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Social Determinant Essay

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Gender as a Social Determinant in Hispanic Females Related to Diet and Breast Cancer

According to a study by Pruitt et al., it was “recently found that among urban breast cancer patients in Texas, Hispanic women had lower all-cause, but not breast cancer-specific, mortality compared to non-Hispanic White women” (Pruitt, Tiro, Xuan, & Lee, 2016, p. 1). A social determinant is defined as a factor such as, income, gender, or discrimination, that contributes to the person’s state of health (NCHHSTP Social Determinants of Health, 2014). Although Hispanic women are among some of the lowest rates of incidences of breast cancer, at 93.2 per 100,000 (Kim et al., 2016), breast cancer is the most common cancer and leading cause if death in the …show more content…

The sample and setting for the 4-CBCS study consisted of NHW, Hispanic, and Native American women, who were selected from a state tumor registry between the ages of 25-79 years old, who resided in non-reservation areas in Arizona, Colorado, New Mexico, or Utah at time of diagnosis. “Controls were selected with target age populations from sources ranging from commercial mailing lists to driver’s license lists, and frequency matched on ethnicity and 5-year age distribution of cases” (Kim et al., 2016, p. 2). The study’s instruments included a structured computer questionnaire given by trained interviews, done in both English and Spanish. It asked the participants about dietary intake for the year prior to diagnosis and height and weight was taken at the time of the interview. For the control group, information was collected on dietary intake for the year prior to being selected for the control group. Participation was 63% for Hispanic cases and 36% for the control, and 71% for NHW and 47% for the control (Kim et al., 2016).

The SFBCS study consisted of NHW, Hispanic, and African American women ages 35-79 years old who resided in San Francisco Bay Area at time of diagnosis. This interview was conducted on the telephone, having controls be selected via random digit dialing using the Waksberg method, as well as in-person

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