How does socio-economic disadvantage influence the timeliness of lung cancer diagnosis? A systematic review and synthesis of published qualitative studies.
메타분석
1/5 보강
[OBJECTIVES] Lung cancer has a social gradient in survival and mortality.
- 연구 설계 systematic review
APA
Sanghrajka A, Sharp L, Rowlands G (2025). How does socio-economic disadvantage influence the timeliness of lung cancer diagnosis? A systematic review and synthesis of published qualitative studies.. Public health, 249, 105975. https://doi.org/10.1016/j.puhe.2025.105975
MLA
Sanghrajka A, et al.. "How does socio-economic disadvantage influence the timeliness of lung cancer diagnosis? A systematic review and synthesis of published qualitative studies.." Public health, vol. 249, 2025, pp. 105975.
PMID
41161218
Abstract
[OBJECTIVES] Lung cancer has a social gradient in survival and mortality. This review aimed to identify and synthesise qualitative evidence evaluating the role of low socio-economic status on the factors and experiences that lead to delays in lung cancer diagnosis in high-income countries.
[STUDY DESIGN] A qualitative systematic review.
[METHODS] This review identified and synthesised published qualitative evidence evaluating the role of low socio-economic status on factors affecting lung cancer diagnosis in high-income countries. MEDLINE, EMBASE, PsycINFO, CINAHL, and SCOPUS were searched from inception to 21/04/2023 to identify relevant qualitative studies including socio-economically disadvantaged individuals at high risk of, or with, lung cancer (or their family members); or healthcare professionals managing these groups. No language restrictions were applied. Study quality was assessed using the CASP Qualitative Checklist. Iterative thematic analysis was undertaken to create themes and concepts.
[RESULTS] The 12 eligible studies assessed multiple perspectives including lung cancer patients, those at high-risk of lung cancer, and healthcare professionals. Synthesis resulted in nine themes: knowledge, health beliefs and behaviours, psychological barriers, competing priorities, social influences, societal and community barriers, public health messages, structural barriers to help-seeking, and structural barriers to a formal diagnosis. Within these themes, there were 20 concepts, some of which fell into multiple themes. Emotional delays, lung cancer awareness, and excusing symptoms were the most commonly recurring concepts.
[CONCLUSIONS] This review identified multiple barriers that should be addressed to reduce lung cancer inequalities. This information can be used to inform future public health policies and interventions.
[STUDY DESIGN] A qualitative systematic review.
[METHODS] This review identified and synthesised published qualitative evidence evaluating the role of low socio-economic status on factors affecting lung cancer diagnosis in high-income countries. MEDLINE, EMBASE, PsycINFO, CINAHL, and SCOPUS were searched from inception to 21/04/2023 to identify relevant qualitative studies including socio-economically disadvantaged individuals at high risk of, or with, lung cancer (or their family members); or healthcare professionals managing these groups. No language restrictions were applied. Study quality was assessed using the CASP Qualitative Checklist. Iterative thematic analysis was undertaken to create themes and concepts.
[RESULTS] The 12 eligible studies assessed multiple perspectives including lung cancer patients, those at high-risk of lung cancer, and healthcare professionals. Synthesis resulted in nine themes: knowledge, health beliefs and behaviours, psychological barriers, competing priorities, social influences, societal and community barriers, public health messages, structural barriers to help-seeking, and structural barriers to a formal diagnosis. Within these themes, there were 20 concepts, some of which fell into multiple themes. Emotional delays, lung cancer awareness, and excusing symptoms were the most commonly recurring concepts.
[CONCLUSIONS] This review identified multiple barriers that should be addressed to reduce lung cancer inequalities. This information can be used to inform future public health policies and interventions.