非殖民化医学知识——英国乳腺癌症和种族的案例

IF 2 Q3 HEALTH POLICY & SERVICES Journal of Cancer Policy Pub Date : 2023-06-01 DOI:10.1016/j.jcpo.2022.100365
Sarah Catherine Workman , Maddy C. Thompson , Lisa Lau
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引用次数: 0

摘要

国家和全球的努力导致全球乳腺健康和诊断的显著改善(Lukong,2017)。然而,这些成就并不均衡。以英国癌症为例,我们认为,持久形式的医学种族主义使黑人女性更容易感染晚期疾病,这解释了更高的死亡率和晚期诊断。特别是,我们展示了缺乏专门的政策、数据收集不足和缺乏代表性如何共同使黑人女性面临更严重的癌症结果的额外和不必要的风险。因此,我们提出了解决癌症护理中种族差异的关键建议,并采取措施使其非殖民化。这些是风险群体的早期筛查、社区主导的干预措施,以及更多更好地代表黑人女性及其在癌症资源中的风险。
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Decolonising medical knowledge – The case of breast cancer and ethnicity in the UK

National and global efforts have led to significant improvements in breast health and diagnosis, globally (Lukong, 2017). These achievements, however, are not even. Focusing on the case of breast cancer in the UK, we argue that enduring forms of medical racism leave Black women more vulnerable to advanced forms of the disease, explaining higher mortality rates and later-stage diagnosis. In particular, we show how a lack of dedicated policy, inadequate data collection, and a lack of representation conspire to place Black women at additional and unnecessary risk of worse breast cancer outcomes. We thus propose key recommendations to address the ethnic disparities in and make steps to decolonise breast cancer care. These are early screening for at-risk groups, community-led interventions, and more and better representation of Black women and their risks in breast cancer resources.

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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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