Barriers to Access for Cervical and Breast Cancer Screenings Among Female Latinx Migrant Farmworkers in the US: A Scoping Literature Review.
Barriers to Access for Cervical and Breast Cancer Screenings Among Female Latinx Migrant Farmworkers in the US: A Scoping Literature Review.
复制标题
DOI：
10.1177/21501319211073252
复制
发表时间：
2022-01
影响因子：
3.6
通讯作者：
Kerver JM
中科院分区：
文献类型：
--
作者：
Pariser A;Hirko KA;Muñoz GM;Pico-Gleason G;Robinson C;Kerver JM
需要确定女性农民工癌症筛查的障碍，以告知干预措施的制定和医疗保健政策。因此，我们的目的是系统地回顾和总结拉丁裔移民农场工人在美国进行宫颈癌和乳腺癌筛查所面临的障碍的研究结果。使用Medline和Embase，使用检索词“移民农场工人和”，识别截至2021年10月的文献。. .癌症;获得保健服务;乳房;子宫颈;联邦合格的健康中心，”和“移民癌症筛查”和“移民农场工人癌症筛查”。还使用了通过审查每篇选定文章中的引文进行的雪球抽样。排除标准包括关注乳腺癌或宫颈癌以外的特定类型癌症的文章、不在美国境内的文章、不涉及拉丁裔移民的文章、不涉及癌症筛查的文章或关注儿科人群的文章。数据由3位作者合成，并对选定的文章进行了共同主题评估。19篇文章符合纳入标准。关于癌症筛查障碍的常见主题包括：缺乏癌症知识、费用/无力支付、缺乏健康保险覆盖、文化观念、恐惧、语言困难以及交通和时间限制。研究结果表明，移民农民工的癌症筛查障碍可以通过提供有关癌症筛查和治疗的教育，解决恐惧，语言和文化障碍，以及提供交通和医疗保险来解决。考虑到这些障碍是必要的，以有效地解决癌症的差异，在这个脆弱的女性农场工人的人口。
Identification of barriers to cancer screening among female migrant farmworkers is needed to inform intervention development and healthcare policy. Thus, our purpose was to systematically review and summarize findings from prior studies of barriers faced by Latinx migrant farmworkers in accessing cervical and breast cancer screenings in the US. Medline and Embase were used to identify literature through October 2021 using the search terms “migrant farmworkers AND. . .cancer; healthcare access; breast; cervical; federally qualified health centers,” and “migrant cancer screening” and “migrant farmworker cancer screening.” Snowball sampling by reviewing citations in each selected article was also used. Exclusion criteria included those articles that focused on specific types of cancer other than breast or cervical, those not within the US, not referencing Latinx migrants, not referencing cancer screening, or those focused on pediatric populations. Data was synthesized by 3 authors and selected articles were assessed for common themes. Nineteen articles met inclusion criteria. Common themes about barriers to cancer screening included: lack of cancer knowledge, cost/inability to pay, lack of health insurance coverage, cultural perceptions, fear, language difficulties, and transportation and time constraints. Findings suggest that barriers to cancer screening among migrant farmworkers may be addressed by providing education about cancer screening and treatment, addressing fear, language, and cultural barriers, and providing transportation and health insurance coverage. Consideration of these barriers is necessary to effectively address cancer disparities in this vulnerable population of female farmworkers.