Interventions to reduce cancer screening inequities: the perspective and role of patients, advocacy groups, and empowerment organizations

International Journal for Equity in Health

Research

Stacey Tinianov¹  Carole Baas²  Ignacio Ricci-Cabello³  Bianca Ferraiolo⁴  Lars Münter⁵  Zorana Maravic⁶  Mitchell Silva⁷  Jose M. Valderas⁸  Maimah Karmo⁹  Afua Richardson-Parry^1,10  Shaantanu Donde^1,11  Seth Woodruff^1,12  Joris van Vugt^1,13 

[1] Advocates for Collaborative Education, 824 Windsor Street, 95062, Santa Cruz, CA, USA;Alamo Breast Cancer Foundation, 909 Midland Creek Drive, 76092, Southlake, TX, USA;Balearic Islands Health Research Institute (IdISBa) and CIBER de Epidemiología y Salud Pública (CIBERESP), C/ Escola Graduada 3, 07002, Palma, Balearic Islands, Spain;Cittadinanzattiva - Active Citizenship Network, Rue Philippe Le Bon 46, 1000, Brussels, Belgium;Danish Committee for Health Education, Classensgade 71, 5, 2100, Copenhagen, Denmark;Digestive Cancers Europe, Rue de la Loi 235/27, 1040, Brussels, Belgium;Esperity, Clos Chapelle-aux-Champs 30, 1200, Brussels, Belgium;National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, 119228, Singapore, Singapore;Tigerlily Foundation, 42020 Village Center Plaza, #120-156, 20105, Stone Ridge, USA;Viatris Global Healthcare UK, Building 4, Trident Place, Mosquito Way, Hatfield, AL10 9UL, London, UK;Viatris Global Healthcare, Building 4, Trident Place, Mosquito Way, Hatfield, AL10 9UL, London, UK;Viatris, 235 E42nd Street, 10017, New York, USA;Viatris, Aalsterweg 172, 5644 RH, Eindhoven, The Netherlands;

关键词: Health equity;    Colorectal cancer;    Breast cancer;    Cervical cancer;    Oncology;    Mammography;    Pap test;    Race;    Socioeconomic status;   

DOI  :  10.1186/s12939-023-01841-6

 received in 2022-10-27, accepted in 2023-01-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHealth inequities lead to low rates of cancer screening in certain populations, such as low-income and ethnic minority groups. Different interventions to address this have been developed with mixed results. However, interventions are not always developed in collaboration with the people they target. The aim of our article is to present the viewpoint of patients, survivors, advocates, and lay persons on interventions to increase cancer screening from a health inequity perspective.MethodsWe prepared talking points to guide discussions between coauthors, who included representatives from nine patient and survivor advocacy groups, organizations working for citizen/patient empowerment, and health equity experts. Perspectives and opinions were first collected through video conferencing meetings and a first draft of the paper was prepared. All authors, read through, revised, and discussed the contents to reach an agreement on the final perspectives to be presented.ResultsSeveral themes were identified: it is important to not view screening as a discrete event; barriers underlying an individual’s access and willingness to undergo screening span across a continuum; individually tailored interventions are likely to be more effective than a one-size fits-all approach because they may better accommodate the person’s personal beliefs, knowledge, behaviors, and preferences; targeting people who are unknown to medical services and largely unreachable is a major challenge; including professional patient advocacy groups and relevant lay persons in the cocreation of interventions at all stages of design, implementation, and evaluation is essential along with relevant stakeholders (healthcare professionals, researchers, local government and community organizations etc).ConclusionsInterventions to address cancer screening inequity currently do not adequately solve the issue, especially from the viewpoint of patients, survivors, and lay persons. Several core pathways should be focused on when designing and implementing interventions: advancing individually tailored interventions; digital tools and social media; peer-based approaches; empowerment; addressing policy and system barriers; better design of interventions; and collaboration, including the involvement of patients and patient advocacy organizations.

【 授权许可】

CC BY   
© The Author(s) 2023