Objective. To assess literature about cancer screening and cancer screening adherence among people of color and how discrimination impacts cancer screening and cancer screening adherence outcomes among patients of color.

Methods. PRISMA guidelines were used for the systematic review. EBSCO/MEDLINE, Web of Science, and CINAHL were searched and articles were uploaded in to Rayyan Systematic Review software. Three independent reviewers identified additional articles by searching reference lists of relevant articles; they completed the screening process and reviewed the included articles.

Results. Nine eligible studies were included, among which two were qualitative and seven were quantitative. Studies included one cancer screening measure and some included multiple cancer screening measures. Five studies focused on a particular race such as Black or American Indian while four included a mixture of racial groups.

Conclusions. Eligible articles suggested discrimination was associated with poor uptake of screenings for most cancer types; however, findings were mixed with some studies indicating associations between discrimination and poor uptake of screenings while others indicated no association. Future research can focus on how discrimination impacts cancer prevention among marginalized populations.


Priya Small and Amanda M. Hinson-Enslin are both first authors.