Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Breast Cancer Res Treat. 2020 Feb;180(1):33-44. doi: 10.1007/s10549-020-05538-0. Epub 2020 Jan 25.
To identify and synthesize the literature on healthcare system distrust across the breast cancer continuum of care.
We searched CINAHL, Cochrane, EMBASE, PubMed, PsycINFO, and Web of Science from January 1, 1990 to December 31, 2018 for all peer-reviewed publications addressing the role of healthcare system trust, distrust or mistrust in the breast cancer continuum of care.
We identified a total of 20 studies, seven qualitative studies and thirteen quantitative studies. Two studies assessed genetic testing, eleven assessed screening and seven assessed treatment and follow-up. Twelve studies evaluated mistrust, five evaluated distrust, and three evaluated trust. Study populations included African American, American Indian, Latina, Hispanic, and Asian American participants.
Healthcare system distrust is prevalent across many different racial and ethnic groups and operates across the entire breast cancer continuum of care. It is an important yet understudied barrier to cancer. We hope that the knowledge garnered by this study will enable researchers to form effective and targeted interventions to reduce healthcare system distrust mediated disparities in breast cancer outcomes.
确定并综合有关乳腺癌护理全过程中对医疗保健系统不信任的文献。
我们从 1990 年 1 月 1 日至 2018 年 12 月 31 日，在 CINAHL、Cochrane、EMBASE、PubMed、PsycINFO 和 Web of Science 上搜索了所有同行评议的出版物，这些出版物都涉及到医疗保健系统信任、不信任或不信任在乳腺癌护理全过程中的作用。
我们共确定了 20 项研究，其中 7 项是定性研究，13 项是定量研究。两项研究评估了基因检测，11 项评估了筛查，7 项评估了治疗和随访。有 12 项研究评估了不信任，5 项评估了不信任，3 项评估了信任。研究人群包括非裔美国人、美洲印第安人、拉丁裔、西班牙裔和亚裔美国人。
医疗保健系统的不信任在许多不同的种族和族裔群体中普遍存在，并贯穿于整个乳腺癌护理全过程。这是癌症的一个重要但研究不足的障碍。我们希望这项研究获得的知识将使研究人员能够形成有效的、有针对性的干预措施，以减少医疗保健系统不信任导致的乳腺癌结果中的差异。
