非洲癌症相关耻辱的经验:一个范围审查
Judith M Mwobobia1,2, Srishti Sardana3, Dina Abouelella4
1Duke Global Health Institute, Duke University, Durham, North Carolina, USA.
International journal of cancer
|February 25, 2025
概括
非洲的癌症污名化显著恶化了患者的结果,因为它制造了查和治疗的障碍. 迫切需要基于证据的战略和政策变化来应对这些挑战并改善护理.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 社会学 社会学 社会学
背景情况:
- 癌症对全球健康造成重大负担,70%的死亡发生在低收入和中等收入国家.
- 癌症周围的耻辱感是及时查和有效治疗的主要障碍,导致健康结果较差.
研究的目的:
- 系统地审查和综合现有关于非洲癌症相关耻辱的研究.
- 确定耻辱对癌症护理参与和患者结果的多方面的影响.
主要方法:
- 根据PRISMA-ScR指南,在主要的生物医学和公共卫生数据库 (PubMed,Embase,MEDLINE,CINAHL,CABI Global Health) 中进行了全面的文献搜索.
- 关键词集中在非洲,癌症和耻辱,包括对非宫癌的定量,定性和混合方法研究.
- 包括53项研究,分析了耻辱,癌症经历和医疗保健参与之间的联系.
主要成果:
- 在非洲,与癌症相关的耻辱与身体症状,外表变化,误解和情绪困扰有关.
- 耻辱严重阻碍个人参与癌症查和治疗服务.
- 经过审查的文献显示,研究中严重缺乏专注于减轻癌症污名的干预措施的研究.
结论:
- 癌症污名是非洲普遍存在的问题,它会对患者的护理和治疗结果产生负面影响.
- 迫切需要开发和实施基于证据的干预措施和政策变化,以减少耻辱.
- 未来的研究和公共卫生倡议应优先考虑降低癌症护理障碍,提高认识,制定支持性政策.
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