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04-Jul-2026
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Arch Hellen Med, 43(5), September-October 2026, 622-630 REVIEW Cancer care without borders E. Rokka,1 I. Tsatsou2 |
In an increasingly multicultural world, providing equitable and effective cancer care requires a deep understanding of cultural influences on health behaviors, beliefs, and interactions with healthcare systems. This paper explores the critical role of cultural competence in oncology, highlighting how factors such as nationality, ethnicity, religion, language, and family dynamics affect cancer diagnosis, treatment, and outcomes. Cultural perceptions of illness, stigma, communication styles, and pain expression can significantly influence how patients experience and respond to cancer care. Religious beliefs may shape attitudes toward suffering, medical interventions, and participation in screening programs. Language barriers pose a major challenge in oncology, affecting informed consent, adherence to treatment, and emotional well-being. Family roles also vary culturally, impacting communication, decision-making, and disclosure of diagnosis. Effective cancer care must integrate cultural awareness, sensitivity, and adaptive communication strategies. Models such as those proposed by Papadopoulos-Tilki-Taylor and Campinha-Bacote provide frameworks for developing cultural competence in healthcare professionals. This involves not only acquiring knowledge about different cultures but also cultivating self-awareness, challenging personal biases, and fostering cultural humility. By addressing cultural and linguistic barriers, oncology teams can enhance patient trust, reduce disparities, and deliver truly patient-centered care. Cultural competence is not a fixed skill but an evolving process, essential for improving cancer care in diverse populations and ensuring every patient receives respectful, appropriate, and effective support throughout their cancer journey.
Key words: Cancer care, Cultural competency, Language barriers, Religious beliefs, Transcultural nursing.