"Everyone needs a Deb": what Australian indigenous women say about breast cancer screening and treatment services.
Aboriginal and Torres Strait Islander
Australia
Breast cancer
Culture
Indigenous
Perspective
Screening
Journal
BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677
Informations de publication
Date de publication:
21 Jun 2023
21 Jun 2023
Historique:
received:
13
03
2023
accepted:
01
06
2023
medline:
23
6
2023
pubmed:
22
6
2023
entrez:
21
6
2023
Statut:
epublish
Résumé
Breast cancer continues to be the second most diagnosed cancer overall and the most diagnosed cancer for women in Australia. While mortality rates overall have declined in recent years, Indigenous women continue to be diagnosed at more marginal rates (0.9 times) and are more likely to die (1.2 times). The literature provides a myriad of reasons for this; however, the voices of Indigenous women are largely absent. This study sets out to understand what is happening from the perspectives of Australian Indigenous women with a view to charting culturally safer pathways that improve participation in screening and treatment by Indigenous women. This co-design study was conducted using semi-structured, in-depth interviews and focus group discussions. Recruitment of study participants was via snowball sampling. Participants were subsequently consented into the study through the Aboriginal Health Service and the research team. Interviews were audio recorded and transcribed verbatim, and data coded in NVivo12 using inductive thematic analysis. A total of 21 Indigenous women and 14 health service providers were interviewed predominantly from the same regional/rural area in NSW, with a small proportion from other states in Australia. Six major themes were identified: Access, Awareness, Community and Family, Lack of control, Negative feelings and associations and Role of services. To improve access and participation of Indigenous women and ultimately improve mortality rates, breast cancer services must explicitly address cultural and community needs.
Sections du résumé
BACKGROUND
BACKGROUND
Breast cancer continues to be the second most diagnosed cancer overall and the most diagnosed cancer for women in Australia. While mortality rates overall have declined in recent years, Indigenous women continue to be diagnosed at more marginal rates (0.9 times) and are more likely to die (1.2 times). The literature provides a myriad of reasons for this; however, the voices of Indigenous women are largely absent. This study sets out to understand what is happening from the perspectives of Australian Indigenous women with a view to charting culturally safer pathways that improve participation in screening and treatment by Indigenous women.
METHODS
METHODS
This co-design study was conducted using semi-structured, in-depth interviews and focus group discussions. Recruitment of study participants was via snowball sampling. Participants were subsequently consented into the study through the Aboriginal Health Service and the research team. Interviews were audio recorded and transcribed verbatim, and data coded in NVivo12 using inductive thematic analysis.
RESULTS
RESULTS
A total of 21 Indigenous women and 14 health service providers were interviewed predominantly from the same regional/rural area in NSW, with a small proportion from other states in Australia. Six major themes were identified: Access, Awareness, Community and Family, Lack of control, Negative feelings and associations and Role of services.
CONCLUSION
CONCLUSIONS
To improve access and participation of Indigenous women and ultimately improve mortality rates, breast cancer services must explicitly address cultural and community needs.
Identifiants
pubmed: 37344905
doi: 10.1186/s12913-023-09633-y
pii: 10.1186/s12913-023-09633-y
pmc: PMC10283162
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
672Informations de copyright
© 2023. The Author(s).
Références
Healthc Manage Forum. 2022 Mar;35(2):99-104
pubmed: 35119326
Int J Public Health. 2016 May;61(4):435-42
pubmed: 26427859
BMJ Open. 2022 Jan 24;12(1):e048003
pubmed: 35074807
BMC Public Health. 2017 Sep 11;17(1):697
pubmed: 28893225
Aust N Z J Public Health. 2000 Oct;24(5):515-9
pubmed: 11109689
Eur J Cancer Care (Engl). 2017 Nov;26(6):
pubmed: 28186346
Can J Nurs Res. 2022 Jun;54(2):199-210
pubmed: 35014886
BMC Cancer. 2014 Mar 07;14:163
pubmed: 24606675
BMC Health Serv Res. 2019 Jun 14;19(1):387
pubmed: 31200700
Aust Fam Physician. 2008 Mar;37(3):178-82
pubmed: 18345371
Int J Environ Res Public Health. 2021 Jun 04;18(11):
pubmed: 34199955
J Prim Prev. 2017 Apr;38(1-2):121-135
pubmed: 27838858
Health Promot J Austr. 2018 Dec;29(3):366-367
pubmed: 30511484