无家可归者在四个欧洲国家获得癌症预防护理和方案考虑:一项探索性定性研究
Tobias Schiffler1, Christina Carmichael2, Lee Smith2
1Centre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Vienna, Austria.
EClinicalMedicine
|August 3, 2023
概括
无家可归者 (PEH) 面临着癌症预防和护理方面的重大障碍. 这项研究突出了他们对癌症症状的有限理解和缺乏量身定制的预防计划,需要改善这个弱势群体的医疗保健机会.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 健康的社会决定因素
背景情况:
- 经历无家可归的人 (PEH) 呈现出更高的不良健康结果,包括癌症发病率和死亡率.
- 获得预防和社区卫生服务的障碍有助于这些差异.
- 了解PEH在癌症预防方面面临的具体需求和挑战至关重要.
研究的目的:
- 探索四个欧洲国家的PEH获得预防性癌症护理的健康需求和障碍.
- 确定为PEH开发有效的癌症预防干预措施的关键考虑因素.
主要方法:
- 一项探索性定性研究,涉及69个半结构面试.
- 参与者包括无家可归者支持和医疗服务的专业人员,以及PEH.
- 在2021年8月至10月期间,在奥地利,希腊,西班牙和英国进行了采访.
主要成果:
- 癌症是PEH的一个重要问题,但对症状和预防的了解很少.
- 针对PEH的专门癌症预防计划基本上不存在.
- 卫生专业人员报告说,PEH的癌症诊断延迟,原因是症状在呈现时的严重程度.
结论:
- 在欧洲各地,PEH有着共同的健康需求,在获得癌症护理方面面临着类似的障碍.
- 干预措施必须解决知识差距,改善早期发现和预防服务的获取.
- 定制策略对于减轻无家可归人口癌症负担至关重要.
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