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Our 24/7 cancer helpline provides information and answers for people dealing with cancer. We can connect you with trained cancer information specialists who will answer questions about a cancer diagnosis and provide guidance and a compassionate ear.
Our highly trained specialists are available 24/7 via phone and on weekdays can assist through online chat. We connect patients, caregivers, and family members with essential services and resources at every step of their cancer journey. Ask us how you can get involved and support the fight against cancer. Some of the topics we can assist with include:
For medical questions, we encourage you to review our information with your doctor.
Over the past several decades, there has been progress in cancer prevention, early detection, and treatment in the United States. And that's lead to overall declines in cancer death rates. Yet, people of color, with lower socioeconomic status and education levels, or who live in rural areas have not benefited equitably from these advances. The main reason is racism and discrimination along with other social determinants of health that lead to both social inequities and discriminatory policies. Together, they are significant root causes of health disparities.
These disparities in cancer outcomes based on race, income, education, and geography will likely widen without attention from health policymakers and health care providers.
A mix of conditions of daily life—where people live, work, learn, play, worship, and age—influenced by a broad set of forces and systems that shape those conditions, including social norms, social policies, political systems, and economic policies and climate.
Social determinants of health can positively or negatively affect the occurrence of cancer because of their effects on educational and job opportunities, income, insurance coverage, housing, transportation, public safety, food security, social inclusion and non-discrimination, and access to affordable health services of high quality.
Structural racism and discrimination are examples of long-lived social determinants of health that result in social inequities and discriminatory policies.
Farhad Islami, MD, PhD, is the senior scientific director of Cancer Disparity Research in Surveillance & Health Equity Science at the American Cancer Society (ACS). He and his team updated an analysis of racial/ethnic and socioeconomic disparities in cancer occurrence in the US from 2016 through 2020. They looked at differences in exposure to risk factors for developing cancer, access to utilization of preventive cancer care and cancer screening, cancer incidence, stage at diagnosis, survival, and mortality.
Here are some of their findings:
Despite some progress in recent decades, cancer disparities are still a major issue in the United States, and they may further widen because of increasing costs of novel treatments and advanced medical technologies. Much more work needs to be done to enhance health equity and mitigate cancer disparities."
Farhad Islami, MD, PhD
Senior Scientific Director, Cancer Disparity Research
Surveillance and Health Equity Science, American Cancer Society
Lowest death rates for all major cancer types: API and Hispanic populations for both men and women
Highest death rates for all major cancer types: AIAN and Black populations for both men and women
Highest cancer death rates for nonmetropolitan/rural populations: All cancer types, including breast and prostate cancer even though they had lower incidence rates in rural regions. Differences were greater in people younger than age 65.
Black and White people age 25 to 74 with 12 or less years of education: 2 to 3 times higher risk of dying from cancer overall compared with people the same age with 16 or more years of education, with the difference widening as years of education increased. The risk of dying from lung cancer was 4 to 6 times higher.
“The State of Cancer Disparities in the United States” report also shared information about Federal, state, and local policies and programs to decrease disparities and ACS programs and resources targeting cancer disparities, including:
3 Programs to enhance cancer research and career development:
Islami and other research authors proposed that federal and state governments, health and cancer care systems, cancer advocacy organizations including the American Cancer Society Cancer Action Network (ACS CAN), and others, work together to reduce cancer disparities by taking actions such as these: