Charles Perkins Centre, The University of Sydney, Sydney, NSW, 2006, Australia.
Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, 2006, Australia.
BMC Public Health. 2024 Feb 20;24(1):523. doi: 10.1186/s12889-024-18070-3.
Persistent disparities exist between Aboriginal and Torres Strait Islander peoples (the Indigenous peoples of Australia) and non-Indigenous Australians associated with cancer, with Aboriginal and Torres Strait Islander peoples experiencing a longer time to treatment, higher morbidity rates, and higher mortality rates. This systematic review aimed to investigate findings and recommendations in the literature about the experiences and supportive care needs of Aboriginal and Torres Strait Islander peoples with cancer in Australia.
A qualitative systematic review was conducted using thematic analysis. Database searches were conducted in CINAHL, Informit, MEDLINE, ProQuest, Scopus, and Web of Science for articles published between January 2000 and December 2021. There were 91 included studies which were appraised using the Mixed Methods Appraisal Tool. The included studies reported on the experiences of cancer and supportive care needs in Aboriginal and Torres Strait Islander populations.
Six key themes were determined: Culture, family, and community; cancer outcomes; psychological distress; access to health care; cancer education and awareness; and lack of appropriate data. Culture was seen as a potential facilitator to achieving optimal cancer care, with included studies highlighting the need for culturally safe cancer services and the routine collection of Aboriginal and Torres Strait Islander status in healthcare settings.
Future work should capitalize on these findings by encouraging the integration of culture in healthcare settings to increase treatment completion and provide a positive experience for Aboriginal and Torres Strait Islander peoples with cancer.
澳大利亚原住民（包括 Aboriginal 和 Torres Strait Islander 人民）与非原住民之间在癌症方面存在持续的差距，原住民和托雷斯海峡岛民接受治疗的时间更长、发病率更高、死亡率更高。本系统评价旨在调查澳大利亚原住民和托雷斯海峡岛民癌症经历和支持性护理需求文献中的发现和建议。
采用主题分析进行定性系统评价。在 CINAHL、Informit、MEDLINE、ProQuest、Scopus 和 Web of Science 数据库中检索 2000 年 1 月至 2021 年 12 月期间发表的文章。有 91 项纳入研究使用混合方法评估工具进行了评估。纳入的研究报告了澳大利亚原住民和托雷斯海峡岛民人群的癌症经历和支持性护理需求。
确定了六个关键主题：文化、家庭和社区；癌症结果；心理困扰；获得医疗保健；癌症教育和意识；以及缺乏适当的数据。文化被视为实现最佳癌症护理的潜在促进因素，纳入的研究强调需要提供文化安全的癌症服务，并在医疗保健环境中常规收集原住民和托雷斯海峡岛民的身份信息。
未来的工作应利用这些发现，通过鼓励在医疗保健环境中整合文化，增加治疗完成率，并为癌症患者提供积极的体验。
