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Relationship between intersectionality and cancer inequalities: a scoping review protocol.

Mar Estupiñán Fdez de Mesa1, Afrodita Marcu2, Emma Ream2

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Intersectionality reveals how multiple social factors create unique cancer care inequalities. This review maps existing research to understand these complex patient experiences and outcomes globally.

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Area of Science:

  • Health Services Research
  • Social Determinants of Health
  • Oncology

Background:

  • Persistent cancer inequalities exist globally, with mixed evidence on their root causes.
  • Inadequate attention to patients at the intersection of multiple social categories (e.g., class, ethnicity) may explain these disparities.
  • The intersectionality framework offers a lens to understand how interlocking oppressions shape cancer patient experiences and drive inequalities.

Purpose of the Study:

  • To systematically map existing evidence on the relationship between intersectionality and inequalities in cancer care experiences and outcomes.
  • To determine how the intersectionality framework has been applied across the cancer care pathway and in different countries.

Main Methods:

  • A scoping review guided by Arksey and O'Malley's, and Levac et al.'s frameworks.
  • Systematic search of multiple electronic databases (EMBASE, PsychINFO, CINAHL, Medline, Web of Science, ProQuest) from 1989 to present.
  • Data extraction and charting by two independent reviewers using an iterative process and piloted form.

Main Results:

  • This section is to be filled after the study is completed.

Conclusions:

  • This scoping review protocol outlines a systematic approach to understanding intersectionality in cancer inequalities.
  • Findings will inform future research on cancer disparities, particularly for patients with breast cancer.