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The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review
Background: High cancer mortality is a major source of burden. Population-wide programs have been developed to improve cancer outcomes, and although effective in improving outcomes overall, the socioeconomically disadvantaged population have disproportionately benefited. This systematic review evalu...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507136/ https://www.ncbi.nlm.nih.gov/pubmed/33014912 http://dx.doi.org/10.4081/jphr.2020.1711 |
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author | Bygrave, Annie Whittaker, Kate Aranda AM, Sanchia |
author_facet | Bygrave, Annie Whittaker, Kate Aranda AM, Sanchia |
author_sort | Bygrave, Annie |
collection | PubMed |
description | Background: High cancer mortality is a major source of burden. Population-wide programs have been developed to improve cancer outcomes, and although effective in improving outcomes overall, the socioeconomically disadvantaged population have disproportionately benefited. This systematic review evaluated interventions aimed at addressing inequalities in cancer-related outcomes between low and high socioeconomic groups within high-income countries. Materials and Methods: The Cochrane Register of Controlled Trials, EMBASE, and PubMed searches were completed in October 2018. Data extraction and quality appraisal were guided by established mechanisms. Impact of interventions, using odds ratios, with respective 95% confidence intervals were presented, where available. Results: Sixteen studies reporting on 19 interventions were included. Seven interventions (37%) reduced socioeconomic inequalities in cancer-related outcomes, focusing on participation in cancer screening. Interventions included pre-formulated implementation intentions; GP-endorsed screening invitations; enhanced reminder letters; text message reminders; and implementation of an organised screening program. Conclusions: This systematic review found limited evidence on the efficacy of existing interventions that aimed to reduce inequalities in cancer-related outcomes between people living in low and high socioeconomic areas among high-income countries. Future interventions should consider the specific needs of people living in socioeconomically disadvantaged areas to improve the efficacy of an intervention. |
format | Online Article Text |
id | pubmed-7507136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-75071362020-10-02 The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review Bygrave, Annie Whittaker, Kate Aranda AM, Sanchia J Public Health Res Reviews and Meta-Analysis Background: High cancer mortality is a major source of burden. Population-wide programs have been developed to improve cancer outcomes, and although effective in improving outcomes overall, the socioeconomically disadvantaged population have disproportionately benefited. This systematic review evaluated interventions aimed at addressing inequalities in cancer-related outcomes between low and high socioeconomic groups within high-income countries. Materials and Methods: The Cochrane Register of Controlled Trials, EMBASE, and PubMed searches were completed in October 2018. Data extraction and quality appraisal were guided by established mechanisms. Impact of interventions, using odds ratios, with respective 95% confidence intervals were presented, where available. Results: Sixteen studies reporting on 19 interventions were included. Seven interventions (37%) reduced socioeconomic inequalities in cancer-related outcomes, focusing on participation in cancer screening. Interventions included pre-formulated implementation intentions; GP-endorsed screening invitations; enhanced reminder letters; text message reminders; and implementation of an organised screening program. Conclusions: This systematic review found limited evidence on the efficacy of existing interventions that aimed to reduce inequalities in cancer-related outcomes between people living in low and high socioeconomic areas among high-income countries. Future interventions should consider the specific needs of people living in socioeconomically disadvantaged areas to improve the efficacy of an intervention. PAGEPress Publications, Pavia, Italy 2020-09-14 /pmc/articles/PMC7507136/ /pubmed/33014912 http://dx.doi.org/10.4081/jphr.2020.1711 Text en ©Copyright: the Author(s) http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Reviews and Meta-Analysis Bygrave, Annie Whittaker, Kate Aranda AM, Sanchia The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review |
title | The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review |
title_full | The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review |
title_fullStr | The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review |
title_full_unstemmed | The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review |
title_short | The impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: A systematic review |
title_sort | impact of interventions addressing socioeconomic inequalities in cancer-related outcomes in high-income countries: a systematic review |
topic | Reviews and Meta-Analysis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507136/ https://www.ncbi.nlm.nih.gov/pubmed/33014912 http://dx.doi.org/10.4081/jphr.2020.1711 |
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