Inequalities in health? An update on the effect of social deprivation for patients with breast cancer in South East Wales

Boyce, Kathryn; White, C.; Hunt, Patricia G.; Abel, N.; James, Z.; Micic, Thomas; Gomez, KF

doi:10.1016/j.surge.2018.05.004

Cited by 3 publications

(2 citation statements)

References 27 publications

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“… 11 , 12 , 13 , 14 , 15 , 16 Compared to the general population, lower breast screening attendance rates and breast cancer survival rates have been found in women within social and cultural groups in Wales and elsewhere, such as women from minority ethnic groups, with disabilities and from socially deprived areas. 17 , 18 , 19 …”

Section: Introductionmentioning

confidence: 99%

“…A wide range of factors have been identified, including personal (age, English speaking; ethnicity), socioeconomic (income; insurance), psychological (anxiety), cognitive (attitudes; beliefs; knowledge; intellectual capacity) and structural or organizational barriers 11–16 . Compared to the general population, lower breast screening attendance rates and breast cancer survival rates have been found in women within social and cultural groups in Wales and elsewhere, such as women from minority ethnic groups, with disabilities and from socially deprived areas 17–19 …”

Section: Introductionmentioning

confidence: 99%

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A consensus approach: Understanding the support needs of women in Newport West, Wales, to participate in breast screening

Wallace

Kenkre

2023

Health Expectations

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Introduction Breast screening is an effective way to improve the early detection of breast cancer and reduce mortality. Unfortunately, low uptake of screening is often reported. This study aimed to explore the support needs of women residing in Newport West, Wales, to participate in breast screening. Methods Group Concept Mapping, a structured participatory consensus approach, was used as the method. Participants completed three activities either online or offline: brainstorming to generate statements, sorting statements into themed categories; rating statements for perceived importance and accessibility (easy to get). Results Thirty‐seven participants from seven ethnic groups took part. Sixty‐three statements (items of support) were generated and sorted into seven conceptually similar clusters (themes) (Trusting that I will be respected; Reassurance about my experience; Accessibility and convenience; Practical support; Addressing cultural diversity; Information tailored to individual needs; Raising awareness and understanding of breast screening). The ‘Trusting that I will be respected’ cluster was rated most important, while the ‘Practical support’ cluster was rated least accessible. Some disparity between responses was found based on ethnicity, language, disability and previous attendance of breast screening. Conclusions Women require a range of support to participate in breast screening. The results highlight the importance of ensuring women feel and are respected, instilling trust in the staff performing the screening, offering reassurance about positive experiences of breast screening and providing practical support, especially individualized/targeted support for people who do not speak and/or read English and those with a disability. Patient or Public Contribution The public contributed to the development of the information sheet, consent form, recruitment and data collection method.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A consensus approach: Understanding the support needs of women in Newport West, Wales, to participate in breast screening

Wallace

Kenkre

2023

Health Expectations

View full text Add to dashboard Cite

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Addressing disparities and challenges in underserved patient populations with metastatic breast cancer in Europe

Vrdoljak

Gligorov

Wierinck³

et al. 2021

The Breast

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People with metastatic breast cancer face many challenges and disparities in obtaining optimal cancer care. These challenges are accentuated in underserved patient populations across Europe, who are less likely to receive quality healthcare for reasons including socioeconomic inequalities, educational or cultural status, or geographic location. While there are many local and national initiatives targeted to address these challenges, there remains a need to reduce disparities and improve access to healthcare to improve outcomes, with a focus on multidisciplinary stakeholder engagement. In October 2019, a range of experts in metastatic breast cancer, including healthcare professionals, patient representatives, policymakers and politicians, met to discuss and prioritize the critical needs of underserved patient populations with metastatic breast cancer in Europe. Six key challenges faced by these communities were identified: the need for amplification of the metastatic breast cancer patient voice, better and wider implementation of high-quality guidelines for metastatic breast cancer, more collaboration between stakeholders, tailored support for patients from different cultural and ethnic backgrounds, improved data sharing, and work-related issues. The Expert Panel then conceived and discussed potential actionable goals to address each key challenge. Their conclusions present a set of interrelated approaches to address the different challenges and could serve as the basis for concerted improvement of the lives of patients with metastatic breast cancer in Europe.

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Screen-detected breast cancer and cancer stage by area-level deprivation: a descriptive analysis using data from the National Cancer Registry Ireland

White,

Brennan,

McDevitt

et al. 2024

European Journal of Public Health

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Breast cancer screening programmes can lead to better disease outcomes, but women from deprived backgrounds are less likely to participate and more likely to present with late-stage cancer. This study aimed to explore associations between deprivation and breast cancer screening outcomes in Ireland during 2009–2018. Data on all female breast cancer cases diagnosed in Ireland during 2009–2018 were extracted from the National Cancer Registry Ireland. Associations between area-level deprivation, using the Pobal Haase-Pratschke deprivation index, and detection of breast cancer through BreastCheck, Ireland’s breast screening programme, and stage of screen-detected breast cancer were explored. Unadjusted risk ratios (RRs) and 95% confidence intervals (CIs) were calculated. Among screening eligible women in Ireland in 2009–2018, there was no difference in risk of breast cancer detection through BreastCheck across deprivation quintiles (RR for most compared to least deprived group: 1.01, 95% CI: 0.96–1.06). In women with screen-detected breast cancer, the risk of late-stage cancer detection increased with deprivation in 2009–2013 (RR for most compared to least deprived group: 1.45, 95% CI: 1.10–1.93), but no association was observed between deprivation and cancer stage in 2014–2018. Notwithstanding its limitations, including the risk of confounding by uncontrolled variables, this study suggests screening eligible women in Ireland have had similar outcomes from breast cancer screening, regardless of deprivation level, since the national roll-out of BreastCheck. Associations between deprivation and screening outcomes should continue to be monitored to ensure Ireland’s breast cancer screening programme is helping to reduce health inequities.

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Inequalities in health? An update on the effect of social deprivation for patients with breast cancer in South East Wales

Cited by 3 publications

References 27 publications

A consensus approach: Understanding the support needs of women in Newport West, Wales, to participate in breast screening

A consensus approach: Understanding the support needs of women in Newport West, Wales, to participate in breast screening

Addressing disparities and challenges in underserved patient populations with metastatic breast cancer in Europe

Screen-detected breast cancer and cancer stage by area-level deprivation: a descriptive analysis using data from the National Cancer Registry Ireland

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