Correction to: Abstracts from the NIHR INVOLVE Conference 2017

Mathie, Elspeth; Wythe, Helena; Munday, Diane; Millac, Paul; Rhodes, Graham; Roberts, Nick; Simpson, Jim; Barden, Nat; Vicary, Penny; Wellings, Amander; Poland, Fiona; Jones, Julia

doi:10.1186/s40900-018-0090-6

Cited by 1 publication

(1 citation statement)

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“…Our research ties in with the CONSORT-Equity 2017 statement [ 38 ], which “promotes the reporting of factors that relate to unfair and avoidable differences between population groups” [ 39 ] in health intervention effects. We also build on the method used by the CONSORT team to develop this statement: the team drew on patients’ and key informants’ knowledge to improve reporting of intervention effects related to health equity [ 40 ].…”

Section: Methodsmentioning

confidence: 99%

Social inequalities in breast cancer screening: evaluating written communications with immigrant Haitian women in Montreal

Raynault

Féthière

Côté

2020

Int J Equity Health

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Background The province of Quebec (Canada) has implemented a breast cancer screening program to diagnose this cancer at an early stage. The strategy is to refer women 50 to 69 years old for a mammogram every two years by sending an invitation letter that acts as a prescription. Ninety per cent (90%) of deaths due to breast cancer occur in women aged 50 and over. Numerous studies have shown social inequalities in health for most diseases. With breast cancer, a significant paradox arises: its incidence is lower among disadvantaged women and yet, more of them die from this disease. The health care system might play a role in this inequality. The scientific literature documents the potential for creating such inequalities when prevention does not consider equity among social groups. Immigrant women are often disadvantaged. They die of breast cancer more than non-immigrants. Studies attribute this to late-stage diagnosis due to poor adherence to mammography screening programs. Purpose of the study The main objective of our research is to assess how Haitian immigrant women in Montreal are reached by the Quebec Breast Cancer Screening Program, and specifically how they perceive the mammogram referral letter sent by the program. Methods The study uses a two-step qualitative method: i) In-depth interviews with influential community workers to identify the most relevant issues; ii) Focus groups with disadvantaged women from Montreal’s Haitian community. Results A mammogram referral letter from the Breast Cancer Screening Program may be a barrier to compliance with mammography by underprivileged Haitian women in Montreal. This might be attributable to a low level of literacy, poor knowledge of the disease, and lack of financial resources. Conclusion Barriers may be underestimated in underprivileged immigrant and non-immigrant communities. A preventive strategy must be adapted to different sub-groups and must also take into account lower literacy levels. To increase mammography uptake, it is crucial that the benefits of prevention be clearly identified and described in understandable terms. Finally, economic access to follow-up measures should be considered.

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Section: Methodsmentioning

confidence: 99%