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Beyond the Black Box: A Systematic Review of Breast, Prostate, Colorectal, and Cervical Screening Among Native and Immigrant African-Descent Caribbean Populations

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Abstract

Cancer screening disparities between black and white groupings are well-documented. Less is known regarding African-descent subpopulations despite elevated risk, distinct cultural backgrounds, and increasing numbers of Caribbean migrants. A systematic search of Medline, Web of Science, PubMed and SCOPUS databases (1980–2012) identified 53 studies reporting rates of breast, prostate, cervical, and colorectal screening behavior among immigrant and non-immigrant Caribbean groups. Few studies were conducted within the Caribbean itself; most work is US-based, and the majority stem from Brooklyn, New York. In general, African-descent Caribbean populations screen for breast, prostate, colorectal, and cervical cancers less frequently than US-born African-Americans and at lower rates than recommendations and guidelines. Haitian immigrants, in particular, screen at very low frequencies. Both immigrant and non-immigrant African-descent Caribbean groups participate in screening less frequently than recommended. Studying screening among specific Caribbean groups of African-descent may yield data that both clarifies health disparities between US-born African-Americans and whites and illuminates the specific subpopulations at risk in these growing immigrant communities.

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Authors and Affiliations

  1. Department of Psychological Medicine, The University of Auckland, Private Bag 92019, Auckland, New Zealand

    Nathan S. Consedine & Natalie L. Tuck

  2. Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, USA

    Camille R. Ragin

  3. Departments of Urology and Epidemiology, Columbia University Medical Center, New York, NY, USA

    Benjamin A. Spencer

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  1. Nathan S. Consedine
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  4. Benjamin A. Spencer
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Correspondence to Nathan S. Consedine.

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Consedine, N.S., Tuck, N.L., Ragin, C.R. et al. Beyond the Black Box: A Systematic Review of Breast, Prostate, Colorectal, and Cervical Screening Among Native and Immigrant African-Descent Caribbean Populations. J Immigrant Minority Health 17, 905–924 (2015). https://doi.org/10.1007/s10903-014-9991-0

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