{"title":"患者导航服务在减少亚裔美国人癌症筛查差异方面的有效性。","authors":"Jinhyun Kim, Jina Han","doi":"10.1080/13557858.2022.2122409","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Patient navigation has served as a useful intervention to reduce cancer disparities among diverse ethnic groups. Previous studies have consistently shown the effectiveness of patient navigation in reducing cancer disparities for ethnic minorities; however, few studies have been conducted for cancer screening behaviors focusing on the Asian population. This study aims to identify the overall effectiveness of patient navigation in cancer screening behaviors among Asian Americans through meta-analyses. In addition, this study examines the moderating effects of the type of cancers on cancer screening behaviors.</p><p><strong>Design: </strong>For data analyses, we selected 15 studies through a systematic review and meta-analyses, searching the databases of PubMed, Web of Science, Embase, Scopus, and Cochrane Library. Random-effects models were used for meta-analyses.</p><p><strong>Results: </strong>The results showed that Asian Americans who received patient navigation were more likely to participate in cancer screening behaviors than those who did not receive patient navigation regardless of the type of cancer. Publication bias was tested using a funnel plot, meta-regression, and Failsafe-N. No notable publication bias was found.</p><p><strong>Conclusion: </strong>This study can provide comprehensive evidence regarding the overall effectiveness of patient navigation in cancer screening behaviors of Asian Americans.</p>","PeriodicalId":51038,"journal":{"name":"Ethnicity & Health","volume":"28 5","pages":"635-649"},"PeriodicalIF":2.6000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effectiveness of patient navigation services in reducing cancer screening disparities among Asian Americans.\",\"authors\":\"Jinhyun Kim, Jina Han\",\"doi\":\"10.1080/13557858.2022.2122409\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Patient navigation has served as a useful intervention to reduce cancer disparities among diverse ethnic groups. Previous studies have consistently shown the effectiveness of patient navigation in reducing cancer disparities for ethnic minorities; however, few studies have been conducted for cancer screening behaviors focusing on the Asian population. This study aims to identify the overall effectiveness of patient navigation in cancer screening behaviors among Asian Americans through meta-analyses. In addition, this study examines the moderating effects of the type of cancers on cancer screening behaviors.</p><p><strong>Design: </strong>For data analyses, we selected 15 studies through a systematic review and meta-analyses, searching the databases of PubMed, Web of Science, Embase, Scopus, and Cochrane Library. Random-effects models were used for meta-analyses.</p><p><strong>Results: </strong>The results showed that Asian Americans who received patient navigation were more likely to participate in cancer screening behaviors than those who did not receive patient navigation regardless of the type of cancer. Publication bias was tested using a funnel plot, meta-regression, and Failsafe-N. No notable publication bias was found.</p><p><strong>Conclusion: </strong>This study can provide comprehensive evidence regarding the overall effectiveness of patient navigation in cancer screening behaviors of Asian Americans.</p>\",\"PeriodicalId\":51038,\"journal\":{\"name\":\"Ethnicity & Health\",\"volume\":\"28 5\",\"pages\":\"635-649\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ethnicity & Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/13557858.2022.2122409\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ETHNIC STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethnicity & Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13557858.2022.2122409","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHNIC STUDIES","Score":null,"Total":0}
引用次数: 0
摘要
目的:患者导航已成为一种有效的干预措施，以减少不同种族群体之间的癌症差异。先前的研究一致表明，患者导航在减少少数民族癌症差异方面是有效的;然而，很少有针对亚洲人群的癌症筛查行为的研究。本研究旨在通过荟萃分析确定亚裔美国人癌症筛查行为中患者导航的总体有效性。此外，本研究还探讨了癌症类型对癌症筛查行为的调节作用。设计:在数据分析方面，我们通过系统综述和荟萃分析，检索PubMed、Web of Science、Embase、Scopus和Cochrane Library等数据库，选择了15项研究。meta分析采用随机效应模型。结果:结果显示，无论癌症类型如何，接受患者导航的亚裔美国人比未接受患者导航的亚裔美国人更有可能参与癌症筛查行为。采用漏斗图、元回归和Failsafe-N检验发表偏倚。未发现明显的发表偏倚。结论:本研究可以为亚裔美国人癌症筛查行为中患者导航的整体有效性提供全面的证据。
The effectiveness of patient navigation services in reducing cancer screening disparities among Asian Americans.
Objectives: Patient navigation has served as a useful intervention to reduce cancer disparities among diverse ethnic groups. Previous studies have consistently shown the effectiveness of patient navigation in reducing cancer disparities for ethnic minorities; however, few studies have been conducted for cancer screening behaviors focusing on the Asian population. This study aims to identify the overall effectiveness of patient navigation in cancer screening behaviors among Asian Americans through meta-analyses. In addition, this study examines the moderating effects of the type of cancers on cancer screening behaviors.
Design: For data analyses, we selected 15 studies through a systematic review and meta-analyses, searching the databases of PubMed, Web of Science, Embase, Scopus, and Cochrane Library. Random-effects models were used for meta-analyses.
Results: The results showed that Asian Americans who received patient navigation were more likely to participate in cancer screening behaviors than those who did not receive patient navigation regardless of the type of cancer. Publication bias was tested using a funnel plot, meta-regression, and Failsafe-N. No notable publication bias was found.
Conclusion: This study can provide comprehensive evidence regarding the overall effectiveness of patient navigation in cancer screening behaviors of Asian Americans.
期刊介绍：
Ethnicity & Health
is an international academic journal designed to meet the world-wide interest in the health of ethnic groups. It embraces original papers from the full range of disciplines concerned with investigating the relationship between ’ethnicity’ and ’health’ (including medicine and nursing, public health, epidemiology, social sciences, population sciences, and statistics). The journal also covers issues of culture, religion, gender, class, migration, lifestyle and racism, in so far as they relate to health and its anthropological and social aspects.
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