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

共 50 条

[31] Pregnancy-Specific Stress and Racial Discrimination Among U.S. Women [J].

Aleyah Johnson ;

Page D. Dobbs ;

Lois Coleman ;

Sarah Maness .

Maternal and Child Health Journal, 2023, 27 :328-334

[32] Differences in Breast Cancer Subtypes among Racial/Ethnic Groups [J].

Sasaki, Tamlyn ;

Liyanage, Akash ;

Bansil, Surbhi ;

Silva, Anthony ;

Pagano, Ian ;

Hidalgo, Elena Y. ;

Jones, Corinne ;

Ueno, Naoto T. ;

Takahashi, Yoko ;

Fukui, Jami .

CANCERS, 2024, 16 (20)

[33] Black cancer patients navigating a health-care system of racial discrimination [J].

Garrett, Elleyse ;

Ma, Cindy ;

Ochoa-Dominguez, Carol Y. ;

Navarro, Stephanie ;

Yoon, Paul ;

Halbert, Chanita Hughes ;

Farias, Albert J. .

JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2024, 116 (02) :258-263

[34] Fragmentation of Care Among Black Women With Breast Cancer and Comorbidities: The Role of Health Systems [J].

Doose, Michelle ;

Sanchez, Janeth I. ;

Cantor, Joel C. ;

Plascak, Jesse J. ;

Steinberg, Michael B. ;

Hong, Chi-Chen ;

Demissie, Kitaw ;

Bandera, Elisa V. ;

Tsui, Jennifer .

JCO ONCOLOGY PRACTICE, 2021, 17 (05) :287-+

[35] Racial Differences in Physical Activity Among Breast Cancer Survivors [J].

Hair, Brionna Y. ;

Hayes, Sandi ;

Tse, Chiu-Kit ;

Bell, Mary Beth ;

Olshan, Andrew F. .

CANCER, 2014, 120 (14) :2174-2182

[36] Racial Discrimination and Acute Physiological Responses Among Black Young Adults: The Role of Racial Identity [J].

Volpe, Vanessa V. ;

Lee, Daniel B. ;

Hoggard, Lori S. ;

Rahal, Danny .

JOURNAL OF ADOLESCENT HEALTH, 2019, 64 (02) :179-185

[37] A Moderated Mediation Model: Racial Discrimination, Coping Strategies, and Racial Identity Among Black Adolescents [J].

Seaton, Eleanor K. ;

Upton, Rachel ;

Gilbert, Adrianne ;

Volpe, Vanessa .

CHILD DEVELOPMENT, 2014, 85 (03) :882-890

[38] Racial Discrimination and Psychological Wellbeing of Pregnant Women [J].

Giurgescu, Carmen ;

Zenk, Shannon N. ;

Engeland, Christopher G. ;

Garfield, Lindsey ;

Templin, Thomas N. .

MCN-THE AMERICAN JOURNAL OF MATERNAL-CHILD NURSING, 2017, 42 (01) :8-13

[39] Perceived Discrimination, Racial Identity, and Multisystem Stress Response to Social Evaluative Threat Among African American Men and Women [J].

Lucas, Todd ;

Wegner, Rhiana ;

Pierce, Jennifer ;

Lumley, Mark A. ;

Laurent, Heidemarie K. ;

Granger, Douglas A. .

PSYCHOSOMATIC MEDICINE, 2017, 79 (03) :293-305

[40] HELP-SEEKING BEHAVIOR FOR INTIMATE PARTNER VIOLENCE AMONG RACIAL MINORITY WOMEN IN CANADA [J].

Hyman, Ilene ;

Forte, Tonia ;

Du Mont, Janice ;

Romans, Sarah ;

Cohen, Marsha M. .

WOMENS HEALTH ISSUES, 2009, 19 (02) :101-108

← 1 2 3 4 5 →