Video

Dr Moon S. Chen Jr: Culture and Behavior as Population Determinants of Cancer Outcomes

Two of the most important determinants of cancer outcomes are the culture and behavior of both the provider and the patient, explained Moon S. Chen Jr, PhD, MPH, professor of hematology and oncology at UC Davis Comprehensive Cancer Center and principal investigator of The National Center for Reducing Asian American Cancer Health Disparities.

Two of the most important determinants of cancer outcomes are the culture and behavior of both the provider and the patient, explained Moon S. Chen Jr, PhD, MPH, professor of hematology and oncology at UC Davis Comprehensive Cancer Center and principal investigator of The National Center for Reducing Asian American Cancer Health Disparities.

Transcript (slightly modified)

How do population determinants of risk contribute to disparities in cancer outcomes?

That’s a very important question. By population determinants, I mean those major influencers that affect cancer outcomes. I believe that the 2 most important determinants are culture and behavior. Culture, another word for it might be norms, the traditions by which people have been brought up, and so those norms determine behaviors, and behaviors determine cancer outcomes.

We’ve got to look at it from 2 points of view. One is the provider, and secondly, the patient. From all the research we know that it is the provider who’s the most important influence on the care and quality of the patient’s care, so that if the provider took the initiative to aggressively seek the appropriate care for the individual, more than likely the patient’s going to follow through.

Now from the patient’s perspective, the culture and behavior. When the patient hears about what needs to be done, then it goes through the filter of culture and societal influences, and so I think that’s the extent to which it governs. I can give you some good examples of how both of those influences have worked.

Take for instance the norm of nonsmoking. Nonsmoking now is the norm, and all the societal influences including the environment and including the legislation and restrictions, all favor never smoking or nonsmoking. And so this is an example where an environmental influence can be the, shall we say, the culture that determines the behavior, which is not to smoke or to hopefully never start.

Another example might be, let’s say seatbelts. Seatbelt usage is another kind of a norm that has of course saved lives. So those are some examples of the population determinants.

Now, I focus on tobacco because tobacco is the single most important preventable cause of death, and so that I use as a case of what has worked. The tremendous declines in lung cancer rates are proof that it has worked.

Related Videos
Kimberly Westrich, MA, chief strategy officer at the National Pharmaceutical Council
Sam Peasah, PhD, MBA, RPh, director for the Center of High-Value Health Care at the University of Pittsburgh Medical Center
Jawad Haider Butt, MD, PhD
Laura Bobolts, PharmD, BCOP, senior vice president of clinical strategy and growth at OncoHealth
Barry Byrne, MD, PhD, Powell Gene Therapy Center at the University of Florida
JC Scott, CEO and president, PCMA
Caspian Oliai, MD, MS, a medical oncologist and hematologist and medical director of the UCLA Bone Marrow Transplantation Stem Cell Processing Center
Neha Kashalikar, PharmD, director of strategic pharmacy consulting, MassHealth
Adam Colburn, JD, vice president for congressional affairs, AMCP
Katrina Ortblad, ScD, MPH, Fred Hutch Cancer Center
Related Content
AJMC Managed Markets Network Logo
CH LogoCenter for Biosimilars Logo