Aliu Anietie E, Kerrison Robert S, Marcu Afrodita
School of Health Sciences, University of Surrey, Surrey, UK.
Psychooncology. 2025 Feb;34(2):e70093. doi: 10.1002/pon.70093.
Compared with the general population, Black African and Black Caribbean women, living in the UK, are less likely to participate in breast cancer screening.
The aims of this review were to: (1) systematically describe the barriers to breast cancer screening, experienced by women of Black African and Black Caribbean descent, living in the UK and (2) identify which barriers interventions attempting to reduce inequalities have targeted, and whether they have been effective at increasing participation in breast cancer screening, among women of Black African and Black Caribbean descent.
We conducted a mixed-methods systematic review of primary research published in peer-reviewed journals. Seven databases were searched, yielding eight articles for inclusion in the review.
Barriers to breast cancer screening participation were categorised into six analytical themes: 'Understanding of, and concerns about, breast screening, the procedure and the reliability of test results', 'Misconceptions about, and lack of understanding of, the causes of breast cancer and personal risk', 'Emotional responses to cancer and screening', 'General barriers to accessing healthcare services (including breast screening)', 'Beliefs about cancer as a treatable disease' and 'Religious beliefs, cultural taboos and stigma'. These findings derive largely from studies with women who were not eligible for screening. Four studies testing interventions to promote uptake among ethnic minority groups were identified. None of them targeted Black African or Black Caribbean women, specifically; however, it was possible to extract data, for these groups, from the studies.
Further research with women who are eligible for screening (but do not attend) is needed to verify the findings of this review. Studies targeting barriers experienced by Black women, particularly, are needed to reduce inequalities.
与普通人群相比，生活在英国的非洲裔和加勒比裔黑人女性参加乳腺癌筛查的可能性较小。
本综述的目的是：（1）系统描述生活在英国的非洲裔和加勒比裔黑人女性在乳腺癌筛查方面遇到的障碍；（2）确定旨在减少不平等现象的干预措施针对了哪些障碍，以及这些措施在提高非洲裔和加勒比裔黑人女性的乳腺癌筛查参与率方面是否有效。
我们对同行评审期刊上发表的原发性研究进行了混合方法的系统综述。检索了七个数据库，筛选出八篇文章纳入综述。
乳腺癌筛查参与的障碍被归类为六个分析主题：“对乳房筛查、程序和检测结果可靠性的理解与担忧”、“对乳腺癌病因和个人风险的误解与缺乏了解”、“对癌症和筛查的情绪反应”、“获得医疗服务（包括乳房筛查）的一般障碍”、“对癌症可治疗性的信念”以及“宗教信仰、文化禁忌和耻辱感”。这些发现主要来自对不符合筛查条件的女性的研究。确定了四项测试旨在促进少数民族群体参与筛查的干预措施的研究。其中没有一项专门针对非洲裔或加勒比裔黑人女性；然而，可以从这些研究中提取针对这些群体的数据。
需要对符合筛查条件（但未参加）的女性进行进一步研究，以验证本综述的结果。尤其需要针对黑人女性遇到的障碍开展研究，以减少不平等现象。
