Racial discrimination among women seeking breast cancer care

被引：0

作者：

Oshry, Lauren J. ^{[1
]}

Lederman, Ruth I. ^{[2
]}

Gagnon, Haley ^{[3
]}

Fikre, Tsion ^{[1
]}

Gundersen, Daniel A. ^{[2
]}

Revette, Anna C. ^{[2
]}

Odai-Afotey, Ashley ^{[3
,4
]}

Kantor, Olga ^{[5
]}

Hershman, Dawn L. ^{[6
]}

Crew, Katherine D. ^{[6
]}

Keating, Nancy L. ^{[4
,7
]}

Freedman, Rachel A. ^{[3
]}

Ko, Naomi Y. ^{[1
]}

机构：

[1] Boston Univ, Boston Med Ctr, Dept Med, Sect Hematol & Med Oncol,Sch Med, Boston, MA 02215 USA

[2] Dana Farber Canc Inst, Survey & Qualitat Methods Core, Boston, MA USA

[3] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA USA

[4] Brigham & Womens Hosp, Div Gen Internal Med, Boston, MA USA

[5] Brigham & Womens Hosp, Dept Surg, Div Breast Surg, Boston, MA USA

[6] Columbia Univ, Irving Med Ctr, Herbert Irving Comprehens Canc Ctr, Dept Med & Epidemiol, New York, NY USA

[7] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA USA

来源：

NPJ BREAST CANCER | 2025年 / 11卷 / 01期

关键词：

DISPARITIES; HEALTH;

D O I：

10.1038/s41523-025-00717-y

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Discrimination can contribute to worse health outcomes, but its prevalence in breast cancer is not well studied. We aimed to understand how women with stage I-III breast cancer faced discrimination in health care and everyday settings through the Everyday Discrimination Scale, cross-sectional survey. 296 women, 178 (60%) Non-Hispanic White (NHW), 76 (26%) Non-Hispanic Black (NHB), and 42 (14%) Hispanic participated. NHB women reported significantly more discrimination in everyday life compared to NHW women (score 20.1 vs 16.1, p < 0.001) and Hispanic women (score 20.1 vs 16.0, p < 0.001). In the health care setting, NHB had statistically more frequent reports of being ignored (23.7% vs. 5.6%), treated with less respect (21.1% vs. 7.3%), and treated with less courtesy (18.7% vs. 6.2%; all P = < 0.001) when compared to NHW women. NHB women experience a higher degree of discrimination both inside and outside of health care. Further research to understand discrimination on breast cancer outcomes is warranted.

引用

页数：6

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