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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

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Authors

Claire E.L. Jones

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

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