STRUCTURAL BARRIERS AND RACIAL DISPARITIES IN BREAST CANCER CARE: A SCOPING REVIEW OF ACCESS, DIAGNOSIS, AND TREATMENT OUTCOMES

Abstract

Introduction: Racial disparities in breast cancer diagnosis, treatment access, and outcomes
are significant public health issues worldwide. Despite advancements in early detection and
treatment, these disparities persist, particularly among racial and ethnic minority groups.
Socioeconomic factors, geographic barriers, and systemic inequities within healthcare systems
contribute to these disparities. This review aims to synthesize empirical evidence on the factors
contributing to racial disparities in breast cancer diagnosis and treatment access, Methods:
Using the framework by Arksey and O'Malley, refined by Levac et al., relevant literature was
sourced from, Science Direct, Google Scholar, and Springer Link with search terms related to
breast cancer, racial disparities, and treatment. Inclusion criteria focused on empirical studies
addressing racial disparities in breast cancer diagnosis and treatment access, Results: Nine
studies met the inclusion criteria, showing that racial disparities in diagnosis and treatment
are influenced by socioeconomic factors, healthcare facility quality, and cultural barriers.
Minority groups, especially African American, Latina, and Indigenous women, face delays in
diagnosis and treatment, leading to poorer outcomes. Key barriers include inadequate
healthcare facilities, lack of insurance, and cultural obstacles, Discussion: Racial disparities
in breast cancer care highlight the need for more inclusive healthcare policies and community
based interventions to improve access for minority groups. Further research is necessary to
identify culturally sensitive and systemic solutions to these disparities.