ASPO Abstracts
Understanding and Addressing the Burden of Cancer Disparities in Los Angeles
Category: Cancer Health Disparities
Conference Year: 2020
Abstract Body:
To gain a comprehensive view of the burden of cancer in Los Angeles, we acquired, aggregated, and integrated data from multiple sources to characterize the Cedars-Sinai Cancer (CSC) catchment area. We accessed national level data from NCI, SEER, CDC, and ACS; at the state level from the California Cancer Registry; at the county level from the Los Angeles County Department of Public Health; locally through culturally-adapted surveys; and supplemented at all levels with peer-reviewed research. We aligned our geographic boundaries with the National Cancer Institutes (NCI) initiative to: serve a population of >4,000,000, assure that >70% of patients reside within the catchment area, and be within 60 miles drive of the cancer center. CSC has defined the catchment area within pre-existing service planning areas (SPAs) to include 1: Antelope Valley, 2: San Fernando Valley, 4: Metro, and 5: West, which provides a racial/ethnic distribution of 39% Hispanic, 40% Non-Hispanic White, 13% Asian, 5% African American, 2% American Indian/Alaskan, 1% Native Hawaiian or Pacific Islander, and nearly 5% LGBTQ identified. Noteworthy incidence/mortality/risk behaviors in these populations have been identified. In Hispanics, we note an increase of late-stage melanoma, liver, testis, kidney, and colorectal cancers, as well as a rise in obesity, and decrease in physical activity. Among Koreans, we see an increase in advanced breast, thyroid, and colorectal cancers, along with lack of screening compliance, high rates
of smoking and alcohol consumption. In Filipinos, there is an increase in breast, uterine, prostate, kidney, and
colorectal cancers, and increase in obesity, lack of screening compliance, and high rates of smoking. Among
African Americans, we see high rates of prostate, triple-negative breast, pancreatic cancers, and deaths from lung
cancer, and the highest rate of tobacco use and secondhand smoke exposure. Lastly, among LGBTQ+ we see a
uniquecluster of risk factors that lead to both greater cancer incidence and later stage diagnosis, along with a lack of screening compliance and high psychological distress relating to health care. Our multilevel partnerships
give us the opportunity to address the cancer burden in our catchment area.
Keywords: Catchment Area Disparities