Applying the Archetype Approach to Understand the Role of Healthcare Context in Colorectal Cancer Disparities

Principal Investigator:
Salma Shariff-Marco, Ph.D., Scarlett Lin Gomez, Ph.D., Iona Cheng, Ph.D.
Funding Source:
National Cancer Institute, National Institute of Health
Funding Period:
Study Website:

Colorectal cancer is the 3rd most common cancer and the 3rd leading cause of death in the United States. Although several studies have consistently found that people with lower social economic status (SES) are more likely to be diagnosed with and die from colorectal cancer compared to their higher SES counterparts, there are still limited knowledge on how neighborhood SES influences colorectal cancer outcomes. This pilot study aims to fill this gap, building on our previous work, by developing neighborhood archetypes based on social and built environment attributes and incorporating contextual data on health care resources and access to characterize neighborhoods in California.  We are examining whether these archetypes are associated with colorectal cancer outcomes to identify sets of features that may be health promoting or detrimental. We expect this archetype measure to be used in identifying and prioritizing populations that would benefit from interventions aimed at improving colorectal cancer outcomes by addressing their neighborhood context, or how they use their neighborhood context, including health care attributes.


© Cancer Prevention Institute of California