Culture Is Key: Engaging Culturally and Linguistically Diverse Populations in Breast Cancer Screening in High Income Contexts: A Scoping Review

IF 3.1 2区医学 Q2 ONCOLOGY

Cancer Medicine Pub Date : 2025-03-28 DOI:10.1002/cam4.70817

Karla Jaques, Thomas Baker, Deepak Maharaj, Mohammed Fazli, Mandy Williams, Patrick Harris

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Abstract

Background

Breast cancer is the most commonly diagnosed cancer in Australia and is the second highest cause of cancer mortality in Australian women. Screening in the form of mammography can significantly reduce mortality; however, research suggests that women from culturally and linguistically diverse (CALD) backgrounds are less likely to participate in mammography screening. While there is an established body of literature describing the lower engagement of CALD populations in screening and the associated challenges they face, less is known about evidence-based interventions to improve engagement.

Methods

A systematic scoping review was conducted to gain insights into best practice interventions to improve engagement of CALD populations in breast cancer screening. The search strategy followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. PUBMED, EMBASE and CINHAL databases were searched for studies published between January 2012 and October 2023.

Results

The search yielded 3249 studies; after removing duplicates, 2011 titles and abstracts were screened, and 121 papers underwent full text review. Forty-one were included in the review. Key intervention types were identified, with combination or multi-component studies being most effective at increasing mammography in CALD populations. Cultural appropriateness and tailoring are the most important considerations to be integrated into screening programs.

Conclusion

CALD populations have lower engagement and experience many challenges in accessing screening services. This review found that the integration of cultural appropriateness and tailoring is critical in the successful delivery of breast screening services to CALD populations. Individual strategies are insufficient to engage this population in screening; multicomponent strategies are the most effective.

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文化是关键：在高收入背景下参与文化和语言多样化人群的乳腺癌筛查：范围审查

乳腺癌是澳大利亚最常见的癌症，也是澳大利亚妇女癌症死亡率的第二大原因。乳房x光检查可以显著降低死亡率；然而，研究表明，来自不同文化和语言背景（CALD）的女性不太可能参加乳房x光检查。虽然已有大量文献描述了CALD人群在筛查中的参与度较低以及他们面临的相关挑战，但对改善参与度的循证干预措施知之甚少。方法进行系统的范围回顾，以获得最佳实践干预措施的见解，以提高CALD人群参与乳腺癌筛查。搜索策略遵循系统评价和荟萃分析扩展范围评价（PRISMA-ScR）指南的首选报告项目。检索了2012年1月至2023年10月间发表的PUBMED、EMBASE和CINHAL数据库。结果共检索到3249篇研究；剔除重复后，筛选了2011篇论文的标题和摘要，对121篇论文进行了全文审阅。其中41人被纳入综述。确定了关键干预类型，联合或多组分研究在增加CALD人群的乳房x光检查方面最有效。文化适宜性和量身定制是纳入筛查计划的最重要考虑因素。结论CALD人群参与程度较低，在获得筛查服务方面面临诸多挑战。本综述发现，文化适宜性和个性化的结合对于向CALD人群成功提供乳房筛查服务至关重要。个体策略不足以使这一人群参与筛查；多成分策略是最有效的。

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来源期刊

Cancer Medicine ONCOLOGY-

CiteScore

5.50

自引率

2.50%

发文量

907

审稿时长

19 weeks

期刊介绍： Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.