scholarly journals Perspectives of non-attenders for cervical cancer screening in Norway: a qualitative focus group study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029505 ◽  
Author(s):  
Gunvor Aasbø ◽  
Kari Nyheim Solbrække ◽  
Jo Waller ◽  
Ameli Tropé ◽  
Mari Nygård ◽  
...  

ObjectiveThe attendance rate for cervical cancer screening in Norway is currently suboptimal at 69%, and an in-depth understanding of postponement of cervical cancer screening from the perspective of non-attenders is lacking. This study aims to generate knowledge about how non-attenders for cervical cancer screening reflect on booking a screening appointment.MethodsUsing the Norwegian cervical cancer screening registry, we identified and recruited women who were non-attenders to screening. Nine focus group interviews were carried out, with 41 women participating in the interviews.ResultsFour main themes were generated, which provide a comprehensive understanding of how women who are overdue for screening reflect on their hesitancy to book a screening appointment: ‘It’s easy to forget about it’, ‘Women have to arrange their own appointment’, ‘It has to be a ‘must’’ and ‘It’s a humiliating situation’.ConclusionThe degree to which women regard screening as important is affected by the nudging strategies employed in the screening programme and the facilitation of attendance provided by healthcare services. Dependence on one’s personal initiative to schedule a screening appointment and perception of a lack of responsibility on the part of healthcare services to attend screening may undermine informed and shared decision-making about screening attendance.

2014 ◽  
Vol 136 (6) ◽  
pp. E677-E684 ◽  
Author(s):  
Anni Virtanen ◽  
Ahti Anttila ◽  
Tapio Luostarinen ◽  
Nea Malila ◽  
Pekka Nieminen

PLoS ONE ◽  
2016 ◽  
Vol 11 (8) ◽  
pp. e0161403 ◽  
Author(s):  
Marta Castillo ◽  
Aurora Astudillo ◽  
Omar Clavero ◽  
Julio Velasco ◽  
Raquel Ibáñez ◽  
...  

2020 ◽  
Vol 27 (4) ◽  
pp. 50-58
Author(s):  
Prajakta Adsul ◽  
Shivamma Nayaka ◽  
Rashmi Pramathesh ◽  
Savitha Gowda ◽  
Poornima Jaykrishna ◽  
...  

Cervical cancer is the second most common cancer diagnosed among women in India and current estimates indicate low screening rates. To implement successful population-based screening programs, there is an urgent need to explore the social and cultural beliefs among women residing in underserved communities. An innovative, community-based participatory approach called photovoice was used with 14 women aged between 30–51 years, residing in rural and tribal villages around Mysore, Karnataka, India. Each participant was trained in photovoice techniques, provided with a digital camera, and asked to photo document their everyday realities that could influence their intentions to undergo cervical cancer screening. Over 6 months, participants took a total of 136 photos and participated in 42 individual interviews and two group discussions. These data helped identify specific beliefs prevalent in the target population and were organized according to the Integrated Behavior Model. Some women reported a lack of perceived susceptibility to cervical cancer whereas others mentioned the fatal nature of cancer as a disease and believed that no screening exam could prevent death if they were destined to get cancer. Husbands, mothers-in-law, and their peers in the community had an important influence on the social identity of women and influenced their intentions to participate in the screening exams. Seeking healthcare was associated with an economic burden, not only in terms of out-of-pocket expenses for healthcare services but also in missing daily labor wages or taking unpaid leave from work to seek healthcare when they were asymptomatic. Several action steps were proposed including: identifying community liaisons or champions, repeated community activities to raise awareness of cervical cancer, and educating men and other family members about women’s health issues. Study findings can conceptually help design and develop educational efforts for mobilizing women to undergo screening and inform future research to help understand disparities.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrícia Marques ◽  
Mariana Nunes ◽  
Maria da Luz Antunes ◽  
Bruno Heleno ◽  
Sónia Dias

Abstract Background Cervical cancer screening has been effective in reducing incidence and mortality of cervical cancer, leading European countries to implement screening programs. However, migrant women show lower screening participation compared to nationals. This scoping review aims to provide a synthesis of the growing evidence on factors associated with participation in cervical cancer screening among migrant women in Europe. Methods Electronic peer-reviewed databases were searched in November 2019 for studies on factors related to the participation of migrants in cervical cancer screening conducted in EU/EFTA countries, using comprehensive search expressions. Retrieved articles were screened and those eligible were selected for data extraction. Quantitative and qualitative studies were included. Factors were classified in barriers and facilitators and were divided into further categories. Results Twenty out of 96 articles were selected and analyzed. Factors associated with participation in cervical cancer screening were classified in categories related to sociodemographic, healthcare-system, psychological, migration, knowledge, language, and cultural factors. Lack of information, lack of female healthcare providers, poor language skills, and emotional responses to the test (especially fear, embarrassment and discomfort) were the most reported barriers to cervical cancer screening. Encouragement from healthcare providers and information available in migrants’ languages were frequently stated as facilitators. Results on the role of sociodemographic factors, such as age, education, employment and marital status, are the most conflicting, highlighting the complexity of the issue and the possibility of interactions between factors, resulting in different effects on cervical cancer screening participation among migrant women. Several identified barriers to screening are like those to access to healthcare services in general. Conclusions Efforts to increase migrant women’s participation in CCS must target barriers to access to healthcare services in general but also specific barriers, including cultural differences about sexuality and gender, past traumatic personal experiences, and the gender and competences of healthcare professionals performing CCS. Healthcare services should strengthen resources to meet migrants’ needs, including having CCS information translated and culturally adapted, as well as healthcare providers with skills to deal with cultural background. These findings can contribute to improve CCS programs among migrant women, reducing health disparities and enhancing their overall health and well-being.


2015 ◽  
Vol 39 (6) ◽  
pp. 870-876 ◽  
Author(s):  
Aline Richard ◽  
Sabine Rohrmann ◽  
Seraina M. Schmid ◽  
Brigitte Frey Tirri ◽  
Dorothy J. Huang ◽  
...  

1990 ◽  
Vol 45 (3) ◽  
pp. 410-415 ◽  
Author(s):  
Marc A. Koopmanschap ◽  
Gerrit J. van Oortmarssen ◽  
Heleen M. A. van Agt ◽  
Marjolein van Ballegooijen ◽  
J. Dik F. Habbema ◽  
...  

Author(s):  
Mads P. Sørensen ◽  
Tine Ravn ◽  
Ana Marušić ◽  
Andrea Reyes Elizondo ◽  
Panagiotis Kavouras ◽  
...  

AbstractThe widespread problems with scientific fraud, questionable research practices, and the reliability of scientific results have led to an increased focus on research integrity (RI). International organisations and networks have been established, declarations have been issued, and codes of conducts have been formed. The abstract principles of these documents are now also being translated into concrete topic areas that Research Performing organisations (RPOs) and Research Funding organisations (RFOs) should focus on. However, so far, we know very little about disciplinary differences in the need for RI support from RPOs and RFOs. The paper attempts to fill this knowledge gap. It reports on a comprehensive focus group study with 30 focus group interviews carried out in eight different countries across Europe focusing on the following research question: “Which RI topics would researchers and stakeholders from the four main areas of research (humanities, social science, natural science incl. technical science, and medical science incl. biomedicine) prioritise for RPOs and RFOs?” The paper reports on the results of these focus group interviews and gives an overview of the priorities of the four main areas of research. The paper ends with six policy recommendations and a reflection on how the results of the study can be used in RPOs and RFOs.


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