recruited through purposive, convenience, and snowball sampling methods. Thematic analysis was used to analyse the data. Three themes were identified: food practices during pregnancy and postpartum, barriers to maintaining cultural food practices, and nutritional information. Findings reveal that only a few participants maintained their cultural food practices, influenced by the limited availability and high costs of African foods, food acculturation, inadequate postpartum support, and varying knowledge about pregnancy and postpartum diets in Australia. Participants considered the information they received from healthcare providers about traditional foods to be in conflict with other sources of information and highlighted the absence of culturally relevant nutritional information in hospital-provided materials. Designing culturally appropriate nutrition resources that include African foods could help pregnant African migrant women navigate competing nutrition information. Such resources could assist healthcare professionals when delivering culturally tailored nutrition guidance, thereby contributing to the health and well-being of African migrant women and their children living in Australia.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic Disparities in Physical, Mental, and Cognitive Health During the COVID-19 Pandemic: a Snapshot of Metro-Detroit.","authors":"Jasmine M Cooper, Kristine J Ajrouch, Simon G Brauer, Laura B Zahodne, Toni C Antonucci","doi":"10.1007/s40615-025-02640-1","DOIUrl":"https://doi.org/10.1007/s40615-025-02640-1","url":null,"abstract":"<p><p>The COVID-19 pandemic illuminated ethnic and racial disparities in health outcomes within the state of Michigan. These health disparities are evidenced by geographic variability; as roughly half of the COVID cases and more than a third of COVID related deaths in the state occurred in the ethnically diverse Wayne, Oakland, and Macomb counties (New York Times, 2023). However, cognitive health in the context of the pandemic is not well-known, particularly across diverse groups. The current study investigates ethnic differences in health during the COVID-19 pandemic by examining whether there are racial and ethnic differences in physical and mental health status, whether there are ethnic differences in performance in the cognitive domains of episodic memory, working memory, and verbal fluency, and whether ethnicity moderates the association between physical or mental health status and cognitive performance. To examine these associations, we analyzed a sample of 600 Black, White, and Middle Eastern/North African (MENA) older adults from the Detroit Area Wellness Network COVID Supplement, a regionally representative sample of older adults aged 65 and older. Path analyses revealed that Black participants showed a higher burden of chronic illness than other groups, and White participants scored highest in all three domains of cognition. Next, moderation analyses revealed that ethnicity moderated the relationship between mental health status and episodic memory, with a stronger effect in White and MENA participants. These results highlight that the cognitive health of racial and ethnic minority populations of older adults is complex, especially in the context of the pandemic.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial Disparities in Access, Utilization, and Outcomes of Transcatheter Mitral Valve Repair in the United States: A Literature Review.","authors":"Boluwaduro Abasiekem Adeyemi, Chidera Stanley Anthony, Victor Oluwatomiwa Ajekiigbe, Ikponmwosa Jude Ogieuhi, Folake Ishola, God-Dowell O Odukudu, Akinmoju Olumide Damilola, Agbo Chinonyelum Emmanuel, Owolabi Samuel, Karldon Iwuchukwu Nwaezeapu, Kayode Ogunniyi, Oluwafunmbi Oluwadara Fatunmbi, Victory Ebubechukwu Oparaocha","doi":"10.1007/s40615-025-02597-1","DOIUrl":"https://doi.org/10.1007/s40615-025-02597-1","url":null,"abstract":"<p><p>Racial and ethnic disparities in cardiovascular care are well-documented; however, their impact on transcatheter mitral valve interventions, including transcatheter mitral valve repair (TMVr), remains underexplored. This review synthesizes the existing literature on racial and ethnic disparities in TMVr access, utilization, and outcomes to identify contributing factors, proposed solutions, and critical knowledge gaps. A comprehensive search of PubMed, EMBASE, and Cochrane databases from 2014 to 2024 yielded nine studies for final inclusion. Across studies, minority patients-particularly African American and Hispanic individuals-were consistently underrepresented among TMVr recipients relative to disease burden. They tended to present at younger ages, were more likely to be female, and more often underwent non-elective procedures at lower-volume centers. Minority patients experienced longer hospital stays, greater procedural costs, and higher healthcare resource utilization. While some studies reported higher post-procedural mortality or readmission rates among minorities, findings on complication rates were mixed. Contributing factors included socioeconomic stressors, Medicaid coverage, limited referrals to specialized centers, provider bias, and geographic barriers. Newer studies also highlighted disparities in TMVr access even within equal-access systems and identified income-related disparities independent of race. Proposed interventions included Medicaid expansion, coverage with evidence development, culturally competent care delivery, improved referral pathways, and community outreach. All included studies were retrospective and predominantly relied on administrative data. Prospective, longitudinal studies are needed to clarify causal drivers of disparity and inform equity-focused policies in structural heart interventions.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in Stage at Diagnosis and Cancer Progression by Race and Socioeconomic Deprivation: A Pan-Tumor Analysis in the US Community Oncology Setting.","authors":"Andrew J Osterland, Yunfei Wang, Esther R Smith-Howell, Thomas W Wilson, Gregory A Patton, Kashif A Firozvi, Jessica K Paulus, Kaushal D Desai","doi":"10.1007/s40615-025-02685-2","DOIUrl":"https://doi.org/10.1007/s40615-025-02685-2","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding the impact of social determinants of health (SDOH) is essential for addressing cancer disparities. This study evaluated race and area deprivation index (ADI) as proxies for social determinants of early-stage diagnosis and time to metastasis or death (TTMd) among patients with non-metastatic cancers at presenting diagnosis in US community oncology settings.</p><p><strong>Methods: </strong>This was a retrospective observational cohort study of patients with non-metastatic head and neck squamous cell carcinoma (HNSCC); non-small cell lung cancer (NSCLC); triple-negative (TNBC) or hormone receptor-positive (HR +) breast cancer (BC); gastric, bladder or kidney cancer; or melanoma. Patients were indexed at earliest available cancer diagnosis between 1/1/17-6/30/22 and followed through 6/30/23. Stage within 90 days of the presenting diagnosis and TTMd were assessed by tumor type, race and ADI quintiles. Cox proportional hazards modeling with adjusted hazard ratios (aHR) was used to evaluate associations between race and ADI and TTMd across tumors.</p><p><strong>Results: </strong>Overall, 109,935 patients were included (54% breast, 20% NSCLC, 26% other). Across several tumor types, a higher proportion of Stage III cancer was observed at presenting diagnosis among Black vs. White patients and with increasing ADI quintiles. Shorter TTMd was associated with higher ADI (Q5, most deprived vs. Q1, least deprived: aHR 1.20, 95% CI 1.15-1.26, P < 0.01; Q4 vs. Q1: aHR 1.18, 95% CI 1.11-1.22, P < 0.01) and Black race (vs. White: aHR 1.07, 95% CI 1.03-1.12, P < 0.01), and these associations varied by tumor type.</p><p><strong>Conclusion: </strong>Black race and socioeconomic deprivation (as measured by the ADI) were associated with more advanced disease at presenting diagnosis and shorter TTMd across multiple tumors. The magnitude of disparities varied across tumor types.</p>","PeriodicalId":16921,"journal":{"name":"Journal of Racial and Ethnic Health Disparities","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}