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打破障碍:关于智障人士癌症与抑郁症研究差距的评论

Breaking barriers: a commentary on research gaps in cancer and depression among individuals with intellectual disabilities.

作者信息

Carneiro Lara, Vaičekauskaitė Rita, Kowalczyk Oliwia, Ćwirynkało Katarzyna

机构信息

Physical Education Department, College of Education, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates.

Klaipeda University, Klaipėda, Lithuania.

出版信息

Int J Equity Health. 2025 Jan 6;24(1):3. doi: 10.1186/s12939-024-02366-2.

DOI:10.1186/s12939-024-02366-2
PMID:39762883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11706092/
Abstract

The European Commission's Strategy for the Rights of Persons with Disabilities 2021-2030 aims to ensure equal opportunities and rights for all individuals, including those with intellectual disabilities. People with intellectual disabilities are often underrepresented in cancer prevention and screening policies, leading to disparities in health outcomes and early mortality. The intersection of intellectual disability, cancer, and depression represents an underexplored area in healthcare research. Individuals with intellectual disability diagnosed with both cancer and depression face compounded challenges impacting their quality of life, proper access to medical care, and treatment outcomes. To address these gaps in the systems globally, a focused effort is indispensable to understand their unique needs and better tailor care strategies for this target group. Therefore, this commentary outlines the challenges in researching individuals with intellectual disabilities who have a dual diagnosis of cancer and depression. Challenges include providing informed consent, ethical researcher-participant relationships, and maintaining confidentiality and autonomy. Strategies for improvement include creating accessible procedures, raising awareness, and involving individuals with intellectual disabilities in research ethics committees.

摘要

欧盟委员会《2021-2030年残疾人权利战略》旨在确保所有人,包括智障人士,都能享有平等机会和权利。智障人士在癌症预防和筛查政策中的代表性往往不足,导致健康结果和过早死亡率方面存在差异。智障、癌症和抑郁症的交叉领域是医疗保健研究中一个尚未充分探索的领域。被诊断患有癌症和抑郁症的智障人士面临着复杂的挑战,这些挑战影响着他们的生活质量、获得适当医疗护理的机会以及治疗结果。为了在全球范围内弥补这些系统中的差距,必须集中精力了解他们的独特需求,并更好地为这一目标群体量身定制护理策略。因此,本评论概述了研究患有癌症和抑郁症双重诊断的智障人士所面临的挑战。挑战包括提供知情同意、建立符合伦理的研究者与参与者关系,以及维护保密性和自主性。改进策略包括创建无障碍程序、提高认识,以及让智障人士参与研究伦理委员会。

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引用本文的文献

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本文引用的文献

1
Prevalence and incidence of cancer amongst adults with intellectual disability - a systematic review and meta-analysis protocol.智力残疾成年人中癌症的患病率和发病率——一项系统评价与荟萃分析方案
HRB Open Res. 2024 Feb 2;6:51. doi: 10.12688/hrbopenres.13740.2. eCollection 2023.
2
Do people with disabilities experience disparities in cancer care? A systematic review.残疾人在癌症护理方面是否存在差异?系统评价。
PLoS One. 2023 Dec 13;18(12):e0285146. doi: 10.1371/journal.pone.0285146. eCollection 2023.
3
Cancer risk-factor and symptom awareness among adults with intellectual disabilities, paid and unpaid carers, and healthcare practitioners: a scoping review.智力残疾成年人、有偿和无偿护理人员以及医疗从业者对癌症风险因素和症状的认知:一项范围综述。
J Intellect Disabil Res. 2024 Mar;68(3):193-211. doi: 10.1111/jir.13110. Epub 2023 Dec 6.
4
The importance of cancer prevention policies to inform and guide preventative and screening measures for people with intellectual disabilities: The COST project "Cancer- Understanding Prevention in Intellectual Disabilities".癌症预防政策对于为智障人士提供信息并指导其预防和筛查措施的重要性:欧洲科学与技术合作组织(COST)项目“癌症——了解智障人士的预防方法”
J Intellect Disabil. 2023 Nov 9:17446295231213752. doi: 10.1177/17446295231213752.
5
'Being disabled' as an exclusion criterion for clinical trials: a scoping review.将“残疾”作为临床试验的排除标准:范围综述。
BMJ Glob Health. 2023 Nov;8(11). doi: 10.1136/bmjgh-2023-013473.
6
The inclusion of adults with intellectual disabilities in health research - challenges, barriers and opportunities: a mixed-method study among stakeholders in England.将智障成年人纳入健康研究 - 挑战、障碍和机遇:英格兰利益相关者的混合方法研究。
J Intellect Disabil Res. 2024 Feb;68(2):140-149. doi: 10.1111/jir.13097. Epub 2023 Oct 10.
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Inclusive approaches to involvement of community groups in health research: the co-produced CHICO guidance.让社区团体参与健康研究的包容性方法:共同制定的CHICO指南。
Res Involv Engagem. 2023 Sep 7;9(1):76. doi: 10.1186/s40900-023-00492-9.
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The Impact of Depression and Anxiety on Adult Cancer Patients' Health-Related Quality of Life.抑郁和焦虑对成年癌症患者健康相关生活质量的影响。
J Clin Med. 2023 Mar 12;12(6):2196. doi: 10.3390/jcm12062196.
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Roadmap for Creating Effective Communication Tools to Improve Health Equity for Persons With Intellectual and Developmental Disabilities.创建有效沟通工具以改善智力和发育障碍者健康公平性的路线图。
Front Health Serv. 2022 Jun 9;2:859008. doi: 10.3389/frhs.2022.859008. eCollection 2022.
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Barriers and facilitators to the recruitment of disabled people to clinical trials: a scoping review.将残疾人招募到临床试验中的障碍和促进因素:范围综述。
Trials. 2023 Mar 8;24(1):171. doi: 10.1186/s13063-023-07142-1.