This Issue

Cancer and health disparities

Increasing access key to closing the gap

Tips to close the gap

Q & A

Fiction
Fact
Breast cancer is the leading cause of death
in women.
Cardiovascular disease kills more women than all cancers combined.
Surgery can cause
cancer to spread.
Exposing the tumor to air does not cause cancer to spread. Often surgery reveals a more extensive cancer, which may cause people to think that surgery worsened the disease.
Cancer is contagious. It is not possible to “catch” cancer from someone. However, through unsafe sex, you can become infected with certain viruses, such as hepatitis C and HPV, which can lead to liver and cervical cancers, respectively.
Living a healthy lifestyle
can prevent cancer.
Although exercise, not smoking, a healthy weight and a healthy eating plan can reduce the risk of cancer, they cannot provide an absolute protection against the disease. Other factors, such as genetics and environment may come into play.

Myths busted

A disturbing difference

A life saving timetable

Risk factors

Take the
first step


A disturbing difference



How much is too much?


honeyThe body requires glucose to provide energy to do its job. We can get that sugar naturally from fruits, vegetables, milk and whole grains, which are full of nutrients. Added sugars, on the other hand, are sugars and syrups added to foods during preparation or at the table. These added sugars bring with them sweetness and calories, but lack nutrition. The American Heart Association recommends a daily limit of added sugars according to the information below.


Women’s daily limit
6 teaspoons = 100 Calories = 25 grams

Men’s daily limit
9 teaspoons = 150 Calories = 37.5 grams

Oral, Head and Neck Cancer
Awareness Week is May 8 – 14.


Photo by Vannessa Carrington/Mass. Eye and Ear

Get screened for head and neck
cancer. It’s free, quick and painless.

Boston Medical Center
Moakley Building Lobby
830 Harrison Avenue
Date: April 2
Time: 8 a.m. - noon
617-638-8260

Tufts Medical Center
860 Washington Street
Date: May 12
Time: 2:30 – 4:30 p.m.
617-636-1664
Mass Eye and Ear
243 Charles Street
Date: May 13
Time: TBA
617-573-3340
Dedham Family Dental
Dr. Helaine Smith
30 Milton Street, Dedham
Date: May 11
Time: 9 a.m. – 1 p.m.
781-326-4600

Mass General Hospital
Voice Center

One Bowdoin Square,
11th Floor
Date: May 13
Time: 9 a.m. – 1 p.m.
617-726-0218
Remember to call ahead to confirm
time and date
of screenings.

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Risk Factors

A risk factor is a characteristic that is likely to increase your chance of a particular disease. Having a risk factor does not mean you will get the disease. Likewise, not having one is not a guarantee against it. Some risk factors for cancer are beyond a person’s control, while others can be influenced by behavior and lifestyle.

Factors you can control

• Smoking and tobacco use
• Inactivity and weight
• Unhealthy diet
• Alcohol consumption

Factors beyond your control

• Age
• Race
• Personal or family history of cancer
• Genetics/inherited mutations


Tips to close the gap

 

Health disparities are differences in rates and the effects of diseases between different populations. When it comes to many kinds of cancer, the American Cancer Society (ACS) reports that African Americans experience shorter survival times and higher death rates than people from other racial and ethnic backgrounds. Slightly better news is the fact that this health disparity has been shrinking and the combined cancer death rate has been declining among African Americans.

So why does this unsettling gap exist?

It’s a complex problem. Some factors at play aren’t easily changed: genes, income, employment, education and access to timely, high-quality health care, for example.

“Yet other factors matter, too,” said Dr. Jan Cook, medical director at Blue Cross Blue Shield of Massachusetts. “By seeking preventive health care and making other healthy changes described below, people can lower their risks for many cancers.”

Which cancers are most common in African Americans?

The ACS estimates nearly 169,000 new cases of cancer and 65,400 cancer deaths will occur among African Americans this year. In men, the four most common forms of this varied disease are prostate, lung, colorectal and pancreatic cancers. For women, the top four are breast, lung, colorectal and pancreatic cancers.

African American men and Jamaican men of African descent are far more vulnerable to prostate cancer than men from any other backgrounds. Breast cancer often gets diagnosed at a more advanced stage in African American women than in white women, which can make it harder to treat. Still, it’s worth noting that lung cancer causes most cancer deaths in both sexes.

What healthy steps can I take to help prevent cancer?

Steps that lower cancer risks often help prevent heart disease, stroke and diabetes, too, and improve all-around health tremendously. Smoking plays a major role in cancer (see below). And roughly one-third of cancer deaths this year will stem from excess weight or obesity, inactivity or poor nutrition, according to the ACS. So healthy steps can make a big difference:

What is a screening test?

Screening tests check for cancer in people who don’t have obvious symptoms. These tests may use physical exams (for example, skin cancer or oral cancers); imaging technology like mammograms (for example, breast cancer); or laboratory tests on a sample of blood, urine or another substance (for example, prostate cancer).

No screening test is 100 percent accurate. Sometimes these tests capture people who do not have cancer (a false positive), and miss people who do have cancer (a false negative). So, if you ever do have a positive screening test result, your doctor will recommend follow-up tests to investigate further. That might mean having more imaging tests like an ultrasound or MRI to get a better look at a worrisome area. Or it might mean having a biopsy. During a biopsy, cells or tissue are removed and checked under a microscope for signs of cancer.

Why are screening tests helpful? Catching cancer at an early stage before it has spread to other sites in the body usually makes it easier to treat. Two screening tests — colonoscopy for colorectal cancer and Pap tests for cervical cancer — actually help prevent cancer by allowing doctors to find and remove precancerous growths. Thus far, only screening for breast, cervical and colorectal cancers have proven to lower death rates.

Which screening tests are especially important to have and when to start cancer screening varies depending on your age, sex, racial and ethnic background and family history. Your health and lifestyle matter, too. Experts agree, for example, that all women age 50 and older should have an annual mammogram (breast X-ray). Yet some women could benefit from starting breast cancer screening earlier or possibly having additional imaging tests. Talk to your doctor about the best screening schedule for you.

Talk to your doctor about screening.

Ask your doctor three questions: Which screening tests are important for you to have? When should you start? How often should you have these tests?

Quit tobacco

Tobacco will cause an estimated 171,600 cancer deaths this year. That doesn’t even cover heart disease, stroke, emphysema, asthma and other ailments to which tobacco contributes. See if your employer or community sponsors a free or low-fee program to help you quit. Check with your health plan and doctor, too. Or try the Somking Quit Line (1-877-448-7848 or www.smokefree.gov) for more information on quitting.

Check the scale

Aim for a healthy weight. Paring off 100 calories a day — that’s a few cookies or two-thirds of a sugar-sweetened soda — by eating less or exercising more can help you lose 10 pounds a year. See the Blue Cross Blue Shield of Massachusetts website (www.ahealthyme.com) for diet and exercise information.

Get moving

Bounding through life lessens the likelihood of obesity and certain cancers, including colon and breast cancer. Encourage children and teens to engage in moderate to vigorous activities an hour a day at least five days a week. Adults should rack up 30-60 minutes a day at least five days a week.

Eat well

The ACS recommends varied, colorful vegetables and fruit (at least fivedaily servings), whole grains (whole wheat, oatmeal and more), and balancing calories in with calories out to maintain a healthy weight. Limit red or processed meats, such as beef, cold cuts and hot dogs.

Watch alcoholic beverages

Overuse of alcohol contributes to liver, breast and oral cancers. Limit alcohol to two drinks or less for men, one drink or less for women, per day.