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Abstract：
Breast cancer disproportionately impacts Native Hawaiian and Pacific Islander communities in Hawai\'i, as exemplified by high breast cancer prevalence and mortality rates. Breast cancer disparities are linked to socio-cultural determinants of health, signifying the importance of culturally-based interventions. This paper systematically reviewed breast cancer studies conducted in Hawai\'i. The literature search yielded 813 published studies, with a final total of 13 peer-reviewed studies that met this paper\'s inclusion criteria. All but 1 study incorporated cultural components. By evaluating key intervention components and assessing the quality of each study, the research team aimed to analyze the importance of cultural values in health interventions. Family and spirituality in coping with a cancer diagnosis were key themes in patients\' lived experiences. Other culturally-based components in these studies included community-engaged research and cultural training for health professionals. The collective findings suggest that breast cancer health interventions that incorporate cultural strengths, values, and worldviews may play a central role in reducing the overall breast cancer burden among these communities. The present review advocates for future research to take a more culturally-based strategy in addressing breast cancer health disparities among Native Hawaiian and Pacific Islanders in Hawai\'i.
摘要：
乳腺癌不成比例地影响夏威夷原住民和太平洋岛民社区，例如高乳腺癌患病率和死亡率。乳腺癌的差异与健康的社会文化决定因素有关，标志着基于文化的干预的重要性。本文系统地回顾了在夏威夷进行的乳腺癌研究。文献检索产生了813项已发表的研究，最终共有13项同行评审的研究符合本文的纳入标准。除1项研究外，所有研究都纳入了文化成分。通过评估关键干预成分和评估每一项研究的质量，研究小组旨在分析文化价值观在健康干预中的重要性.应对癌症诊断的家庭和灵性是患者生活经历中的关键主题。这些研究中的其他基于文化的组成部分包括社区参与的研究和对卫生专业人员的文化培训。集体发现表明，结合文化优势的乳腺癌健康干预措施，值,和世界观可能在减轻这些社区的整体乳腺癌负担方面发挥核心作用。本综述主张未来的研究采取更加基于文化的策略来解决夏威夷原住民和太平洋岛民之间的乳腺癌健康差异。
