Claire E.L. Jones
A systematic review of barriers to early presentation and diagnosis with breast cancer among black women
Jones, Claire E.L.; Maben, Jill; Jack, Ruth H.; Davies, Elizabeth A.; Forbes, Lindsay J.L.; Lucas, Grace; Ream, Emma
Authors
Jill Maben
RUTH JACK Ruth.Jack@nottingham.ac.uk
Senior Research Fellow
Elizabeth A. Davies
Lindsay J.L. Forbes
Grace Lucas
Emma Ream
Abstract
Objective: To explore barriers to early presentation and diagnosis with breast cancer among black women. Design: Systematic review. 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. Results: We identified 18 studies (6183 participants). Delay was multifactorial, individual and complex. Factors contributing to delay included: poor symptom and risk factor knowledge; fear of detecting breast abnormality; fear of cancer treatments; fear of partner abandonment; embarrassment disclosing symptoms to healthcare professionals; taboo and stigmatism. Presentation appears quicker following disclosure. Influence of fatalism and religiosity on delay is unclear from evidence in these studies. We compared older studies (≥10 years) with newer ones (
Citation
Jones, C. E., Maben, J., Jack, R. H., Davies, E. A., Forbes, L. J., Lucas, G., & Ream, E. (2014). A systematic review of barriers to early presentation and diagnosis with breast cancer among black women. BMJ Open, 4(2), Article e004076. https://doi.org/10.1136/bmjopen-2013-004076
Journal Article Type | Article |
---|---|
Acceptance Date | Jan 14, 2014 |
Online Publication Date | Feb 12, 2014 |
Publication Date | Mar 4, 2014 |
Deposit Date | Apr 26, 2021 |
Publicly Available Date | Apr 27, 2021 |
Journal | BMJ Open |
Electronic ISSN | 2044-6055 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 4 |
Issue | 2 |
Article Number | e004076 |
DOI | https://doi.org/10.1136/bmjopen-2013-004076 |
Public URL | https://nottingham-repository.worktribe.com/output/3223728 |
Publisher URL | https://bmjopen.bmj.com/content/4/2/e004076 |
Files
Jones BMJ Open 2014
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PDF
Publisher Licence URL
https://creativecommons.org/licenses/by-nc/3.0/
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