School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
School of Political Studies, University of Ottawa, Ottawa, Ontario, Canada.
Int J Circumpolar Health. 2023 Dec;82(1):2253604. doi: 10.1080/22423982.2023.2253604.
Inuit face worse cancer survival rates and outcomes than the general Canadian population. Persistent health disparities cannot be understood without examining the structural factors that create inequities and continue to impact the health and well-being of Inuit. This scoping review aims to synthesise the available published and grey literature on the structural factors that influence cancer care experienced by Inuit in Canada. Guided by Inuit input from Pauktuutit Inuit Women of Canada as well as the Joanna Briggs Institute scoping review methodology, a comprehensive electronic search along with hand-searching of grey literature and relevant journals was conducted. A total of 30 papers were included for analysis and assessment of relevance. Findings were organised into five categories as defined in the framework related to colonisation, as well as health systems, social, economic, and political structures. The study results highlight interconnections between racism and colonialism, the lack of health service information on urban Inuit, as well as the need for system-wide efforts to address the structural barriers in cancer care.
因纽特人面临着比加拿大普通人群更差的癌症存活率和结果。如果不检查造成不平等的结构性因素，以及这些因素如何继续影响因纽特人的健康和福祉，就无法理解持续存在的健康差距。本范围综述旨在综合现有关于影响加拿大因纽特人癌症护理的结构性因素的已发表和灰色文献。本研究以加拿大因纽特妇女协会 Pauktuutit 的投入以及乔安娜·布里格斯研究所范围综述方法为指导，进行了全面的电子搜索以及对灰色文献和相关期刊的手工搜索。共有 30 篇论文被纳入分析和相关性评估。研究结果按照殖民化以及卫生系统、社会、经济和政治结构框架中定义的五个类别进行了组织。研究结果强调了种族主义和殖民主义之间的相互联系、缺乏关于城市因纽特人健康服务的信息，以及需要进行全系统努力来解决癌症护理中的结构性障碍。
