Peer Support as an Ideal Solution for Racial/Ethnic Disparities in Colorectal Cancer Screening: Evidence from a Systematic Review and Meta-analysis

Hu, Jieman; Wu, Yue; Ji, Fujian; Fang, Xuedong; Chen, Fangfang

doi:10.1097/dcr.0000000000001611

Cited by 19 publications

(28 citation statements)

References 45 publications

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“…Through the mediation analyses, we found that social networking participation fully mediates the negative impact of online health information seeking on effective screening. However, this result is inconsistent with some previous studies which showed that social media engagement could promote positive healthy behavior [38][39][40].…”

Section: Determinants and Mechanisms Of Ccscontrasting

confidence: 99%

Health Disparity in Effective Cervical Cancer Screening: Findings from a National Survey of U.S.

Zheng

Zhou

2021

Preprint

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Background: Cervical cancer is one of the most common causes of cancer death for women, but it can often be detected early and sometimes even prevented entirely by having regular tests. An effective way to prevent cervical cancer is to have screening tests. Even though cervical cancer screening programs are implemented in many countries and regions especially in developed countries, cervical cancer incidence has not been effectively controlled and there is still certain health disparity in the population. Inappropriate screening frequency may be the cause of the health disparity. Methods: Drawing on the data from the 2017 Health Information National Trends Survey (Cycle5.1), a national survey conducted by the National Cancer Institute (NCI), we characterized cervical cancer screening (CCS) as two dimensions by the item of screening frequency, namely, active screening and effective screening. We compared the differences between these two screening behavior applying ordered logistic regression and binary logistic regression, and explored the mechanisms of effective screening. Results: The impact factors differed between active screening and effective screening based on theory. Only self-efficacy (β=0.16, p=0.023) had a positively significant association with active screening behavior and both online health information seeking (β=-0.102, p<0.001) and social media participation (β=-0.466, p=0.001) negatively and significantly influenced effective screening behavior. Second, a theory-based mechanism of effective screening behavior found that traditional health perception factors no longer influence effective screening behavior, while environmental factors (social media) significantly reduce women's effective screening. In addition, the higher the level of education, the less inclined to conduct effective screening, but the more inclined to active screening for cervical cancer. Conclusions: Our results indicate that while the Internet has become the main channel through which women acquire health resources, and social media has become a main platform for people to obtain health information, online information cannot guide people to engage in appropriate healthy behaviors. Overloading of online health information and digital divide may cause excessive screening or screening avoidance. Consequently, we must pay attention to the health disparity caused by unreasonable health behaviors caused by factors such as environmental factors and the divide in the use of IT.

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Section: Determinants and Mechanisms Of Ccscontrasting

confidence: 99%

Health Disparity in Effective Cervical Cancer Screening: Findings from a National Survey of U.S.

Zheng

Zhou

2021

Preprint

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“…Nonetheless, there were promising positive effects on stress management, quality of life and healthy behaviors. This study was followed [73] by a systematic review and meta-analysis of peer counselling to compensate for racial/ethnic disparities in colorectal cancer screening. Low implementation of such screening in ethnic minorities was the main reason for disparities in morbidity and mortality.…”

Section: Medical Conditionsmentioning

confidence: 99%

Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews

Topping

2022

IJERPH

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Peer education and peer counselling for health and wellbeing have been recognized as complementary approaches to professional intervention for over 50 years, but it is relatively recently that research into effects has become adequate. Potentially, they have advantages in reaching where professionals cannot, but it has not been clear if that potential is fulfilled, although the measurement of effects is difficult. The present paper examines 58 narrative and systematic reviews and meta-analyses on the topic. In peer education, there were many reviews of sexual health and of HIV/AIDS interventions, followed by reviews of various medical conditions and in the context of prisons. More general reviews covered a wider field. In peer counselling, there were several reviews of breast-feeding and mental health. Many early reviews complained of the lack of evaluation; then, later reviews found knowledge gains but not behavior gains; then, still later reviews found both knowledge and behavior gains. Thus, peer education and counselling appear effective but only if organizational factors are well managed and the cultural context of the country respected. The implications for future practice, policy and research were outlined.

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“…Previous systematic reviews on effectiveness of peer support provide limited evidence or do not focus exclusively on empowerment dimensions, cancer and peer support. 10,[32][33][34][35][36][37][38][39][40] Therefore, the aim of the present systematic review is to provide an overview of findings from observational and interventional studies regarding the association of participation in cancer PSGs and/or dyadic peer support with the empowerment dimensions as defined by Zimmerman. This review has conceptually been guided by three preliminary considerations. Firstly, untrained peer leaders often feel overstrained in meeting the complex needs of leadership.…”

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confidence: 99%

Empowerment in cancer patients: Does peer support make a difference? A systematic review

et al. 2022

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Objective Empowerment is critical for cancer patients to make informed choices, to manage medication, and to navigate through the oncological care system. Cancer peer support provides patients with information, emotional relief and may promote empowerment. This paper provides a systematic review of the literature examining the impact of cancer peer support interventions on psychological empowerment. Methods PubMed, Web of Science, CINAHL, Cochrane Library, PsycINFO and PSYNDEX databases were systematically searched from inception until December 2020. We included quantitative studies, published in English or German, which examined peer‐led cancer support interventions and their impact on the three components of psychological empowerment (intrapersonal, interactional and behavioural) among participating cancer patients. Results Database searches and screening of relevant reference lists identified 2336 potentially relevant articles. A total of 29 studies were included in the review. Active coping, self‐efficacy and knowledge were the most prominent dimensions of empowerment in these studies. The majority of studies revealed that peer support led to a small to medium, significant increase in psychological empowerment, and was associated with further patient‐reported benefits. Conclusions The existing evidence suggests a weak to moderate, positive association between cancer peer support and the three components of psychological empowerment among cancer patients. Peer support groups should be seen as an important element in cancer care and clinical practice and, thus, be more systematically involved in cancer care.

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Peer Support as an Ideal Solution for Racial/Ethnic Disparities in Colorectal Cancer Screening: Evidence from a Systematic Review and Meta-analysis

Cited by 19 publications

References 45 publications

Health Disparity in Effective Cervical Cancer Screening: Findings from a National Survey of U.S.

Health Disparity in Effective Cervical Cancer Screening: Findings from a National Survey of U.S.

Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews

Empowerment in cancer patients: Does peer support make a difference? A systematic review

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