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Place Is Power: Investing in Communities as a Systemic Leverage Point to Reduce Breast Cancer Disparities by Race

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  • Matthew Jay Lyons

    (WellStar College of Health and Human Services, Kennesaw State University, Kennesaw, GA 30144, USA)

  • Senaida Fernandez Poole

    (Office of the President, California Breast Cancer Research Program, University of California, Oakland, CA 94607, USA)

  • Ross C. Brownson

    (Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA
    Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Washington University, St. Louis, MO 63110, USA
    Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO 63110, USA)

  • Rodney Lyn

    (School of Public Health, Georgia State University, Atlanta, GA 30302, USA)

Abstract

Racial disparities in breast cancer present a vexing and complex challenge for public health. A diverse array of factors contributes to disparities in breast cancer incidence and outcomes, and, thus far, efforts to improve racial equity have yielded mixed results. Systems theory offers a model that is well-suited to addressing complex issues. In particular, the concept of a systemic leverage point offers a clue that may assist researchers, policymakers, and interventionists in formulating innovative and comprehensive approaches to eliminating racial disparities in breast cancer. Naming systemic racism as a fundamental cause of disparities, we use systems theory to identify residential segregation as a key leverage point and a driver of racial inequities across the social, economic, and environmental determinants of health. We call on researchers, policymakers, and interventionists to use a systems-informed, community-based participatory approach, aimed at harnessing the power of place, to engage directly with community stakeholders in coordinating efforts to prevent breast cancer, and work toward eliminating disparities in communities of color.

Suggested Citation

  • Matthew Jay Lyons & Senaida Fernandez Poole & Ross C. Brownson & Rodney Lyn, 2022. "Place Is Power: Investing in Communities as a Systemic Leverage Point to Reduce Breast Cancer Disparities by Race," IJERPH, MDPI, vol. 19(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:632-:d:718919
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    References listed on IDEAS

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    1. David R. Williams & Lisa A. Cooper, 2019. "Reducing Racial Inequities in Health: Using What We Already Know to Take Action," IJERPH, MDPI, vol. 16(4), pages 1-26, February.
    2. Grann, Victor & Troxel, Andrea B. & Zojwalla, Naseem & Hershman, Dawn & Glied, Sherry A. & Jacobson, Judith S., 2006. "Regional and racial disparities in breast cancer-specific mortality," Social Science & Medicine, Elsevier, vol. 62(2), pages 337-347, January.
    3. Geronimus, A.T. & Hicken, M. & Keene, D. & Bound, J., 2006. ""Weathering" and age patterns of allostatic load scores among blacks and whites in the United States," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 826-833.
    4. Gabriella M. McLoughlin & Eric M. Wiedenman & Sarah Gehlert & Ross C. Brownson, 2020. "Looking beyond the Lamppost: Population-Level Primary Prevention of Breast Cancer," IJERPH, MDPI, vol. 17(23), pages 1-11, November.
    5. Farmer, Melissa M. & Ferraro, Kenneth F., 2005. "Are racial disparities in health conditional on socioeconomic status?," Social Science & Medicine, Elsevier, vol. 60(1), pages 191-204, January.
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    1. Janet Gray & Carrie Petrucci & Connie Engel & Nyisha Green-Washington & Nancy Buermeyer, 2024. "Development of Systemic Interventions to Decrease Breast Cancer Risk: A Group Concept Mapping Study," IJERPH, MDPI, vol. 21(3), pages 1-18, March.

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