Racial/ethnic and socioeconomic disparities in endocrine therapy adherence in breast cancer: A systematic review

M.C. Roberts, S.B. Wheeler and K. Reeder-Hayes

American Journal of Public Health, 2015, vol. 105, e4-e15

Abstract: We examined the current literature to understand factors that influence endocrine therapy (ET) adherence among racial/ ethnic and socioeconomic sub populations of breast cancer patients. We searched PubMed and PsycINFO databases for studies from January 1, 1978, to June 20, 2014, and January 1, 1991, to June 20, 2014, respectively, and hand-searched articles from relevant literature reviews. We abstracted and synthesized results within a social ecological framework. Fourteen articles met all in clusioncriteria. The majority of included articles reported significant underuse of ET among minority and low income women. Modifiable intrapersonal, interpersonal, and community-level factors are associated with ET use, and these factors vary across subgroups. Both race/ethnicity and socioeconomic status are associated with ET use in most settings. Variation in factors associatedwith ET use across subgroups indicates the need for more nuanced research and targeted interventions among breast cancer patients.

Keywords: antineoplastic hormone agonists and antagonists, Breast Neoplasms; ethnic group; ethnology; female; health care disparity; health disparity; health service; human; medication compliance; risk factor; socioeconomics, Antineoplastic Agents, Hormonal; Breast Neoplasms; Ethnic Groups; Female; Health Services Needs and Demand; Health Status Disparities; Healthcare Disparities; Humans; Medication Adherence; Risk Factors; Socioeconomic Factors (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (5)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302490_5

DOI: 10.2105/AJPH.2014.302490

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