探讨子宫癌诊断过程中的患者体验以及可能影响早期诊断的感知障碍以及诊断阶段的种族差异。我们进行了半结构化访谈，以确定 11 名非西班牙裔黑人（“黑人”）的诊断历程以及过去六个月内被诊断患有子宫癌的 11 名非西班牙裔白人（“白人”）患者。所有采访均经过录音、专业转录，并使用主题分析进行分析。研究结果在最终确定之前已提交给患者和社区倡导者进行严格审查和反馈。受访者的中位年龄为 64 岁。 13 名 (59.1%) 患有 I 期肿瘤，而 9 名 (40.9%) 患有 II-IV 期疾病。受访者很注意自己的症状，但没有意识到这些症状可能预示着子宫癌。女性在育龄后条件反射地接受不适并脱离妇科护理，使情况变得更加复杂。受访者经常通过其他健康社会决定因素（包括性别、年龄和医疗保健机会）来看待诊断中的种族差异。这些重叠的社会经历，加上受访者对康复的关注，可能会掩盖他们对系统性种族主义的看法。尽管很少有受访者在自己的评估中指出导致子宫癌诊断的负面经历，但黑人受访者经常描述以前的歧视经历如何导致对医疗保健系统的警惕。公众对子宫癌缺乏认识，对不适的性别期望以及与妇科脱节护理都会干扰子宫癌的早期诊断。先前医疗保健中的歧视经历使黑人患者与医疗保健系统的接触进一步复杂化。版权所有 © 2024 Elsevier Inc. 保留所有权利。

To explore patient experiences with the diagnosis process for uterine cancer and the perceived barriers that may affect early diagnosis and racial disparities in stage at diagnosis.We conducted semi-structured interviews to ascertain the diagnostic journey of 11 non-Hispanic Black ("Black") and 11 non-Hispanic White ("White") patients who were diagnosed with uterine cancer in the past six months. All interviews were audio-recorded, professionally transcribed, and analyzed using thematic analysis. Findings were presented to patients and community advocates for critical review and feedback before being finalized.Respondents had a median age of 64 years. Thirteen (59.1 %) had stage I tumor, whereas nine (40.9 %) had stage II-IV disease. Respondents were attentive to their symptoms but unaware that they could indicate uterine cancer. This was compounded by women's conditioned acceptance of discomfort and disconnection from gynecological care after reproductive age. Respondents often viewed racial disparities in diagnosis through other social determinants of health, including gender, age, and healthcare access. These overlapping social experiences, coupled with respondents' concentration on recovery, may mask their perceptions about systemic racism. Although few respondents noted negative experiences in their own evaluations leading to the diagnosis of uterine cancer, Black respondents often described how previous discriminatory experiences informed a wariness of healthcare systems.Lack of public awareness of uterine cancer, gendered expectations for discomfort, and disconnection from gynecologic care all interfered with early diagnosis of uterine cancer. Discriminatory experiences in prior healthcare further complicate Black patients' engagement with the healthcare system.Copyright © 2024 Elsevier Inc. All rights reserved.