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Intersectionality in cancer care: A systematic review of current research and future directions.

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Title: Intersectionality in cancer care: A systematic review of current research and future directions.
Authors: Kelly‐Brown, Joseph (AUTHOR), Palmer Kelly, Elizabeth (AUTHOR), Obeng‐Gyasi, Samilia (AUTHOR), Chen, JC (AUTHOR), Pawlik, Timothy M. (AUTHOR)
Source: Psycho-Oncology. May2022, Vol. 31 Issue 5, p705-716. 12p.
Subjects: Intersectionality, Racial inequality, Preventive medicine, Health services accessibility, Cancer treatment, Socioeconomic status
Abstract: Objectives: The objective of the current review was to synthesize the literature on intersectionality relative to disparities across the cancer care continuum. A model to support future intersectional cancer research was proposed. Methods: Web‐based discovery services and discipline‐specific databases were queried for both peer‐reviewed and gray literature. Study screening and data extraction were facilitated through the Covidence software platform. Results: Among 497 screened studies, 28 met study inclusion criteria. Most articles were peer‐reviewed empirical studies (n = 22) that focused on pre‐diagnosis/screening (n = 19) and included marginalized racial/ethnic (n = 22) identities. Pre‐cancer diagnosis, sexual orientation and race influenced women's screening and vaccine behaviors. Sexual minority women, particularly individuals of color, were less likely to engage in cancer prevention behaviors prior to diagnosis. Race and socioeconomic status (SES) were important factors in patient care/survivorship with worse outcomes among non‐white women of low SES. Emergent themes in qualitative results emphasized the importance of patient intersectional identities, as well as feelings of marginalization, fears of discrimination, and general discomfort with providers as barriers to seeking cancer care. Conclusions: Patients with intersectional identities often experience barriers to cancer care that adversely impact screening, diagnosis, treatment, as well as survivorship. The use of an "intersectional lens" as a future clinical and research framework will facilitate a more multidimensional and holistic approach to the care of cancer patients. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Intersectionality in cancer care: A systematic review of current research and future directions.
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  Data: <searchLink fieldCode="JN" term="%22Psycho-Oncology%22">Psycho-Oncology</searchLink>. May2022, Vol. 31 Issue 5, p705-716. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Intersectionality%22">Intersectionality</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+inequality%22">Racial inequality</searchLink><br /><searchLink fieldCode="DE" term="%22Preventive+medicine%22">Preventive medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+treatment%22">Cancer treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+status%22">Socioeconomic status</searchLink>
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  Label: Abstract
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  Data: Objectives: The objective of the current review was to synthesize the literature on intersectionality relative to disparities across the cancer care continuum. A model to support future intersectional cancer research was proposed. Methods: Web‐based discovery services and discipline‐specific databases were queried for both peer‐reviewed and gray literature. Study screening and data extraction were facilitated through the Covidence software platform. Results: Among 497 screened studies, 28 met study inclusion criteria. Most articles were peer‐reviewed empirical studies (n = 22) that focused on pre‐diagnosis/screening (n = 19) and included marginalized racial/ethnic (n = 22) identities. Pre‐cancer diagnosis, sexual orientation and race influenced women's screening and vaccine behaviors. Sexual minority women, particularly individuals of color, were less likely to engage in cancer prevention behaviors prior to diagnosis. Race and socioeconomic status (SES) were important factors in patient care/survivorship with worse outcomes among non‐white women of low SES. Emergent themes in qualitative results emphasized the importance of patient intersectional identities, as well as feelings of marginalization, fears of discrimination, and general discomfort with providers as barriers to seeking cancer care. Conclusions: Patients with intersectional identities often experience barriers to cancer care that adversely impact screening, diagnosis, treatment, as well as survivorship. The use of an "intersectional lens" as a future clinical and research framework will facilitate a more multidimensional and holistic approach to the care of cancer patients. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: May2022
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