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A systematic review of barriers to early presentation and diagnosis with cancer among Black women

Jones, Claire E. L., Maben, Jill, Davies, Elizabeth A., Jack, Ruth H., Forbes, Lindsay J.L., Lucas, Grace, Ream, Emma (2014) A systematic review of barriers to early presentation and diagnosis with cancer among Black women. BMJ Open, 4 (2). e004076. ISSN 2044-6055. E-ISSN 2044-6055. (doi:10.1136/bmjopen-2013-004076) (KAR id:53849)

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http://dx.doi.org/10.1136/bmjopen-2013-004076

Abstract

Objective: To explore barriers to early presentation and diagnosis with breast cancer among black women.

Methods: We searched multiple bibliographic databases (January 1991–February 2013) for primary research, published in English, conducted in developed countries and investigating barriers to early presentation and diagnosis with symptomatic breast cancer among black women (?18 years). Studies were excluded if they did not report separate findings by ethnic group or gender, only reported differences in time to presentation/diagnosis, or reported on interventions and barriers to cancer screening. We followed Cochrane and PRISMA guidance to identify relevant research. Findings were integrated through thematic synthesis. Designs of quantitative studies made meta-analysis impossible.

Conclusions: Strategies to improve early presentation and diagnosis with breast cancer among black women need to address symptom recognition and interpretation of risk, as well as fears of the consequences of cancer. The review is limited by the paucity of studies conducted outside the USA and limited detail reported by published studies preventing comparison between ethnic groups.

Item Type: Article
DOI/Identification number: 10.1136/bmjopen-2013-004076
Subjects: H Social Sciences > HT Communities. Classes. Races
R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Lindsay Forbes
Date Deposited: 25 Jan 2016 14:29 UTC
Last Modified: 10 Jun 2019 11:57 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/53849 (The current URI for this page, for reference purposes)
Forbes, Lindsay J.L.: https://orcid.org/0000-0002-4654-9520
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