The Journal of urology
The impact of social determinants of health was brought front and center with the COVID-19 pandemic.1 However, structural inequality is neither new nor limited to pandemics. For example, within urology, increasing data show that Black men with prostate cancer have the same or better outcomes as other races when there is equal access to health care.2 Neighborhood and physical environment are key parts of social determinants of health.3 From a risk standpoint, urothelial cancer is strongly associated with carcinogen exposure. While tobacco and occupational exposures are best defined, the impact of environmental exposure has been more difficult to quantify. In this study, Yankelevich et al utilize geospatial analytics in metropolitan Philadelphia to evaluate environmental exposure and urothelial carcinoma, with notable findings.
Westerman, Mary E., "Editorial Comment" (2021). School of Medicine Faculty Publications. 412.