Structural racism as a leading cause of racial disparities in breast cancer quality of care outcomes: a systematic review
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View abstract on PubMed
Summary
This summary is machine-generated.Structural racism, particularly residential segregation and redlining, is linked to worse breast cancer outcomes, including higher mortality and later diagnoses. Addressing these systemic issues is crucial for achieving health equity in cancer care.
Area Of Science
- Public Health
- Health Equity Research
- Cancer Disparities
Background
- Non-Hispanic Black women face disproportionately higher breast cancer mortality rates than non-Hispanic white women.
- Structural racism is a key driver of persistent racial disparities in breast cancer outcomes.
- This review examines the link between structural racism and breast cancer quality of care.
Purpose Of The Study
- To systematically review the relationship between structural racism and breast cancer quality of care outcomes.
- To explore how social determinants of health (SDOH) measures of structural racism impact breast cancer care.
- To assess breast cancer quality of care using the Donabedian model.
Main Methods
- Systematic review following PRISMA guidelines, searching PubMed, Embase, and CINAHL until October 2024.
- Utilized the Healthy People SDOH framework to categorize structural racism measures.
- Assessed quality of care using Donabedian's process, structural, and outcome measures.
Main Results
- 29 studies met eligibility criteria, focusing on structural racism and breast cancer quality of care.
- Residential segregation and redlining were the most studied measures of structural racism.
- These measures were significantly associated with adverse outcomes: higher mortality, later diagnosis, and suboptimal treatment.
Conclusions
- Structural racism is complexly linked to breast cancer quality of care and outcomes.
- Understanding the pathways of structural racism's impact is vital for developing interventions.
- Targeted interventions are needed to promote health equity in breast cancer care.
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