A systematic review of inequalities in psychosocial outcomes for women with breast cancer according to residential location and Indigenous status in Australia

Youl, P. H., Dasgupta, P., Youlden, D., Aitken, J. F., Garvey, G., Zorbas, H., Chynoweth, J., Wallington, I. and Baade, P. D. (2016) A systematic review of inequalities in psychosocial outcomes for women with breast cancer according to residential location and Indigenous status in Australia. Psycho-Oncology, 25 10: 1157-1167. doi:10.1002/pon.4124


Author Youl, P. H.
Dasgupta, P.
Youlden, D.
Aitken, J. F.
Garvey, G.
Zorbas, H.
Chynoweth, J.
Wallington, I.
Baade, P. D.
Title A systematic review of inequalities in psychosocial outcomes for women with breast cancer according to residential location and Indigenous status in Australia
Journal name Psycho-Oncology   Check publisher's open access policy
ISSN 1099-1611
1057-9249
Publication date 2016-03-14
Year available 2016
Sub-type Article (original research)
DOI 10.1002/pon.4124
Open Access Status Not Open Access
Volume 25
Issue 10
Start page 1157
End page 1167
Total pages 11
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Collection year 2017
Language eng
Formatted abstract
Background: The aim of this systematic review was to examine variations in psychosocial outcomes by residential location and Indigenous status in women diagnosed with breast cancer (BC) in Australia.

Methods: Systematic searches were undertaken using multiple databases covering articles between 1 January 1990 and 1 March 2015 focusing on adult women with BC in an Australian setting and measuring quality of life (QOL), psychological distress or psychosocial support.

Results: Thirteen quantitative and three qualitative articles were included. Two quantitative and one qualitative article were rated high quality, seven moderate and the remaining were low quality. No studies examining inequalities by Indigenous status were identified. Non-metropolitan women were more likely to record lower QOL relating to breast cancer-specific concerns and reported a lack of information and resources specific to their needs. Continuity of support, ongoing care and access to specialist and allied health professionals were major concerns for non-metropolitan women. Non-metropolitan women identified unmet needs in relation to travel, fear of cancer recurrence and lack of psychosocial support.

Conclusions: Overall, there was a lack of evidence relating to variations in psychosocial outcomes for women with BC according to residential status or Indigenous status. While the review identified some specific concerns for non-metropolitan women with BC, it was limited by the lack of good quality studies using standardised measures.
Keyword Cancer
Inequalities
Oncology
Psychosocial
Rural
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
 
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