隐藏在数据中:乳腺癌模式,差距和美国土著妇女的挑战
Jennifer Erdrich1, Hannah E Woriax2, Aaron Thomas3
1Department of Surgery, University of Arizona College of Medicine, Turtle Mountain Ojibwe, Tucson, 1501 N. Campbell Ave, AZ 85724 USA.
Current breast cancer reports
|January 9, 2026
概括
由于资源有限和系统性障碍,美国印第安人/阿拉斯加土著 (AI/AN) 妇女的乳腺癌查和护理面临着显著的差异. 解决这些问题需要土著领导和改善数据,以获得公平的结果.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 健康差异 在健康上的差异
背景情况:
- 乳腺癌对美国印第安人/阿拉斯加土著 (AI/AN) 妇女来说是复杂的公共卫生挑战,其特点是发病率,阶段,治疗和生存率的区域差异.
- 获得查性乳房造影的机会有限,医疗保健工作人员短缺和资金不足的系统导致诊断延迟和预后较差.
- 社会决定因素,历史创伤和医疗不信任加剧了护理障碍,数据限制和代表性不足加剧了这一现象.
研究的目的:
- 提供关于美国印第安/阿拉斯加土著 (AI/AN) 妇女乳腺癌查,临床特征,治疗和生存率的全面概述.
- 要突出影响乳腺癌结果的差异和促成因素在这个人群中.
- 提出未来研究和干预的框架,以土著优先事项为中心.
主要方法:
- 由具有AI/AN社区专业知识的土著外科医生进行了全面的文献审查.
- 该审查综合了有关AI/AN女性乳腺癌发病率,诊断,治疗和生存率的现有数据.
- 来自土著健康专家的观点被整合到分析和建议的基础上.
主要成果:
- 对于AI/AN女性来说,乳腺癌的结果具有显著的区域差异.
- 晚期诊断是常见的,因为查和医疗保健的获取有限.
- 印度卫生服务 (IHS) 在满足AI/AN妇女的复杂需求方面面临挑战,特别是在城市环境中.
结论:
- 减少乳腺癌差异需要优先考虑土著领导和尊重部落主权.
- 提高数据准确性和促进公平合作对于促进AI/AN妇女健康至关重要.
- 将AI/AN社区在研究和医疗保健方面的优先事项放在中心,对于实现公平的结果至关重要.
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