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Journal of Urban Health

, Volume 86, Issue 6, pp 861–871 | Cite as

Cancer Prevention Behaviors in Low-Income Urban Whites: An Understudied Problem

  • Janice V. BowieEmail author
  • Hee-Soon Juon
  • Lisa C. Dubay
  • Lydie A. Lebrun
  • Barbara A. Curbow
  • Roland J. Thorpe
  • Thomas A. LaVeist
Article

Abstract

Low-income urban whites in the United States have largely gone unexamined in health disparities research. In this study, we explored cancer prevention behaviors in this population. We compared data on whites with low socioeconomic status (SES) from the 2003 Exploring Health Disparities in Integrated Communities Study in Southwest Baltimore, Maryland (EHDIC-SWB) with nationally representative data for low SES white respondents from the 2003 National Health Interview Survey (NHIS). Rates for health behaviors and health indicators for whites from the EHDIC-SWB study as compared to NHIS prevalence estimates were as follows: current cigarette smoking, 59% (31% nationally); current regular drinking, 5% (5% nationally); overweight, 26% (32% nationally); obesity, 30% (22% nationally); mammography in the past 2 years, 50% (57% nationally); Pap smear in the past 2 years, 64% (68% nationally); screening for colon cancer in the past 2 years, 41% (30% nationally); and fair or poor self-reported health, 37% (22% nationally). Several cancer prevention behaviors and health indicators for white EHDIC-SWB respondents were far from the Healthy People 2010 objectives. This study provides rare estimates of cancer-related health and health care measures in an understudied population in the United States. Findings illustrate the need for further examination of health behaviors in low SES white urban populations who may share health risks with their poor minority urban counterparts.

Keywords

Urban health Socioeconomic status Preventive health Health disparities White 

Notes

Acknowledgments

This research was supported by grant# P60MD000214-01 from the National Center on Minority Health and Health Disparities (NCMHD) of the National Institutes of Health (NIH), and a grant from Pfizer, Inc. to Dr. LaVeist.

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Copyright information

© The New York Academy of Medicine 2009

Authors and Affiliations

  • Janice V. Bowie
    • 1
    • 2
    Email author
  • Hee-Soon Juon
    • 2
  • Lisa C. Dubay
    • 1
    • 3
  • Lydie A. Lebrun
    • 3
  • Barbara A. Curbow
    • 4
  • Roland J. Thorpe
    • 1
    • 3
  • Thomas A. LaVeist
    • 1
    • 3
  1. 1.Center for Health Disparities SolutionsJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  4. 4.College of Public Health and Health ProfessionsUniversity of FloridaGainesvilleUSA

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