Association between major discrimination and deficit accumulation in African American cancer survivors: The Detroit Research on Cancer Survivors Study

Background Discrimination can adversely affect health and accelerate aging, but little is known about these relationships in cancer survivors. This study examines associations of discrimination and aging among self‐identified African American survivors. Methods A population‐based sample of 2232 surv...

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Bibliographic Details
Published in:Cancer 2023-05, Vol.129 (10), p.1557-1568
Main Authors: Mandelblatt, Jeanne S., Ruterbusch, Julie J., Thompson, Hayley S., Zhou, Xingtao, Bethea, Traci N., Adams‐Campbell, Lucile, Purrington, Kristen, Schwartz, Ann G.
Format: Article
Language:English
Subjects:
Accumulation
Adult
African American persons
African Americans
Aged
Aging
Aging - ethnology
Aging - physiology
Black or African American - statistics & numerical data
Black persons
Breast Neoplasms - epidemiology
Breast Neoplasms - ethnology
Breast Neoplasms - physiopathology
Cancer
Cancer Survivors
deficit accumulation
Diagnosis
discrimination
disparities
Female
Frailty
Humans
Male
Michigan - epidemiology
Middle Aged
Neoplasms - epidemiology
Neoplasms - ethnology
Neoplasms - physiopathology
Oncology
Prostate cancer
Racism - ethnology
Racism - statistics & numerical data
Robustness
Social Determinants of Health - ethnology
Social Determinants of Health - statistics & numerical data
Surveys and Questionnaires
Survival
survivors
Young Adult
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Summary:Background Discrimination can adversely affect health and accelerate aging, but little is known about these relationships in cancer survivors. This study examines associations of discrimination and aging among self‐identified African American survivors. Methods A population‐based sample of 2232 survivors 20–79 years old at diagnosis were enrolled within 5 years of breast (n = 787), colorectal (n = 227), lung (n = 223), or prostate (n = 995) cancer between 2017 and 2022. Surveys were completed post‐active therapy. A deficit accumulation index measured aging‐related disease and function (score range, 0–1, where
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.34673