PDF(Pubmed)
Abstract：
Inuit face worse cancer survival rates and outcomes than the general Canadian population. Persistent health disparities cannot be understood without examining the structural factors that create inequities and continue to impact the health and well-being of Inuit. This scoping review aims to synthesise the available published and grey literature on the structural factors that influence cancer care experienced by Inuit in Canada. Guided by Inuit input from Pauktuutit Inuit Women of Canada as well as the Joanna Briggs Institute scoping review methodology, a comprehensive electronic search along with hand-searching of grey literature and relevant journals was conducted. A total of 30 papers were included for analysis and assessment of relevance. Findings were organised into five categories as defined in the a priori framework related to colonisation, as well as health systems, social, economic, and political structures. The study results highlight interconnections between racism and colonialism, the lack of health service information on urban Inuit, as well as the need for system-wide efforts to address the structural barriers in cancer care.
摘要：
因纽特人比加拿大普通人群面临更差的癌症生存率和预后。如果不审查造成不平等并继续影响因纽特人健康和福祉的结构性因素，就无法理解持续的健康差距。本范围审查旨在综合有关加拿大因纽特人经历的影响癌症护理的结构因素的可用已发表和灰色文献。在加拿大Pauktuutit因纽特人妇女以及JoannaBriggs研究所范围审查方法的因纽特人意见的指导下，进行了全面的电子搜索以及对灰色文献和相关期刊的手工搜索。共纳入30篇论文进行相关性分析和评估。研究结果被分为五类，如与殖民有关的先验框架中定义的那样，以及卫生系统，社会,经济,和政治结构。研究结果强调了种族主义和殖民主义之间的相互联系，缺乏城市因纽特人的卫生服务信息，以及需要全系统努力解决癌症治疗中的结构性障碍。
