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Cancer Control in Refugee and Asylum Seeker Populations: A Scoping Review.
Vikneswary Batumalai1,2,3, Mengqi Zhou1,4, Bronwen Blake5
1The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.
JCO Global Oncology
|February 20, 2026
Summary
Refugees and asylum seekers experience significant cancer care inequities due to financial, social, and systemic barriers. Addressing these gaps requires integrated strategies for equitable cancer control in displaced populations.
Area of Science:
- Global Health
- Oncology
- Health Equity
Background:
- Displaced individuals, including refugees and asylum seekers, face substantial healthcare access challenges, particularly for noncommunicable diseases.
- Cancer control is a critically neglected area within the healthcare provided to these vulnerable populations.
Purpose of the Study:
- To conduct a scoping review synthesizing and evaluating current knowledge on equity in cancer care for refugee and asylum seeker populations globally.
- To identify barriers and effective interventions across the cancer care continuum for these groups.
Main Methods:
- Systematic literature search of PubMed and Embase (2000-2024) for studies on refugees, asylum seekers, and cancer.
- Inclusion of studies addressing any stage of the cancer care continuum and patient, caregiver, or provider perspectives.
- Data extraction and mapping by study setting, population, cancer continuum stage, and identified barriers/interventions.
Main Results:
- 111 articles met inclusion criteria, with most research focusing on prevention, detection, and diagnosis.
- Common issues include low cancer awareness, reduced screening, delayed diagnosis, treatment interruptions, and poor survival.
- Key barriers identified are financial, social (stigma, language), and systemic (inconsistent policies).
Conclusions:
- Refugees and asylum seekers encounter persistent, multifaceted inequities in cancer care influenced by individual and systemic factors.
- Existing interventions like culturally tailored education and refugee-specific clinics show promise, but significant gaps in research and service delivery persist.
- Urgent need for integrated strategies within national/international health policies to address comprehensive cancer care for displaced populations.
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