Eur J Cancer Prev

OBJECTIVEWe examined effects of race/ethnicity and neighborhood, a proxy of socioeconomic status, on cancer incidence in New York City neighborhoods: East Harlem (EH), Central Harlem (CH), and Upper East Side (UES).METHODSIn this ecological study, Community Health Survey (CHS) data (2002\u20132006) and New York State Cancer Registry incidence data (2007\u20132011) were stratified by gender, age, race/ethnicity, and neighborhood. Logistic regression models were fitted to each cancer incidence rate with race/ethnicity, neighborhood, and CHS-derived risk factors as predictor variables.RESULTSNeighborhood was significantly associated with all cancers and 14 out of 25 major cancers. EH and CH residence conferred higher risk of all cancers compared to UES (OR=1.34; CI: 1.07, 1.68 and OR=1.39; CI: 1.12, 1.72, respectively). Prevalence of diabetes and tobacco smoking were the largest contributors to high cancer rates.CONCLUSIONSDespite juxtaposition and similar proximity to medical centers, cancer incidence disparities persist among EH, CH, and UES neighborhoods. Targeted, neighborhood-specific outreach may aid in reducing cancer incidence rates.P30 ES023515/ES/NIEHS NIH HHS/United StatesU48 DP005008/DP/NCCDPHP CDC HHS/United States2017-07-01T00:00:00Z26186470PMC4715792vault:2767