种族和种族以及自我报告的种族/种族歧视在乳腺癌患者与提供者互动的途径研究中
Kevin R Bitsie1, Thomas A Pearson2, Marilyn L Kwan3
1Department of Epidemiology, University of Florida, Gainesville, FL, 32610, USA. kbitsie@ufl.edu.
Breast cancer research and treatment
|October 5, 2024
概括
被诊断患有乳腺癌的少数民族妇女报告说,从医疗保健提供者那里受到的种族/种族歧视更多. 黑人女性的患病率最高,突出了患者与医疗服务提供者互动的差异.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 社会医学科学 社会医学科学
背景情况:
- 种族和民族少数群体在乳腺癌诊断和治疗方面面临着显著的差异.
- 患者与提供者之间的互动对于有效的癌症护理至关重要,并且可能受到偏见的影响.
研究的目的:
- 调查乳腺癌患者患者与医疗服务提供者的互动中种族/族裔和自我报告的种族/族裔歧视之间的关联.
- 为了比较种族/少数民族妇女和非西班牙裔白人 (NHW) 女性之间的歧视经历.
主要方法:
- 来自前性途径研究队列的数据分析,1836名被诊断为乳腺癌的妇女 (2006-2013).
- 在基线,诊断后6个月和24个月使用关怀的人际过程调查评估种族/民族歧视.
- 调整后勤回归模型以考虑包括年龄,原籍国,教育,收入,婚姻状况和提供者种族/种族等共变量.
主要成果:
- 少数民族妇女比NHW妇女报告种族/种族歧视的可能性要高得多 (aOR:4.73).
- 黑人妇女报告的歧视可能性最高 (aOR:9.65),其次是亚裔 (aOR:5.39),西班牙裔 (aOR:2.55) 和美国印第安人/阿拉斯加本土人/太平洋岛民 (AIANPI) 妇女 (aOR:1.74).
- 与NHW女性相比,不同少数群体的歧视经历在不同少数群体之间有很大差异.
结论:
- 在患者与医疗服务提供者的互动中,种族/种族歧视在被诊断患有乳腺癌的少数民族妇女中更为普遍.
- 进一步的研究对于阐明这种歧视对健康差异的机制和影响至关重要.
- 解决歧视问题对于改善乳腺癌护理平等至关重要.
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