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社区中少数民族癌症患者的已确定需求:文献综述

The identified needs of ethnic minority groups with cancer within the community: a review of the literature.

作者信息

Lodge N

机构信息

The Royal Marsden Hospital, London, UK.

出版信息

Eur J Cancer Care (Engl). 2001 Dec;10(4):234-44. doi: 10.1046/j.1365-2354.2001.00261.x.

Abstract

The literature suggests that healthcare provision for ethnic minority groups is poorer than for the majority population. The intention of this paper is to review the literature available on healthcare provision for ethnic minority groups to see if this is the case for those with cancer. The introduction in the UK of monitoring of ethnic origins in the general population and healthcare service is recent and means that there are few data available. At present, cancer mortality is lower among ethnic minority groups than the majority population in the UK, which may partly be explained by a younger than average age within the ethnic minority groups and the fact that some members of ethnic groups retire to their country of origin. However, the mortality rates are expected to increase as the population ages. Breast and lung cancers are the most common cancers among ethnic minority groups in the UK. Traditional intervention strategies have been aimed at the majority white population and have not taken into account the needs identified by the ethnic communities themselves. Intervention strategies include advice on stopping smoking and chewing tobacco, increasing use of screening services by ethnic minority groups, targeted health promotion messages and education on cancer specifically for these groups. More data are required on cancer among ethnic minority groups in the UK. There are many similarities in the use of cancer services between ethnic minority groups and individuals with lower socioeconomic status in the UK.

摘要

文献表明,为少数族裔群体提供的医疗保健服务比为多数人口提供的要差。本文旨在回顾有关为少数族裔群体提供医疗保健服务的现有文献,以了解癌症患者是否也是这种情况。在英国,普通人群和医疗服务中对种族出身的监测是最近才开始的,这意味着可用数据很少。目前,英国少数族裔群体的癌症死亡率低于多数人口,这可能部分是由于少数族裔群体的年龄低于平均水平,以及一些族裔成员退休后返回其原籍国。然而,随着人口老龄化,死亡率预计会上升。乳腺癌和肺癌是英国少数族裔群体中最常见的癌症。传统的干预策略一直针对多数白人人口,没有考虑到少数族裔群体自身确定的需求。干预策略包括戒烟和嚼烟草的建议、增加少数族裔群体对筛查服务的使用、有针对性的健康促进信息以及专门针对这些群体的癌症教育。英国少数族裔群体的癌症情况需要更多数据。在英国,少数族裔群体与社会经济地位较低的个人在癌症服务使用方面有许多相似之处。

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