International evidence suggests migrants experience inequitable access, outcomes and treatment quality across the cancer care continuum. There is currently limited research assessing equity across the cancer care continuum for culturally and linguistically diverse migrants living in Australia. A detailed protocol and search strategy were developed and used to identify all relevant literature, utilising the Joanna Briggs Institute Reviewer’s Manual. Systematic searching was conducted via multiple databases and identified studies were screened against pre-identified inclusion and exclusion criteria. 71 studies met the inclusion criteria for analysis. Most studies examined cancer detection via screening. Very few studies examined cancer prevention, diagnosis, treatment or palliative care. Most studies focused on patient-sided barriers to care and there was a paucity of information regarding institutional barriers to health. Cancer-related outcomes were seldom examined, and most studies were qualitative or behavioral analysis. Results highlighted significant communication issues spanning the cancer care continuum and a context of inadequate support for both patients and clinicians. There is a demonstrable need to examine equity in access and outcomes for culturally and linguistically diverse cancer populations. This requires the identification of cancer-related disparities and an examination of institutional barriers to care. Through addressing this dearth of information, future research and health policy can support the operationalisation of health equity.
Multiple scales have been developed to measure HIV-related stigma among healthcare providers in lower and middle-income countries. As part of this study to measure HIV stigma in healthcare providers in Australia, we conducted a systematic search to identify and evaluate existing tools designed to measure HIV-related Knowledge, Attitudes and Practices (KAPs) among healthcare providers in higher-income countries. Seven studies were identified that quantitatively assessed perceived HIV stigma among healthcare providers from the patient and/or provider perspectives, including HIV stigma as a primary outcome. These seven studies identified adapted forms of four HIV stigma scales. Assessment of HIV stigma among providers is valuable to better understand how this phenomenon may adversely impact health outcomes, and to inform interventions to reduce stigma and improve healthcare. Developing provider-centred stigma-reduction interventions may also help advance international HIV prevention and care goals.
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