Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia.
Epidemiology, School of Health Sciences, Mekelle University, Mekelle 231, Ethiopia.
Int J Environ Res Public Health. 2020 May 1;17(9):3158. doi: 10.3390/ijerph17093158.
Adequate health literacy is a necessity to enable effective decision making to seek, access and utilise appropriate health care service. Evidence exists indicating a low level of general health literacy among Black African women, especially those with a refugee background. Breast and cervical are the most common cancers, with Black African women or women with African ethnicity being disproportionately overrepresented. The level of health literacy specific to breast and cervical cancer among Black African women, especially those with a refugee background, has not been reviewed systematically. The present study describes a protocol for a systematic review of the available evidence on the level of health literacy specific to breast and cervical cancer among Black African women globally. We will perform a systematic review of the available quantitative and qualitative studies. The search will include studies that describe the level of health literacy specific to breast and cervical cancer among Black African women. We will conduct a preliminary search on Google scholar to build the concepts for search terms, and a full search strategy using the identified concepts and keywords across four databases namely PubMed, SCOPUS, CINAHL and Web of Sciences. We will use Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to schematically present the search strategy. We will use the standardized Joanna Briggs Institute quality appraisal and selection tool to recruit studies, and the data extraction tool to synthesise the information extracted from the recruited studies. We will be guided by socioecological theory and Indigenous epistemology to synthesise the non-quantifiable information thematically, and pool the quantitative information using meta-analysis, based on the availability of information.
足够的健康素养是有效决策的必要条件，以寻求、获得和利用适当的医疗保健服务。有证据表明，非洲裔黑人妇女，特别是有难民背景的妇女，一般健康素养水平较低。乳腺癌和宫颈癌是最常见的癌症，非洲裔黑人妇女或具有非洲族裔的妇女比例过高。针对非洲裔黑人妇女，特别是有难民背景的妇女，乳腺癌和宫颈癌特定健康素养水平的证据尚未得到系统审查。本研究描述了一项系统评价的方案，该评价旨在全球范围内审查有关非洲裔黑人妇女乳腺癌和宫颈癌特定健康素养水平的现有证据。我们将对现有的定量和定性研究进行系统评价。搜索将包括描述非洲裔黑人妇女乳腺癌和宫颈癌特定健康素养水平的研究。我们将在 Google Scholar 上进行初步搜索，以构建搜索术语的概念，并在四个数据库（PubMed、SCOPUS、CINAHL 和 Web of Sciences）中使用确定的概念和关键字进行全面搜索策略。我们将使用系统评价和荟萃分析的首选报告项目（PRISMA）来示意性地呈现搜索策略。我们将使用标准化的 Joanna Briggs 研究所质量评估和选择工具来招募研究，并使用数据提取工具来综合从招募研究中提取的信息。我们将在社会生态学理论和本土认识论的指导下，对非量化信息进行主题综合，并根据信息的可用性，使用荟萃分析对量化信息进行汇总。
