Ethnicity & Health最新文献

{"title":"Barriers and solutions to ethnic diversity in breast cancer clinical trials: a systematic review.","authors":"Erik Chávez-Vélez, Carla Morán-Erazo, Andrés López-Cortés, Jennyfer M García-Cárdenas, Santiago Guerrero","doi":"10.1080/13557858.2026.2630819","DOIUrl":"10.1080/13557858.2026.2630819","url":null,"abstract":"<p><strong>Objectives: </strong>Ethnic minorities remain significantly underrepresented in breast cancer clinical trials, limiting the generalizability of findings and perpetuating disparities in outcomes. This systematic review aims to identify major barriers to participation and evaluate the effectiveness of strategies proposed to enhance inclusion.</p><p><strong>Design: </strong>We conducted a systematic review of studies published in the last ten years using PubMed, focusing on ethnic representation in breast cancer trials. Studies were selected using the SPIDER tool and assessed for quality with appropriate instruments according to study design, including CASP, ISPOR, CONSORT, and CARE.</p><p><strong>Results: </strong>Fifteen studies met the inclusion criteria. The most frequently reported barriers were language and health literacy limitations, mistrust of the healthcare and research systems, financial and logistical constraints, and insufficient provider involvement in recruitment. Strategies to address these issues included culturally adapted educational interventions, deployment of patient navigators with cultural and linguistic concordance, provision of financial assistance and transport, decentralized trial access, and training for healthcare professionals to enhance cultural competence and inclusive communication.</p><p><strong>Conclusion: </strong>Addressing disparities in clinical trial participation among ethnically diverse populations requires a multilevel approach. Interventions must combine cultural competence, community engagement, and structural changes within research systems. Improving inclusion is not only a matter of health equity but also crucial for the scientific validity and applicability of precision oncology across diverse populations.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"245-261"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147292039","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":"Correction.","authors":"","doi":"10.1080/13557858.2025.2612099","DOIUrl":"10.1080/13557858.2025.2612099","url":null,"abstract":"","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"262"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901622","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":"Relationships between acculturative stressors and physiological stress response among Latinx immigrants in the southeastern United States.","authors":"Aneri Tanna, Brian E McCabe, Julia K L Walker, Richard Cervantes, Gabriela Nagy, Pedro Gomez Altamirano, Rosa Gonzalez-Guarda, Allison McCord Stafford","doi":"10.1080/13557858.2025.2602616","DOIUrl":"10.1080/13557858.2025.2602616","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic exposure to psychological stress is a well-established social determinant of health, particularly among racial and ethnic minority groups. Repeated stress can lead to persistent activation of the biological stress response, which may become maladaptive and harm both physical and mental health. Latinx immigrants are especially susceptible due to ongoing acculturative stress-challenges associated with adapting to a new culture and environment. Despite these risks, Latinx immigrants also exhibit strong resilience, which can help buffer the negative health effects of acculturative stress. Minimal research has explored associations among measures of acculturative stressors, psychosocial resilience factors, and immunological biomarkers of the physiological stress response. The current study examines these relationships within a Latinx immigrant population.</p><p><strong>Design: </strong>We conducted a secondary analysis of baseline data collected between June 2018 and January 2020 from a community-engaged research study of Latinx immigrants in the U.S. Southeast aged 18-44 (<i>N</i> = 391). Participants completed self-report measures of acculturative stressors, resilience factors, and health, as well as urine specimens for biomarker analysis using immunoassays. Hypotheses were tested with Spearman's correlations and multivariate linear regressions.</p><p><strong>Results: </strong>In bivariate correlations, only IL-18, a pro-inflammatory cytokine, and IL-10, an anti-inflammatory cytokine, were associated with acculturative stressors. In our final regression models accounting for acculturative stressors and resilience factors, no moderation effects were observed, and only BMI remained a significant predictor of IL-18. Exploratory mediation analysis demonstrated that BMI partially mediated the relationship between pre-migration stress and IL-18.</p><p><strong>Conclusions: </strong>The results highlight significant associations among acculturative stressors, inflammatory cytokines, and BMI. Further exploration of these relationships can identify key social determinants and mechanisms underlying health inequities, such as those related to obesity and cardiometabolic health. These findings may contribute to the design of more effective health promotion and disease prevention interventions for Latinx immigrant populations.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"114-135"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783620","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":"Barriers and effective interventions associated with diabetes management among the East Asian immigrant population: A scoping review.","authors":"Qiong Nancy Cang, Catherine Bacon, Anecita Gigi Lim, Barbara M Daly","doi":"10.1080/13557858.2025.2602618","DOIUrl":"10.1080/13557858.2025.2602618","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of diabetes has rapidly increased for East Asian immigrant populations, exceeding rates in East Asian populations in their home countries and the general population of host countries. The increased risk highlights the complex interplay between genetic predisposition and socio-cultural environmental factors associated with migration. Managing diabetes and navigating unfamiliar healthcare systems are challenging for immigrant populations underscoring the need for research on barriers and effective targeted strategies.</p><p><strong>Objectives: </strong>Identify barriers to best diabetes management practices and effective interventions among East Asian immigrant populations.</p><p><strong>Methods: </strong>Studies were identified through PUBMED, OVID MEDLINE, CINAHL COMPLETE and SCOPUS databases utilising Arksey and O'Malley's framework. Peer-reviewed, English reports between January 2010 and August 2024 relating to challenges and barriers of best management practices among adult East Asian immigrants and interventions that facilitated management were identified. Studies of people with type 1 or gestational diabetes and those <18 years old were excluded.</p><p><strong>Results: </strong>Of 576 articles screened, 18 studies meeting the criteria were included in this review. Twelve studies included Chinese immigrants, 13 studies were from the United States, including six among American-Korean immigrants, three were from Australia and two from Canada. Barriers to best diabetes management practices identified from observational studies were themed as relating to (1) 'Cultural Views' (diabetes, diet, medication, traditional remedies, health professional hierarchy and family roles); (2) 'Immigration Challenges' (communication, communication, transport, financial, time constraints, emotional distress and dissatisfaction with Western healthcare systems). Randomised controlled trials (n = 2) and single-group trials (n = 6) reported on effective interventions that improved self-management and/or cardiometabolic risk factors, focusing on self-management (n = 3), nutritional (n = 4) and social media (n = 1) educational programmes.</p><p><strong>Conclusion: </strong>Barriers to best diabetes management practices included clashes with cultural views, immigration-related challenges and dissatisfaction with Western healthcare systems. Effective interventions were mostly associated with culturally-tailored, didactic and bilingual diabetes education programmes.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"158-182"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783579","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":"A qualitative study of multilevel barriers and facilitators influencing sleep of black women in Connecticut, United States.","authors":"Samuel Akyirem, Sayantani Sarkar, Siobhan Thompson, Soohyun Nam","doi":"10.1080/13557858.2025.2602624","DOIUrl":"10.1080/13557858.2025.2602624","url":null,"abstract":"<p><strong>Background: </strong>Black women are more likely to experience sleep difficulties compared to their White counterparts. This disparity may be fueled by differences in economic opportunities, race - and gender-based discrimination, and other societal factors. Guided by the socio-ecological model, the purpose of this study was to examine the multi-level barriers and facilitators of sleep among Black women in the United States.</p><p><strong>Methods: </strong>A qualitative description study design was used. Semi-structured interviews were conducted in English among 28 Black women with sleep difficulties. Interviews were audio-recorded and transcribed. Thematic analysis was used to analyze data.</p><p><strong>Results: </strong>Participants (mean age = 47.3 years) were primarily single (52%) and employed (84%). Through qualitative interviews, four key themes emerged: (a) Individual-level barriers and facilitators, such as chronic health issues, poor sleep hygiene, stress, trauma, financial strain, and coping strategies like prayer and relaxation routines; (b) Interpersonal influences, including caregiving demands, emotional burdens from family dynamics, and social support; (c) Community-level factors, such as neighborhood noise, violence, and safety concerns contributing to hypervigilance; and (d) Societal-level influences, notably the \"strong Black woman\" schema and experiences of racism and gendered discrimination, which shaped sleep experiences.</p><p><strong>Discussion and conclusion: </strong>Black women's sleep is impacted by intersecting factors across individual, interpersonal, community, and societal levels. Culturally grounded, trauma-informed, and equity-focused interventions, targeting all socioecological levels, are essential to improve sleep health of Black women.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"136-157"},"PeriodicalIF":2.1,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial discrimination and borderline personality disorder (BPD) symptoms among Black women: unpacking the role of the superwoman schema.","authors":"Ramya Ramadurai, Paloma K Zabala Rossy, Tamara Nelson, Nathaniel R Herr","doi":"10.1080/13557858.2025.2600277","DOIUrl":"10.1080/13557858.2025.2600277","url":null,"abstract":"<p><strong>Objectives: </strong>Aligning with past work positioning racial discrimination as invalidation, or a form of interpersonal rejection and devaluation with myriad psychological effects, we aim to examine the role of Strong Black Woman/Superwoman Schema (SBW/SWS) in the relation between racial discrimination and borderline personality disorder (BPD) symptoms among Black women. We predicted that SWS would explain the relation between experiences of racial discrimination and BPD symptoms. We also hypothesized that while SWS would contribute to emotional control and thereby higher BPD symptoms, SWS would also contribute to racial pride and thereby lower BPD symptoms. Exploratorily, we examined whether emotion regulation challenges moderate the relation between SWS and BPD symptoms.</p><p><strong>Methods: </strong>A national community sample of 81 Black women (<i>M_age</i> = 37.8, <i>SD_age</i> = 12.8) endorsing racial discrimination were recruited through ResearchMatch and reported on SBW/SWS, BPD symptoms, and other emotion-focused assessments. Simple and serial mediation were used to examine the primary hypotheses.</p><p><strong>Results: </strong>While racial discrimination was not significantly associated with BPD symptoms, SWS did explain this relation. There was further a significant serial effect such that racial discrimination contributed to SWS, which then fueled emotional overcontrol, and higher BPD symptoms. Racial pride did not emerge as a buffer from BPD symptoms. Lastly, the tendency to use interpersonal pathways to enhance positive affect strengthened the relation between SWS and BPD symptoms.</p><p><strong>Conclusions: </strong>This paper furthers our understanding of how SWS and associated emotion processes link identity-based discrimination to emotional, identity, and interpersonal challenges among Black women.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"93-113"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716705","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":"Race, gender, and childhood adversity: gender-specific prevalence of ACE exposure among Black Americans.","authors":"Natasha K Oyedele, Leslie B Adams, Renee M Johnson, Lorraine T Dean","doi":"10.1080/13557858.2025.2600275","DOIUrl":"10.1080/13557858.2025.2600275","url":null,"abstract":"<p><strong>Objective: </strong>Adverse childhood experiences (ACEs) are prevalent and have profound negative health impacts across the life course. This study examined childhood adversity prevalence among US non-Hispanic Black adults, with particular attention to gender specific patterns in cumulative risk, individual ACE types and associated sociodemographic factors.</p><p><strong>Design: </strong>We analyzed data from Black adults aged 18 and older who completed the 2019 Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. Childhood adversity indicators were derived from the ACE Module administered in 21 states. Individual ACE exposures were dichotomized, and we calculated prevalence estimates and cumulative risk scores for Black women and Black men separately.</p><p><strong>Results: </strong>The analytic sample included 14,685 non-Hispanic Black adults (62% Black women). Over half (54%) reported experiencing at least one ACE, with 19% of Black women and 15% of Black men reporting four or more ACEs - a threshold indicating high risk for toxic stress. Black women experienced significantly higher rates of childhood sexual abuse, while Black men reported more childhood physical abuse than Black women (28% vs 23%, <i>p</i> = 0.003). Higher cumulative risk ACE scores were inversely associated with socioeconomic position.</p><p><strong>Conclusions: </strong>The observed gender differences in childhood adversity prevalence among Black adults likely reflect distinct social and structural risk factors. These differential ACE patterns suggest that pathways to toxic stress exposure may vary by gender within Black communities. Understanding these distinctions is crucial for developing targeted interventions and addressing the structural determinants that contribute to health inequities in communities disproportionately affected by childhood adversity.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"60-75"},"PeriodicalIF":2.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13332826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tailored T2D risk communication for Hispanics: ethnic endorser effects on health and sharing intentions.","authors":"Juan Mundel, Mohammed Madouh, Maricarmen Vizcaíno, Sofia Aparício","doi":"10.1080/13557858.2025.2600273","DOIUrl":"10.1080/13557858.2025.2600273","url":null,"abstract":"<p><strong>Objectives: </strong>Building on prior research that suggests Hispanic audiences respond more favorably to advertisements featuring Hispanic endorsers, this study examines the effectiveness of culturally tailored type 2 diabetes (T2D) risk communication messages. Specifically, we investigate whether the inclusion of Hispanic endorsers in health-related advertisements enhances audience engagement, attitudes toward the ad, and intentions to share the message on social media.</p><p><strong>Design: </strong>This study employs an explanatory sequential mixed-methods approach, beginning with a quantitative approach, followed by qualitative in-depth interviews. The initial quantitative phase measures Hispanic audience reactions to advertisements featuring either Hispanic or White endorsers. The qualitative phase further explores perceptions and attitudes toward these ads, focusing on the role of cultural relevance in health messaging.</p><p><strong>Results: </strong>Findings show that Hispanic participants felt a stronger connection with Hispanic endorsers, leading to more favorable attitudes toward the ad, which then increased their intentions to adopt health behaviors and share the message. Additionally, qualitative analysis indicates that endorsements were more effective when they included culturally relevant nutritional advice, authentic cultural representation, and highlighted the importance of cultural tailoring in T2D-risk communication.</p><p><strong>Conclusion: </strong>This study emphasizes that enhancing cultural relevance, especially by incorporating nutritional guidance aligned with Hispanic dietary traditions, can boost the effectiveness of health messages and increase the persuasive power of prevention campaigns. These findings provide valuable insights for public health campaigns and advertisers aiming to develop more impactful T2D prevention strategies for Hispanic communities.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"19-38"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727017","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":"'It keeps your body strong, your muscles strong, your brain strong:' perceptions about the role of physical activity and nutrition in brain health among middle-aged Latinos.","authors":"Sophia W Light, Francesca Tomasino, Myriam Del Salto, Alyssa Vela, Michael S Wolf, Alissa Bernstein Sideman","doi":"10.1080/13557858.2025.2600276","DOIUrl":"10.1080/13557858.2025.2600276","url":null,"abstract":"<p><strong>Objectives: </strong>Latinos are disproportionately impacted by Alzheimer's disease and related dementias (ADRD). It is estimated that interventions targeting lifestyle and health behaviors could prevent or delay up to 50% of ADRD cases worldwide. This study aimed to explore middle-aged Latinos' perceptions of the link between physical activity and nutrition with the maintenance of brain health.</p><p><strong>Design: </strong>Individual, semi-structured interviews were conducted with 30 English- or Spanish-speaking Latinos 35 to 64 years old. Participants were recruited via social media, flyers, direct contact of participants from prior studies, and snowball sampling. Questions addressed knowledge about the brain, perceptions of aging, and ideas of how to care for the brain. Responses that emerged pertaining to physical activity and nutrition were analyzed using conceptual content analysis to quantify the frequency of themes and identify trends.</p><p><strong>Results: </strong>Most participants were female (<i>n</i> = 18) and college educated (<i>n</i> = 17), with an average age of 47 years; two thirds reported being foreign born, and half reported lower acculturation levels. Physical activity and nutrition were spontaneously described as strategies to promote brain health by 22 and 24 participants, respectively. With regards to physical activity, walking was most often mentioned (<i>n</i> = 8), followed by yoga (<i>n</i> = 4). Few participants clarified frequency (<i>n</i> = 3), duration (<i>n</i> = 1), or intensity (<i>n</i> = 2). With regards to nutrition, common strategies mentioned were increasing fruit and vegetable consumption (<i>n</i> = 19), limiting processed foods (<i>n</i> = 9), and taking vitamins or supplements (<i>n</i> = 9).</p><p><strong>Conclusion: </strong>Most participants demonstrated foundational knowledge of the link between nutrition, physical activity, and brain health. Some misconceptions were identified, such as participants overestimating the benefits of vitamins/supplements, which have weak correlations with preventing cognitive decline. Messaging may benefit from emphasizing recommendations regarding the role of frequency, duration, and intensity in physical activity, and specific nutrient, portioning, and preparation recommendations for dietary practices. Incorporating these messages into intergenerational programming may be particularly beneficial.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"76-91"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752461","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":"Reconstructing trust in preventive care: Black women's perspectives on equity-centered, cervical cancer interventions.","authors":"Toluwani E Adekunle, Tiwaladeoluwa B Adekunle, Sabena Thomas","doi":"10.1080/13557858.2025.2577130","DOIUrl":"10.1080/13557858.2025.2577130","url":null,"abstract":"<p><strong>Background: </strong>Black women in the United States face disproportionately high rates of cervical cancer incidence and mortality, driven in part by structural racism, medical mistrust, and barriers to culturally responsive care. Existing interventions often overlook the lived experiences of Black women and fail to address the systemic roots of healthcare inequities.</p><p><strong>Objective: </strong>To explore how Black women conceptualize healthcare mistrust and identify multilevel changes needed to improve cervical cancer screening and equity-centered preventive care.</p><p><strong>Methods: </strong>Seventeen in-depth, semi-structured interviews were conducted with self-identified Black women aged 21-65 years between February and April 2023. Guided by an integrated theoretical framework including Ecological Systems Theory, Ecosocial Theory of Embodiment, Intersectionality, and Black Feminist Thought. Interviews were thematically analyzed to surface key barriers and recommendations. Participants were recruited through purposive sampling, and thematic saturation was achieved.</p><p><strong>Results: </strong>Four major themes emerged: (1) increasing access to affordable, community-centered healthcare; (2) expanding reproductive health knowledge and addressing informational gaps; (3) enhancing provider training in diversity, equity, and culturally responsive care; and (4) implementing systemic reforms to rebuild trust and deliver holistic, justice-driven healthcare. Participants underscored the importance of long-term community engagement, generational knowledge transfer, and trauma-informed care. Trust was framed as a central determinant, shaped by intersecting histories of discrimination and institutional exclusion.</p><p><strong>Conclusions: </strong>This study highlights the urgent need for systemic transformation in preventive care delivery. Improving cervical cancer outcomes among Black women requires multilevel strategies that prioritize trust, equity, and the leadership of communities most affected. These insights inform policy, provider training, and structural reforms aimed at advancing justice in healthcare.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":" ","pages":"1-18"},"PeriodicalIF":2.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372697","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}