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.
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收藏
页数：6
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