Le territoire, générateur d’inégalités face aux cancers

Fayet, Yohan; Chasles, Virginie; Ducimetière, Françoise; Ray-Coquard, Pr Isabelle

doi:10.4000/rfst.700

Cited by 3 publications

(2 citation statements)

References 69 publications

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“…In the United States, Yu [ 11 ] found that women living in the most socioeconomically disadvantaged areas have a statistically higher risk of dying from cancer. In France, research has shown that the residents of disadvantaged neighborhoods, or rural areas with low medical density, have less access to screening and are diagnosed with more advanced cancer [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of geographic access and socioeconomic characteristics on breast cancer outcomes: A systematic review

et al. 2022

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Socio-economic and geographical inequalities in breast cancer mortality have been widely described in European countries and the United States. To investigate the combined effects of geographic access and socio-economic characteristics on breast cancer outcomes, a systematic review was conducted exploring the relationships between: (i) geographic access to healthcare facilities (oncology services, mammography screening), defined as travel time and/or travel distance; (ii) breast cancer-related outcomes (mammography screening, stage of cancer at diagnosis, type of treatment and rate of mortality); (iii) socioeconomic status (SES) at individuals and residential context levels. In total, n = 25 studies (29 relationships tested) were included in our systematic review. The four main results are: The statistical significance of the relationship between geographic access and breast cancer-related outcomes is heterogeneous: 15 were identified as significant and 14 as non-significant. Women with better geographic access to healthcare facilities had a statistically significant fewer mastectomy (n = 4/6) than women with poorer geographic access. The relationship with the stage of the cancer is more balanced (n = 8/17) and the relationship with cancer screening rate is not observed (n = 1/4). The type of measures of geographic access (distance, time or geographical capacity) does not seem to have any influence on the results. For example, studies which compared two different measures (travel distance and travel time) of geographic access obtained similar results. The relationship between SES characteristics and breast cancer-related outcomes is significant for several variables: at individual level, age and health insurance status; at contextual level, poverty rate and deprivation index. Of the 25 papers included in the review, the large majority (n = 24) tested the independent effect of geographic access. Only one study explored the combined effect of geographic access to breast cancer facilities and SES characteristics by developing stratified models.

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Section: Introductionmentioning

confidence: 99%

Influence of geographic access and socioeconomic characteristics on breast cancer outcomes: A systematic review

et al. 2022

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“…Inequalities in cancer prevalence and survival have been widely highlighted by various studies [ 1 , 2 , 3 , 4 ] that have shown social and territorial disparities [ 5 , 6 ]. Other studies have also highlighted inequalities in access to care, particularly with regard to delays in screening and initiation of cancer treatments (surgery, chemotherapy, radiotherapy, etc.)…”

Section: Introductionmentioning

confidence: 99%

Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum

Baumgart

Kane

Pelletier

et al. 2022

Cancers

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(1) Background: While inequalities in the prevalence of cancer, access to care, and survival have been well documented, less research has focused on inequalities in the uptake of supportive oncology care. Given its contribution to improving the quality of life of people affected by cancer, access to such care is a major public health issue. The present study focuses on the access and uptake of those supportive oncology care services. (2) Methods: This study is based on qualitative research methodology, using a thematic analysis tree on NVivo© analysis software. First, an exploratory survey was conducted with users of oncology services, and professionals from these services and supportive oncology care. Then, individual interviews were conducted in June 2022 among people who are currently being treated or have been treated for cancer. (3) Results: The experiences of the 33 respondents revealed that significant variations in the uptake of supportive oncology care are underpinned by identifiable disparities in their healthcare pathways: in their assimilation of information, difficulties in accessing oncology care, personal reluctance and motivations, perceived needs and benefits, and use of other medicines. (4) Conclusion: This study aims to gain some insight into disparities in the uptake of supportive care in the Centre-Val de Loire region (France). Thus, it provides a better understanding of the complex ways in which these inequalities in supportive oncology care uptake are constructed.

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Analyse et enjeux de la métropolisation des soins de cancer en France

Fayet¹,

Drouet²,

Lucas-Gabrielli³

et al. 2022

cybergeo

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Le territoire, générateur d’inégalités face aux cancers

Abstract: Ce document a été généré automatiquement le 6 avril 2021.La Revue francophone sur la santé et les territoires est mise à disposition selon les termes de la Licence Creative Commons Attribution -Pas d'Utilisation Commerciale -Partage dans les Mêmes Conditions 4.0 International.

Cited by 3 publications

References 69 publications

Influence of geographic access and socioeconomic characteristics on breast cancer outcomes: A systematic review

Influence of geographic access and socioeconomic characteristics on breast cancer outcomes: A systematic review

Understanding Inequalities in the Uptake of Supportive Care to Improve Practices in the Cancer Care Continuum

Analyse et enjeux de la métropolisation des soins de cancer en France

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