title: Head and neck cancer disparities in South Carolina: descriptive epidemiology, early detection, and special programs.
abstract: Recognizing that relatively easily detected precancerous lesions precede many cancers, there is a need to investigate the effectiveness of early interventions on the reduction of incidence rates in well-designed large randomized control trials. If early detection can reduce mortality rates of OPCA, evaluation of the capacity of dentists and physicians to screen or detect precancerous lesions related to oral cancers may have merit. Presently, there is a paucity of research regarding ecological barriers in the healthcare system, and improving access to adequate dental and medical care among the rural minority population in South Carolina certainly deserves emphasis. Additional research, specific to South Carolina, which includes comprehensive assessment of multiple social, behavioral, and biological factors, is needed. Interdisciplinary collaboration will be particularly important to dissect key factors contributing to the racial disparities observed in South Carolina. These differences should be taken into account while recommending and implementing public health strategies for the control of these cancers.
authors.affiliation: Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, USA.
authors.forename: K Lawrence
authors.initials: KL
authors.lastname: Yen
authors.forename: Marie-Josephe D
authors.initials: MJ
authors.lastname: Horner
authors.forename: Susan G
authors.initials: SG
authors.lastname: Reed
authors.forename: Virginie G
authors.initials: VG
authors.lastname: Daguise
authors.forename: Susan W
authors.initials: SW
authors.lastname: Bolick-Aldrich
authors.forename: M Rita I
authors.initials: MR
authors.lastname: Young
authors.forename: Terry A
authors.initials: TA
authors.lastname: Day
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Wood
authors.forename: James R
authors.initials: JR
authors.lastname: Hebert
mesh_terms: D001741:Black or African American; D019058:Community Networks; D006258:Head and Neck Neoplasms / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D006297:Health Services Accessibility; D006801:Humans; D015994:Incidence; D011315:Preventive Medicine; D012959:Socioeconomic Factors; D013022:South Carolina / Q000453:epidemiology