What Is the Evidence Globally for Culturally Safe Strategies to Improve Breast Cancer Outcomes for Indigenous Women in High Income Countries? A Systematic Review

Vita Christie, Debbie Green, Janaki Amin, Christopher Pyke, Karen Littlejohn, John Skinner, Deb McCowen and Kylie Gwynne
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Vita Christie: Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney 2109, Australia
Debbie Green: Armajun Aboriginal Health Service, Armidale 2350, Australia
Janaki Amin: Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney 2109, Australia
Christopher Pyke: Foundation for Breast Cancer Care, South Brisbane 4101, Australia
Karen Littlejohn: Foundation for Breast Cancer Care, South Brisbane 4101, Australia
John Skinner: Poche Centre for Indigenous Health, The University of Sydney, Sydney 2006, Australia
Deb McCowen: Armajun Aboriginal Health Service, Armidale 2350, Australia
Kylie Gwynne: Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney 2109, Australia

IJERPH, 2021, vol. 18, issue 11, 1-12

Abstract: The aim was to systematically assess the evidence on whether cultural safety affects breast cancer outcomes with regards to care for Indigenous women in high income countries. We conducted a systematic review in accordance with PRISMA guidelines of peer-reviewed articles in Medline, EMBASE, CINAHL, Scopus, Web of Science, Proquest Sociology and Informit Rural health database and Indigenous collection databases. Key inclusion criteria were: adult female patients with breast cancer; high income country setting; outcome measure, including screening, diagnosis, treatment and follow up care. A total of 15 were selected. We developed a Community Engagement assessment tool in consultation with aboriginal researchers, based on the National Health and Medical Research Councils’ community engagement guidelines, against which studies were appraised. This novel element allowed us to evaluate the literature from a new and highly relevant perspective. Thematic analysis of all 15 studies was also undertaken. Despite limited literature there are evidence-based strategies that are likely to improve outcomes for Indigenous women with breast cancer in high income countries and indicate that culture makes a positive difference. It is also clear that strong Indigenous community leadership and governance at all stages of the research including design is an imperative for feasibility.

Keywords: breast cancer; aboriginal; indigenous; cultural safety; indigenous health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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