Donnelly Tam Truong, Hwang Jasmine
University of Calgary-Qatar, Doha, Qatar,
J Immigr Minor Health. 2015 Jun;17(3):925-39. doi: 10.1007/s10903-013-9902-9.
Similar to other Middle Eastern countries, breast cancer is the most common cancer among women in Qatar with increasing incidence and mortality rates. High mortality rates of breast cancer in the Middle Eastern countries are primarily due to delayed diagnosis of the disease. Thus screening and early detection of breast cancer are important in reducing cancer morbidity and mortality. With the aim of updating knowledge on existing interventions and developing effective intervention programs to promote breast cancer screening in Arabic populations in Qatar, this review addresses the question: What interventions are effective in increasing breast cancer knowledge and breast cancer screening rates in Arabic populations in Arabic countries and North America? Systematic literature review was performed to answer the proposed question. As the result of the search, six research studies were identified and appraised. From the findings, we infer several insights: (a) a language-appropriate and culturally sensitive educational program is the most important component of a successful intervention regardless of the study setting, (b) multi-level interventions that target both women, men, health care professionals, and/or larger health care system are more likely to be successful than single educational interventions or public awareness campaigns, and (c) more vigorous, personal and cognitive interventions that address psychosocial factors are likely to be more effective than less personal and informative interventions. This review has important implications for health care providers, intervention planners, and researchers.
与其他中东国家类似,乳腺癌是卡塔尔女性中最常见的癌症,其发病率和死亡率呈上升趋势。中东国家乳腺癌的高死亡率主要归因于疾病的诊断延迟。因此,乳腺癌的筛查和早期发现对于降低癌症发病率和死亡率至关重要。为了更新关于现有干预措施的知识,并制定有效的干预计划以促进卡塔尔阿拉伯人群中的乳腺癌筛查,本综述探讨了以下问题:哪些干预措施能有效提高阿拉伯国家和北美的阿拉伯人群对乳腺癌的认识以及乳腺癌筛查率?通过系统的文献综述来回答所提出的问题。搜索结果共识别并评估了六项研究。从研究结果中,我们得出了几点见解:(a)无论研究背景如何,适合语言且具有文化敏感性的教育项目都是成功干预措施的最重要组成部分;(b)针对女性、男性、医疗保健专业人员和/或更大的医疗保健系统的多层次干预措施比单一的教育干预或公众意识宣传活动更有可能取得成功;(c)针对心理社会因素的更积极、个性化和认知性的干预措施可能比不太个性化和信息性的干预措施更有效。本综述对医疗保健提供者、干预计划制定者和研究人员具有重要意义。