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Peer support as an ideal solution for racial/ethnic disparities in colorectal cancer screening: Evidence from a systematic review and meta-analysis

Wu et al (2020)

Health Evidence - 10.1097/DCR.0000000000001611

Evidence Categories

  • Care setting: Healthcare Setting
  • Population group: Adults
  • Population group: Black, Asian and Minority Ethnic populations
  • Intervention: Targeted intervention: Targeted intervention
  • Intervention: Peer Support
  • Outcome: Screening: Uptake of colorectal cancer screening

Type of Evidence

Systematic Review

Aims

To perform a meta-analysis of the currently available studies to further explore the effectiveness of peer support in promoting  healthcare in ethnic minorities and alleviating disparities in colorectal cancer moribidty and mortality. 

Findings

Thirteen studies comprising 8090 participants met the eligibility criteria. Peer support intervention can increase colorectal cancer screening implementation and raise awareness and intention to undergo the screening in ethnic minorities more significantly than fecal occult blood test outreach, print, and usual care. Subgroup analysis showed that peer support intervention achieved great results in Asian Americans and intervention of peer counseling.

Conclusions

Peer support can significantly improve the awareness about and the intention for receiving colorectal cancer screening in ethnic minorities and is an ideal choice for promoting the screening among ethnic minorities, particularly in a diverse community. Peer support intervention is recommended to promote the implementation of screening in Asian Americans. Peer counseling is worth promoting; however, church-based peer counseling programs require enhanced management to maintain their fidelity.

Also In This Category

    No other evidence in this category.