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Reducing ethnic inequalities in breast cancer: the role of treatment uptake, engagement and support

People Involved

Project Description

Black women in the UK experience worse breast cancer outcomes and poorer
survival rates than white women. Preliminary evidence suggest that Black
women may be less satisfied with their care and are likely to adhere to hormone
therapy (HT), which may contribute to the disparities in outcomes. However,
more research is needed to confirm this and to explore what might be driving
these differences.

Aims
(1) To identify the extent of disparities in uptake of and adherence to HT in
Black women, (2) to explore women’s perceptions of HT and survivorship care,
and identify unmet needs, (3) to co-develop culturally appropriated interventions
to address unmet needs and improve adherence.

Techniques and Methodology
We will address these aims through four workstreams: (1) a systematic scoping
review to synthesise existing research from the UK; (2) analysis of national
cancer registry and routinely collected healthcare data to identify differences in
HT uptake and adherence across white and Black women; (3) nationwide
observational mixed methods study exploring differences in unmet needs,
adherence and key psychological predictors of adherence; and (4) co-design
workshops with clinicians, patients and key stakeholders to co-develop
solutions for addressing unmet needs, improving care delivery and supporting
adherence in Black breast cancer survivors.

Type of Project Standard
Status Project Live
Funder(s) Breast Cancer Now
Value £20,313.00
Project Dates Jan 31, 2024 - Jan 31, 2027
This project contributes to the following UN Sustainable Development Goals
SDG 3 - Good Health and Well-Being

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