来自一个混合方法系统性评论的证据显示,在英国,黑人、亚洲人和少数民族妇女参加乳腺和宫颈癌筛查方面面临障碍。
Barriers to breast and cervical cancer screening uptake among Black, Asian, and Minority Ethnic women in the United Kingdom: evidence from a mixed-methods systematic review.
发表日期:2023 Apr 22
作者:
Obasanjo Afolabi Bolarinwa, Nicole Holt
来源:
MEDICINE & SCIENCE IN SPORTS & EXERCISE
摘要:
癌症目前是全球死亡率最高的原因,2020年新的癌症病例估计为1930万,几乎有1000万人死亡。在欧洲,少数族裔或边缘化群体的妇女乳腺和宫颈癌发病率和死亡率的普及仍然是一个公共卫生问题,因为他们不愿进行癌症筛查。因此,本研究利用混合方法系统综述来确定英国黑人、亚洲人和少数民族妇女进行乳腺和宫颈筛查的障碍。包括PubMed、CINAHL、British Nursing Index、Web of Science、EMBASE和Scopus数据库在内的数据库,系统地搜索了2010年1月至2022年7月之间发表在英文期刊上的有关英国黑人、亚洲人和少数民族妇女进行乳腺和宫颈筛查障碍的研究。本混合方法系统综述遵循了关于系统综述和meta分析的报道项目的优选报告要求,使用了集群映射方法来确定和分类障碍物的主题。本综述共包括13篇符合条件的研究。其中7项采用数量交叉研究设计,6项采用定性交叉研究设计。这些研究在英国全境开展。研究从集群映射中发展了5个主题,确定了34个子主题的关于黑人、亚洲人和少数民族妇女在英国进行乳腺和宫颈癌筛查的障碍。在障碍的相关主题方面,包括社会人口特征、卫生服务提供、文化、宗教和语言、认识和意识差距,以及情感、性和家庭支持。研究得出结论,社会人口特征、卫生服务提供、文化、宗教和语言、认识和意识差距,以及情感、性和家庭支持的障碍物是英国黑人、亚洲人和少数民族妇女不接受乳腺和宫颈癌筛查的原因。减少或消除这些障碍将有助于在英国及时进行乳腺和宫颈癌筛查的好处。©2023年作者。
Cancer is currently the leading cause of mortality globally, with new cancer cases estimated at 19.3 million and almost 10 million deaths in 2020. Specifically, breast and cervical cancer incidence and mortality prevalence among women of the minority group or marginalised populations in Europe have continued to be a public health concern due to the low uptake of cancer screening. Thus, this study utilised a mixed-method systematic review to identify barriers to breast and cervical screening uptake among Black, Asian, and Minority Ethnic women in the United Kingdom.Databases including PubMed, CINAHL, British Nursing Index, Web of Science, EMBASE, and Scopus databases, were systematically searched for studies on barriers to breast and cervical screening uptake among Black, Asian, and Minority Ethnic women in the United Kingdom published in English between January 2010 to July 2022. This mixed-method systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in reporting the included studies' results. The cluster mapping approach was used to identify and classify the barriers into themes.Thirteen eligible studies were included in this current review. Seven of the thirteen studies used quantitative cross-sectional research design, while six used qualitative cross-sectional research design. These studies were conducted across the United Kingdom. Five themes were developed from the cluster mapping, and thirty-four sub-theme barriers to the uptake of breast and cervical cancer screening among Black, Asian, and Minority Ethnic women in the United Kingdom were identified. The developed themes in relation to the barriers include; socio-demographic characteristics, health service delivery, cultural, religious & language, the gap in knowledge & awareness, and emotional, sexual & family support.The study concluded that barriers in socio-demographic characteristics, health service delivery, cultural, religious and language, the gap in knowledge & awareness, and emotional, sexual & family support were identified as non-uptake of breast and cervical cancer screening among Black, Asian, and Minority Ethnic women in the United Kingdom. Reducing or eliminating these barriers would improve the benefits of timely breast and cervical cancer screening in the United Kingdom.© 2023. The Author(s).