Migrants and ethnic minorities with cancer: an umbrella review on their information and supportive care needs

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N. Riccetti1 · A. M. Werner2,3 · M. Ernst2 · I. Hempler4 · S. Singer1,5 1

University Medical Centre, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), Johannes Gutenberg University Mainz, Mainz, Germany 2 Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany 3

Department of Psychology, Goethe University Frankfurt, Frankfurt, Germany Scientific Institute of Private Haematologists and Oncologists (WINHO GmbH), Cologne, Germany 5 University Cancer Center Mainz, Mainz, Germany 4

Migrants and ethnic minorities with cancer: an umbrella review on their information and supportive care needs Electronic supplementary material The online version of this article (https://doi. org/10.1007/s00761-020-00872-w) contains further information on “Information needs”, “Search strategy” and “Quality assessment”. The article and supplementary material are available at www.springermedizin.de. Please enter the title of the article in the search field. You will find the supplementary material under “Additional content” in the article.

Approximately half of cancer patients experience distress during or after the disease. Migrants and ethnic minority cancer patients are more affected by poorer healthrelated quality of life and might have specific needs for information and care. Therefore, research on these needs is crucial to inform healthcare providers and to reduce healthcare disparities; however, scientific literature covering the needs of migrants and ethnic minorities for cancer support has focused only on a single minority at a time. The aim This article is an extended version of Riccetti, N., Werner, A., Ernst, M. et al. Informationsund Unterstützungsbedürfnisse krebskranker Migrant*innen und ethnischer Minderheiten – ein Umbrella-Review. Onkologe 26, 957–965 (2020). https://doi.org/10.1007/s00761-02000827-1

of this umbrella review is thus to provide a comprehensive overview on the needs of migrants and ethnic minority cancer patients, resulting in a practical tool for medical personnel.

Introduction Migrants and cancer Several studies have shown that approximately half of all cancer patients suffer at least temporarily from severe psychological stress [7, 9, 12], and one third have a concomitant mental illness [16, 17, 23]. Therefore, the reduction of mental distress at any stage of the disease is a central concern of psycho-oncological care. Previous research has highlighted that migrants (defined as “any person who is moving or has moved across an international border or within a state away from his/her habitual place of residence, regardless of (a) the person’s legal status; (b) whether the movement is voluntary or involuntary; (c) what the causes for the movement are or (d) what the length of the stay is.” [27]), and ethnic minorities (defined as non-dominant, smaller groups with “shared cultural heritage, including values, traditions, and often language” [19]) represent particularly vulnerable populations [25]. In

fact, whe