目的:系统评估乳腺癌(BC)干预措施在改善乳房自我检查(BSE)方面的有效性,临床乳房检查(CBE),乳房X线照片筛查率,穆斯林难民和移民妇女的预防活动。
方法:以健康信念模型为指导,采用序贯设计进行混合方法系统综述和荟萃分析.
方法:本研究遵循系统评价和荟萃分析陈述(PRISMA)的首选报告项目,关键评估技能计划检查表,以及乔安娜·布里格斯研究所(JBI)的系统评价和荟萃分析方法。从2015年1月1日至2022年3月31日,在多个健康和社会科学数据库中对英语同行评审文章进行了系统搜索。随机临床试验和准实验研究集中在BSE的摄取,CBE,并选择乳房X线照片。
结果:这篇综述包括了14篇文章。大多数研究依赖于准实验设计,并在美利坚合众国进行。对BC筛查干预措施的定性分析产生了三个主题:(1)教育,(2)以访问为中心,(3)以文化和信仰为基础。荟萃分析包括3项随机对照试验和2项准实验研究。荟萃分析证明了社区主导的文化和基于信仰的干预措施在促进完成CBE和乳房X光检查筛查方面的有效性。与独立干预相比,BC教育和患者导航干预更有效地结合使用,然而,基于社区的文化和基于信仰的干预措施是最有效的。
结论:本系统和荟萃分析综述提供了证据,证明了以获取为重点,基于文化和信仰的干预措施在改善穆斯林难民和移民妇女的BC筛查方面的有效性。未来的研究应侧重于设计和衡量文化和信仰为基础的干预措施,以增加穆斯林难民和移民妇女的不列颠哥伦比亚省筛查知识和做法的有效性。
结论:本系统和荟萃分析综述表明,有必要探索穆斯林难民和移民妇女的文化背景,以开发对文化敏感的BC筛查干预措施。BC和宗教的知识和实践与金融相交,地理,减少穆斯林难民和移民妇女参与筛查和预防活动的语言障碍。
To systematically assess the effectiveness of breast cancer (BC) interventions in improving breast self-examination (BSE), clinical breast examination (CBE),
mammogram screening rates, and preventive activities in Muslim refugee and immigrant women.
Guided by the Health Belief Model, a mixed method systematic
review and meta-analysis was performed using a sequential design.
This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement (PRISMA), the Critical Appraisal Skill Program Checklists, and the Joanna Briggs Institute (JBI) methodology for systematic
review and meta-analysis. A systematic search of English-language peer-reviewed articles was undertaken in multiple health and social sciences databases from January 1, 2015, to March 31, 2022. Randomized clinical trials and quasi-experimental studies focused on the uptake of BSE, CBE, and mammograms were selected.
Fourteen articles were included in the
review. Most of the studies relied on quasi-experimental designs and were carried out in the United States of America. The qualitative analysis of BC screening interventions generated three themes: (1) education, (2) access-focused, and (3) cultural and faith-based. The meta-analysis included three randomized control trials and two quasi-experimental studies. The meta-analysis demonstrates the effectiveness of community-led cultural and faith-based interventions in facilitating the completion of CBE and mammography screening. Education on BC and patient navigator interventions are more effectively used in conjunction than standalone interventions, yet community-based cultural and faith-based interventions are the most effective.
This systematic and meta-analysis
review provides evidence on the effectiveness of access-focused and cultural and faith-based interventions in improving BC screening in Muslim refugee and immigrant women. Future research should focus on designing and measuring the effectiveness of cultural and faith-based interventions to increase Muslim refugee and immigrant women\'s BC screening knowledge and practices.
This systematic and meta-analysis review demonstrates the need to explore Muslim refugee and immigrant women\'s cultural contexts for developing culturally sensitive BC screening interventions. Knowledge and practice of BC and religiosity intersect with financial, geographic, and linguistic barriers to decrease participation in screening and preventive activities in Muslim refugee and immigrant women.