The Role of Culture and Ethnicity in the Adjustment to Gynecological Cancer
The Role of Culture and Ethnicity in the Adjustment to Gynecological Cancer
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DOI：
10.2174/157340411799079571
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发表时间：
2011-01-01
影响因子：
0.4
通讯作者：
Lim, Jung-Won
中科院分区：
文献类型：
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作者：
Lim, Jung-Won
本研究回顾了有关文化和种族对女性妇科癌症患者健康结果的影响的文章，包括：1)早期发现和筛查，2)治疗，以及3)存活。具体而言，本研究调查了种族和文化差异对癌症结果的影响，并探索了在癌症连续体中活跃的文化因素。针对文化和种族在适应妇科癌症中的作用的研究相对较少。总的来说，大多数文化和种族研究都侧重于癌症筛查或生存，而一些关于医学问题的研究则侧重于癌症治疗和生存的种族差异。研究侧重于早期发现和筛查，文化变量，包括文化信仰、文化适应、信息缺乏以及个人和地区层面的社会经济地位，已被用作调查文化对结果影响的指标。在幸存者研究中，社会支持、文化适应、社会经济地位和宗教信仰已被纳入分析。然而，只有社会支持变量作为治疗阶段的文化因素进行了研究。建议制定标准化的文化定义和评估，在研究和实践中纳入多种文化因素，建立循证实践，以及改变保健政策，作为最大限度地调整和改善有妇科癌症风险和被诊断为妇科癌症的妇女的生活质量的战略。
This study reviews articles describing cultural and ethnic influences on health outcomes for women diagnosed with gynecological cancer along the cancer continuum: 1) early detection and screening, 2) treatment, and 3) survivorship. Specifically, this study investigates what ethnic and cultural differences influence cancer outcomes and explores cultural factors that are active along the cancer continuum. Studies addressing the roles of culture and ethnicity in the adjustment to gynecological cancer are relatively rare. Overall, most cultural and ethnic studies have focused on either cancer screening or survivorship, while a number of studies regarding medical issues have focused on ethnic differences in cancer treatment and survival. Studies focused on early detection and screening, cultural variables, including cultural beliefs, acculturation, lack of information, and individual- and area-level socio-economic status, have been used as indicators to investigate the effect of culture on outcomes. In survivorship studies, social support, acculturation, socioeconomic status, and religiosity have been included in the analyses. However, only the social support variable has been investigated as a cultural factor in the treatment stage. The development of standardized definitions and assessments of culture, the inclusion of diverse cultural factors in studies and practice, the establishment of evidence-based practice, and health care policy changes are recommended as strategies to maximize adjustment and improve quality of life for women at risk of and diagnosed with gynecological cancer.