Nayyar Shiven, Chakole Swarupa, Taksande Avinash B, Prasad Roshan, Munjewar Pratiksha K, Wanjari Mayur B
Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Jun 20;15(6):e40674. doi: 10.7759/cureus.40674. eCollection 2023 Jun.
Breast cancer is a significant public health concern, and addressing disparities in breast cancer screening is crucial for improving early detection and reducing mortality rates. This review article examines efforts to bridge the gap between awareness and action in reducing disparities in breast cancer screening. A systematic approach was employed to gather relevant literature using various databases. The selected studies encompassed a range of interventions, including policy changes, community-based programs, culturally competent interventions, technological advancements, and patient navigation. The review highlights the importance of policies and legislation in improving access to screening services and the impact of community-based initiatives in addressing disparities. Culturally competent interventions, tailored messaging, and language support were found to be effective in improving screening rates among diverse populations. Technological advancements, such as telemedicine and mobile health applications, were identified as promising approaches to increase access to screening services. Patient navigation programs effectively addressed barriers to screening and improved screening rates. The review also discusses evaluating efforts, limitations, and the need for continuous improvement. Future directions and recommendations include addressing gaps in the existing literature, proposing research directions, and providing recommendations for policymakers, healthcare providers, and researchers. By implementing these recommendations and working collaboratively, we can strive for equitable access to breast cancer screening for all populations, ultimately leading to improved outcomes and reduced disparities.
乳腺癌是一个重大的公共卫生问题，解决乳腺癌筛查方面的差异对于提高早期发现率和降低死亡率至关重要。这篇综述文章探讨了在减少乳腺癌筛查差异方面，为弥合认知与行动之间的差距所做的努力。采用了一种系统的方法，通过各种数据库收集相关文献。所选研究涵盖了一系列干预措施，包括政策变化、社区项目、具有文化胜任力的干预措施、技术进步以及患者导航。该综述强调了政策和立法在改善筛查服务可及性方面的重要性，以及社区倡议在解决差异方面的影响。发现具有文化胜任力的干预措施、量身定制的信息传递和语言支持在提高不同人群的筛查率方面是有效的。远程医疗和移动健康应用等技术进步被确定为增加筛查服务可及性的有前景的方法。患者导航项目有效地解决了筛查障碍并提高了筛查率。该综述还讨论了评估工作、局限性以及持续改进的必要性。未来的方向和建议包括填补现有文献中的空白、提出研究方向，并为政策制定者、医疗服务提供者和研究人员提供建议。通过实施这些建议并开展合作，我们可以努力为所有人群提供公平的乳腺癌筛查机会，最终实现改善结果和减少差异的目标。
