In Australia, the incidence rate of breast cancer is lower in Indigenous* women than non-Indigenous women; however, the mortality rate is higher, with Indigenous women 1.2 times more likely to die from the disease. This paper provides practical and achievable solutions to improve health outcomes for Indigenous women with breast cancer in Australia. This research employed the Context–Mechanism–Outcome (CMO) framework to reveal potential mechanisms and contextual factors that influence breast cancer outcomes for Indigenous women, stratified into multiple levels, namely, micro (interpersonal), meso (systemic) and macro (policy) levels. The CMO framework allowed us to interpret evidence regarding Indigenous women and breast cancer and provides nine practical ways to improve health outcomes and survival rates.
在澳大利亚,原住民*女性乳腺癌的发病率低于非原住民女性,但其死亡率却更高,原住民女性死于该疾病的可能性是非原住民女性的1.2倍。本文提出了切实可行的解决方案,旨在改善澳大利亚原住民女性乳腺癌患者的健康结局。本研究采用“情境-机制-结果”(CMO)框架,揭示了影响原住民女性乳腺癌结局的潜在机制和情境因素,并将其分为微观(人际层面)、中观(系统层面)和宏观(政策层面)多个层次。通过CMO框架,我们得以解读关于原住民女性与乳腺癌的相关证据,并提出了九种改善健康结局与生存率的实践路径。
Improving Breast Cancer Outcomes for Indigenous Women in Australia