{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T21:02:15Z","timestamp":1780347735760,"version":"3.54.1"},"reference-count":45,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Adequate health literacy is a necessity to enable effective decision making to seek, access and utilise appropriate health care service. Evidence exists indicating a low level of general health literacy among Black African women, especially those with a refugee background. Breast and cervical are the most common cancers, with Black African women or women with African ethnicity being disproportionately overrepresented. The level of health literacy specific to breast and cervical cancer among Black African women, especially those with a refugee background, has not been reviewed systematically. The present study describes a protocol for a systematic review of the available evidence on the level of health literacy specific to breast and cervical cancer among Black African women globally. We will perform a systematic review of the available quantitative and qualitative studies. The search will include studies that describe the level of health literacy specific to breast and cervical cancer among Black African women. We will conduct a preliminary search on Google scholar to build the concepts for search terms, and a full search strategy using the identified concepts and keywords across four databases namely PubMed, SCOPUS, CINAHL and Web of Sciences. We will use Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to schematically present the search strategy. We will use the standardized Joanna Briggs Institute quality appraisal and selection tool to recruit studies, and the data extraction tool to synthesise the information extracted from the recruited studies. We will be guided by socioecological theory and Indigenous epistemology to synthesise the non-quantifiable information thematically, and pool the quantitative information using meta-analysis, based on the availability of information.<\/jats:p>","DOI":"10.3390\/ijerph17093158","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T14:00:43Z","timestamp":1588600843000},"page":"3158","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Health Literacy Environment of Breast and Cervical Cancer among Black African Women Globally: A Systematic Review Protocol of Mixed Methods"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5792-7785","authenticated-orcid":false,"given":"Lillian","family":"Mwanri","sequence":"first","affiliation":[{"name":"Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3531-4400","authenticated-orcid":false,"given":"Hailay","family":"Gesesew","sequence":"additional","affiliation":[{"name":"Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia"},{"name":"Epidemiology, School of Health Sciences, Mekelle University, Mekelle 231, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4234-180X","authenticated-orcid":false,"given":"Vanessa","family":"Lee","sequence":"additional","affiliation":[{"name":"The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore NSW 2480, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7183-7372","authenticated-orcid":false,"given":"Kiros","family":"Hiruy","sequence":"additional","affiliation":[{"name":"Centre for Social Impact Swinburne, Faculty of Business and Law, Swinburne University of Technology, Melbourne 3122, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2681-5596","authenticated-orcid":false,"given":"Hyacinth","family":"Udah","sequence":"additional","affiliation":[{"name":"College of Arts, Society and Education James Cook University, Queensland 4811, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru","family":"Kwedza","sequence":"additional","affiliation":[{"name":"The University of Sydney, University Centre for Rural Health, 61 Uralba Street, Lismore NSW 2480, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5758-7525","authenticated-orcid":false,"given":"Tinashe","family":"Dune","sequence":"additional","affiliation":[{"name":"School of Health Sciences &amp; Translational Health Research Institute, Western Sydney University, Sydney 2751, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,5,1]]},"reference":[{"key":"ref_1","unstructured":"Global Burden of Disease Cancer Collaboration, Fitzmaurice, C., Dicker, D., Pain, A., Hamavid, H., Moradi-Lakeh, M., MacIntyre, M.F., Allen, C., Hansen, G., and Woodbrook, R. 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