{"id":4411,"date":"2023-03-27T08:50:32","date_gmt":"2023-03-27T06:50:32","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4411"},"modified":"2023-04-02T14:17:17","modified_gmt":"2023-04-02T12:17:17","slug":"colon-cancer-care-of-hispanic-people-in-california-paradoxical-barrio-protections-seem-greatest-among-vulnerable-populations","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1696\/","title":{"rendered":"Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2020.1696\">https:\/\/doi.org\/10.4081\/jphr.2020.1696<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Keren M. Escobar<\/strong><br \/>\n<\/span><span class=\"affiliation\">School of Social Work, University of Windsor, Canada.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0003-1209-3892\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0003-1209-3892<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Kevin M. Gorey<\/strong><br \/>\n<span class=\"affiliation\">University of Windsor, School of Social Work, Canada.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0003-1870-6549\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0003-1870-6549<\/a><\/span><\/span><\/li>\n<li><span class=\"name\"><strong>Mollie Sivaram<\/strong><br \/>\n<\/span><span class=\"affiliation\">Faculty of Health Sciences, McMaster University, Canada.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0003-2258-6383\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0003-2258-6383<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Isaac N. Luginaah<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Geography, Western University, Canada.<\/span><span class=\"orcid\"><br \/>\n<a href=\"https:\/\/orcid.org\/0000-0001-7858-3048\" target=\"_blank\" rel=\"noopener\">https:\/\/orcid.org\/0000-0001-7858-3048<\/a><\/span><\/li>\n<li><span class=\"name\"><strong>Sindu M. Kanjeekal<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Oncology, Windsor Regional Cancer Center and Schulich School of Medicine and Dentistry, Western University, Canada.<\/span><\/li>\n<li><span class=\"name\"><strong>Frances C. Wright<\/strong><br \/>\n<\/span><span class=\"affiliation\">Division of General Surgery, Sunnybrook Health Sciences Center and cross appointed Departments of Surgery and Health Policy, Management and Evaluation, University of Toronto, Canada.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><strong>Background:\u00a0<\/strong>We examined paradoxical and barrio advantaging effects on cancer care among socioeconomically vulnerable Hispanic people in California.<br \/>\n<strong><br \/>\nMethods:<\/strong>\u00a0We analyzed a colon cancer cohort of 3,877 non-Hispanic white (NHW) and 735 Hispanic people 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 poor neighborhoods.<br \/>\n<strong><br \/>\nResults:<\/strong>\u00a0Hispanic 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).<br \/>\n<strong><br \/>\nConclusions:<\/strong>\u00a0The findings were supportive of Hispanic paradox and barrio advantage theories, further suggesting that such advantages are greater for men due to their greater familial supports.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2020.1696 Keren M. Escobar School of Social Work, University of Windsor, Canada. https:\/\/orcid.org\/0000-0003-1209-3892 Kevin M. Gorey University of Windsor, School of Social Work, Canada. https:\/\/orcid.org\/0000-0003-1870-6549 Mollie Sivaram Faculty of Health Sciences, McMaster University, Canada. https:\/\/orcid.org\/0000-0003-2258-6383 Isaac N. Luginaah Department of Geography, Western University, Canada. https:\/\/orcid.org\/0000-0001-7858-3048 Sindu M. Kanjeekal Department of Oncology, Windsor Regional Cancer Center &#8230; <a title=\"Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1696\/\" aria-label=\"More on Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4411","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/1696\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Colon cancer care of Hispanic people in California: Paradoxical barrio protections seem greatest among vulnerable populations - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2020.1696 Keren M. Escobar School of Social Work, University of Windsor, Canada. https:\/\/orcid.org\/0000-0003-1209-3892 Kevin M. Gorey University of Windsor, School of Social Work, Canada. https:\/\/orcid.org\/0000-0003-1870-6549 Mollie Sivaram Faculty of Health Sciences, McMaster University, Canada. https:\/\/orcid.org\/0000-0003-2258-6383 Isaac N. Luginaah Department of Geography, Western University, Canada. https:\/\/orcid.org\/0000-0001-7858-3048 Sindu M. Kanjeekal Department of Oncology, Windsor Regional Cancer Center ... 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Escobar School of Social Work, University of Windsor, Canada. https:\/\/orcid.org\/0000-0003-1209-3892 Kevin M. Gorey University of Windsor, School of Social Work, Canada. https:\/\/orcid.org\/0000-0003-1870-6549 Mollie Sivaram Faculty of Health Sciences, McMaster University, Canada. https:\/\/orcid.org\/0000-0003-2258-6383 Isaac N. Luginaah Department of Geography, Western University, Canada. https:\/\/orcid.org\/0000-0001-7858-3048 Sindu M. Kanjeekal Department of Oncology, Windsor Regional Cancer Center ... 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