Watts Tessa, Merrell Joy, Murphy Fiona, Williams Angela
School of Health Science, University of Wales Swansea, Swansea, Wales, UK.
J Adv Nurs. 2004 Sep;47(5):526-35. doi: 10.1111/j.1365-2648.2004.03125.x.
For women from minority ethnic groups to make informed decisions about their health, and particularly about whether to participate in breast cancer screening programmes, access to a range of appropriately designed high quality, culturally-specific and sensitive health information is needed.
Through a critical review of the literature, this paper aims to determine the breast health and breast cancer screening information needs of women from minority ethnic groups and to discuss the implications of cultural difference for nurses in relation to the development and dissemination of health information.
A critical review of the research literature published in English between 1996 and 2002 was conducted. Electronic and the relevant Cochrane Collaboration databases were searched using a range of search terms to retrieve literature specifically relevant to the aims of the review. The use of personal contacts and posting a request for information on the mailing list at minority-ethnic-health@jiscmail.ac.uk facilitated the retrieval of grey literature. All references retrieved were entered on a bibliographic database. The title and abstract of each was examined to assess it for inclusion in the review.
There was little published information about specific breast cancer screening information needs from the perspective of women from minority ethnic groups. In comparison with the indigenous population, the information needs of people from minority ethnic groups differ in relation to their cultural beliefs and values and the effects of these on health care practices. Inadequate knowledge about breast health and breast cancer screening may be a consequence of the provision of insufficient or culturally inappropriate information.
There is a dearth of research highlighting breast health and breast cancer screening information needs of women from minority ethnic groups. In providing information, their needs appear to have been an 'add on'. Health care professionals' lack of understanding about cultural beliefs, values and knowledge, together with racial stereotyping and misconceptions about cancer in minority ethnic groups, pose challenges to information dissemination. Health care professionals need to work collaboratively with women from minority ethnic groups, identifying culturally-specific beliefs and values about breast cancer, breast cancer risk and screening, in order to develop appropriate and acceptable information and dissemination strategies.
为了让少数族裔女性能够对自身健康，尤其是是否参与乳腺癌筛查项目做出明智的决定，需要获取一系列精心设计的、高质量的、具有文化特异性且敏感的健康信息。
通过对文献的批判性综述，本文旨在确定少数族裔女性的乳房健康和乳腺癌筛查信息需求，并探讨文化差异对护士在健康信息开发与传播方面的影响。
对1996年至2002年间以英文发表的研究文献进行批判性综述。使用一系列检索词搜索电子数据库及相关的考克兰协作网数据库，以检索与综述目的特别相关的文献。通过个人联系以及在minority - ethnic - health@jiscmail.ac.uk邮件列表上发布信息请求，有助于获取灰色文献。所有检索到的参考文献都录入到一个文献数据库中。检查每篇文献的标题和摘要，以评估其是否纳入综述。
从少数族裔女性的角度来看，关于特定乳腺癌筛查信息需求的已发表信息很少。与本土人群相比，少数族裔人群的信息需求在文化信仰和价值观以及这些对医疗保健实践的影响方面存在差异。对乳房健康和乳腺癌筛查的知识不足可能是由于提供的信息不足或在文化上不适当所致。
缺乏突出少数族裔女性乳房健康和乳腺癌筛查信息需求的研究。在提供信息时，她们的需求似乎被视为“附加内容”。医疗保健专业人员对文化信仰、价值观和知识的缺乏理解，以及对少数族裔群体癌症的种族刻板印象和误解，给信息传播带来了挑战。医疗保健专业人员需要与少数族裔女性合作，识别关于乳腺癌、乳腺癌风险和筛查的文化特异性信仰和价值观，以便制定合适且可接受的信息及传播策略。
