Multiplicative advantages of hispanic men living in hispanic enclaves: Intersectionality in colon cancer care: A research note

Abstract

We examined Hispanic enclave paradoxical effects on cancer care among socioeconomically vulnerable people in pre-Obamacare California. We conducted a secondary analysis of a historical cohort of 511 Hispanic and 1,753 non-Hispanic white people with colon cancer. Hispanic enclaves were neighborhoods where 40% or more of the residents were Hispanic, mostly first-generation Mexican American immigrants. An interaction of ethnicity, gender, and Hispanic enclave status was observed such that the protective effects of living in a Hispanic enclave were larger for Hispanic men, particularly married Hispanic men, than women. Risks were also exposed among other study groups: The poor, the inadequately insured, Hispanic men not residing in Hispanic enclaves, Hispanic women, and unmarried people. Implications for the contemporary health care policy debate are discussed.