Breast and Colorectal Cancer Screening Barriers Among Immigrants and Refugees: A Mixed-Methods Study at Three Community Health Centres in Toronto, Canada

Wang, A M Q; Yung, Eric M.; Nitti, N; Shakya, Yogendra; Alamgir, Ahmad; Lofters, Aisha

doi:10.1007/s10903-018-0779-5

Cited by 23 publications

(37 citation statements)

References 45 publications

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“…During postoperative chemotherapy, breast cancer patients will show a variety of symptoms, generally more than two, of which the incidence of bone marrow suppression can be as high as 70% ( 11 ). The results in Table 1 showed that the incidence and severity of bone marrow suppression in the control group increased significantly, reaching the highest peak after the third chemotherapy; while in the second and third chemotherapy, the adverse reactions of bone marrow suppression were lower than those in the control group.…”

Section: Discussionmentioning

confidence: 99%

Effect of Perceptual Stress Reduction Control Intervention on the Level of Symptoms in Breast Cancer at Different Time Points

Cao¹,

Li²,

Wang³

et al. 2020

ijph

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Background: To investigate the effect of perceptual stress reduction control intervention on the level of symptomatic groups at different time points in breast cancer. Methods: A total of 124 breast cancer patients were divided into intervention group and control group, 62 cases in each group. Perioperative nursing and chemotherapy nursing were given to the control group, and the intervention group was given the interventional stress reduction control intervention. The level of symptom clusters of different time points were compared between the two groups. Results: The incidence and severity of myelosuppression in the intervention group were slightly lower than those in the control group. The adverse reactions of bone marrow suppression at T3 were much lower than those in the control group, and the differences were significant (P=0.003, P=0.043). The control group had higher incidence and more severe symptoms of nausea, vomiting and diarrhea than the intervention group (P=0.002, P=0.042). The symptoms of breast pain and swelling at T1 in the intervention group were significantly lower than those in the control group (P=0.000, P=0.000). There was no significant difference in breast symptoms between the two groups at T2 and T3 (p>0.05). At the time of T2 and T3 of chemotherapy, the health promotion behavior scores of the intervention group were higher than the control group, and the difference was statistically significant (PT2=0.000, PT3=0.000). Conclusion: Perceptual stress reduction control intervention can effectively relieve bone marrow suppression, digestive tract discomfort and breast symptoms, and promote health promotion behavior.

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Section: Discussionmentioning

confidence: 99%

Effect of Perceptual Stress Reduction Control Intervention on the Level of Symptoms in Breast Cancer at Different Time Points

Cao¹,

Li²,

Wang³

et al. 2020

ijph

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“…Another high-risk health disparity group is immigrants, who, as an example, constitute approximately 20% of the Canadian population and significantly underutilize the health care system, especially cancer-screening programs, with an impact on cancer survival. 29,30 This underutilization can be due to a language barrier, education level, or poor socioeconomic status. Additional research must address these issues in sarcoma care in Canada and elsewhere.…”

Section: Ethnic and Racial Disparitiesmentioning

confidence: 99%

Disparities in Cancer Care: The Example of Sarcoma—In Search of Solutions for a Global Issue

Alcindor

Dumitra

Albritton

et al. 2021

American Society of Clinical Oncology Educational Book

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Disparities in health care have an adverse effect on the outcome of disadvantaged patients with cancer. Patients may be at a disadvantage because of geographic isolation; insurance status; or racial, ethnic, or other factors. In this article, we examine how disparities affect the care of patients with sarcoma in the United States, Canada, and the Asia-Pacific region. Because of the rarity of sarcomas and their challenging diagnosis and complex treatment patterns, some professional or national guidelines stipulate that patients with sarcoma should be treated at centers of expertise by multidisciplinary teams. This recommendation, based on published evidence, is not always applicable because of various sociopolitical or patient-related factors. We are proposing solutions to overcome these obstacles in a practical and patient-centered way while acknowledging that disparities exist among countries as well as within any country.

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“…American-Samoan men are eight-times more likely to develop liver cancer and American-Samoan women are twice as likely to develop, and die, from cervical cancer than ‘non-Hispanic white women’ [ 15 ]. Canadian research also demonstrates disparities for ethnic minority populations in access to screening, follow-up of abnormal findings, length of survival, quality of life, adherence to treatment regimens and quality of interactions with physicians [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Equity across the cancer care continuum for culturally and linguistically diverse migrants living in Australia: a scoping review

et al. 2021

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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.

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Breast and Colorectal Cancer Screening Barriers Among Immigrants and Refugees: A Mixed-Methods Study at Three Community Health Centres in Toronto, Canada

Cited by 23 publications

References 45 publications

Effect of Perceptual Stress Reduction Control Intervention on the Level of Symptoms in Breast Cancer at Different Time Points

Effect of Perceptual Stress Reduction Control Intervention on the Level of Symptoms in Breast Cancer at Different Time Points

Disparities in Cancer Care: The Example of Sarcoma—In Search of Solutions for a Global Issue

Equity across the cancer care continuum for culturally and linguistically diverse migrants living in Australia: a scoping review

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