Breast cancer screening during the COVID-19 pandemic: moving from disparities to health equity.
Breast cancer screening during the COVID-19 pandemic: moving from disparities to health equity.
复制标题
DOI：
10.1093/jnci/djac172
复制
发表时间：
2023-02-08
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
COVID-19大流行对美国的常规医疗保健造成前所未有的干扰。乳腺癌筛查是乳腺癌控制和预防的基石，于2020年春季全面停止，筛查计划继续面临随后COVID-19浪潮的挑战。虽然在大流行期间，所有妇女的乳房X光检查筛查率都有所下降，但一些研究现已清楚地证明，某些人群的筛查率下降幅度大于其他人群。具体而言，在各项研究中，少数族裔妇女的筛查率低于白色妇女，尽管具体的差异模式因所研究的人口和社区而异。我们认为，这些差异可能是由于各种结构性和背景因素造成的，包括COVID-19对社区的不同影响。我们还概述了缩小筛查性乳腺X射线摄影差距的关键考虑因素。首先，实践，卫生系统和社区必须衡量筛查乳房X光检查的使用，以确定是否存在差距以及哪些人群受影响最大。其次，我们建议，缩小乳腺癌筛查差距的战略必须是多方面的，既要针对卫生系统或实践，也要针对政策层面的结构性因素。健康差距产生于一系列复杂的条件，解决导致差距的复杂、多因素条件的多模式解决方案可能更有可能成功，并且对于促进健康公平是必要的。
The COVID-19 pandemic created unprecedented disruptions to routine health care in the United States. Screening mammography, a cornerstone of breast cancer control and prevention, was completely halted in the spring of 2020, and screening programs have continued to face challenges with subsequent COVID-19 waves. Although screening mammography rates decreased for all women during the pandemic, a number of studies have now clearly documented that reductions in screening have been greater for some populations than others. Specifically, minoritized women have been screened at lower rates than White women across studies, although the specific patterns of disparity vary depending on the populations and communities studied. We posit that these disparities are likely due to a variety of structural and contextual factors, including the differential impact of COVID-19 on communities. We also outline key considerations for closing gaps in screening mammography. First, practices, health systems, and communities must measure screening mammography use to identify whether gaps exist and which populations are most affected. Second, we propose that strategies to close disparities in breast cancer screening must be multifaceted, targeting the health system or practice, but also structural factors at the policy level. Health disparities arise from a complex set of conditions, and multimodal solutions that address the complex, multifactorial conditions that lead to disparities may be more likely to succeed and are necessary for promoting health equity.
登录
查看更多内容
影响因子：
39.2
作者：
Chapman, Christina Hunter;Schechter, Clyde B.;Cadham, Christopher J.;Trentham-Dietz, Amy;Gangnon, Ronald E.;Jagsi, Reshma;Mandelblatt, Jeanne S.
通讯作者：
Mandelblatt, Jeanne S.
影响因子：
120.7
作者：
Mafi, John N.;Craff, Melody;Kahn, Katherine L.
通讯作者：
Kahn, Katherine L.
影响因子：
19.7
作者：
Lowry KP;Bissell MCS;Miglioretti DL;Kerlikowske K;Alsheik N;Macarol T;Bowles EJA;Buist DSM;Tosteson ANA;Henderson L;Herschorn SD;Wernli KJ;Weaver DL;Stout NK;Sprague BL
通讯作者：
Sprague BL
影响因子：
16.9
作者：
Le Blanc, Justin M.;Heller, Danielle R.;Park, Tristen S.
通讯作者：
Park, Tristen S.
影响因子：
5.1
作者：
DeGroff, A.;Miller, J.;Sharma, K.;Sun, J.;Helsel, W.;Kammerer, W.;Rockwell, T.;Sheu, A.;Melillo, S.;Uhd, J.;Kenney, K.;Wong, F.;Saraiya, M.;Richardson, L. C.
通讯作者：
Richardson, L. C.