Decision-making, barriers, and facilitators regarding cervical cancer screening participation among Turkish and Moroccan women in the Netherlands: a focus group study

Hamdiui, Nora; Marchena, Eline; Stein, Mart L.; Steenbergen, Jim E. van; Crutzen, Rik; Keulen, H.M. van; Reis, Ria; Muijsenbergh, Maria van den; Timen, Aura

doi:10.1080/13557858.2020.1863921

Cited by 15 publications

(61 citation statements)

References 31 publications

(48 reference statements)

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“…One of our main findings is that doubts about performing the self-sampling correctly may be substantially reduced by simply showing the test or by sending it to eligible women by default rather than only upon request. Moreover, the importance of the social environment in encouraging selfsampling and the assisting role female care professionals could have in information provision extends the findings of Hamdiui et al, 14 who already highlighted the importance of social norms and social support in relation to traditional cervical cancer screening.…”

Section: Discussionsupporting

confidence: 63%

“…In addition, the partner and other women in the social environment provide avenues through which women may be encouraged to partake, as does a religion-based appeal that emphasizes the importance of taking good care of one's body, which is in line with previous research on screening participation in general 13,16,17 and cervical cancer screening among Turkish and Moroccan Dutch women, in particular. 14 However, women in this study also pointed out that self-sampling for HPV testing came with its own barriers hampering participation. It is important to consider these barriers to implement self-sampling successfully.…”

Section: Discussionmentioning

confidence: 79%

“…Second, women doubted whether they were capable of using the self-sampling kit properly. Other research 14,41 also found that, although women from Turkish and Moroccan backgrounds believed that self-sampling is easy and accessible, they doubted whether they could perform the self-sampling correctly. Our study showed that showing the self-sampling kit substantially reduced most women's doubts.…”

Section: Discussionmentioning

confidence: 99%

“…5 When women are able to swab themselves as an alternative to visiting a healthcare professional, multiple barriers experienced, such as having a male general practitioner and the experience of shame, may be lifted. [12][13][14] Given that women with non-Western migration background typically experience such barriers relatively strongly, self-sampling could potentially be particularly relevant for this group of women.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 The low use of screening uptake in the former groups has been attributed to a range of factors. These include a lack of knowledge and awareness of cervical cancer, [12][13][14] poor command of the Dutch language, 12,13 reluctance to visit a male general practitioner, fatalism, the association of cervical cancer with lack of femininity and infertility, 14 and emotional responses toward screening, such as shame and worry. 15,16 Positive social norms and social network, on the other hand, were found to be important facilitators of screening behavior.…”

Section: Introductionmentioning

confidence: 99%

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Turkish and Moroccan Dutch women’s views of using a self-sampling kit for human papillomavirus testing as a tool for cervical cancer screening: What are the barriers and the motivators?

Hilverda

Fissers

Broek

2021

Womens Health (Lond Engl)

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Objective: This study explores barriers and motivators to use self-sampling kits for human papillomavirus testing for cervical cancer screening as perceived by Dutch women of Turkish and Moroccan origin living in the Netherlands. Methods: A total of 11 in-depth semi-structured interviews were conducted and structured according to the theory of planned behavior. Results: Findings suggest that self-sampling may lift important barriers hampering traditional cervical cancer screening, such as those related to shame and chastity. However, self-sampling raises its own barriers too. Most importantly, some women fear that self-sampling may harm virginity. Some women also do not feel confident about their ability to properly use the self-sampling kit, but fears about the inability to properly use it often fade away upon having seen the self-sampling kit. Moreover, results show that knowledge about cervical cancer and its origin is limited, which may undermine women’s willingness to participate in a screening program. Conclusions: These results suggest that communication strategies to encourage using self-sampling kits among women of Turkish and Moroccan origin could benefit from culturally sensitive approaches, for example, by placing emphasis on issues such as virginity and chastity. Consistent with a recent advice of the Health Council of the Netherlands, the kit could furthermore be sent to eligible women as a standard procedure, rather than upon request. This could reduce hassle and doubts about women’s ability to use the self-sampling kit. Finally, educating women about the importance of screening to prevent cervical cancer is needed to foster informed decision-making.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Turkish and Moroccan Dutch women’s views of using a self-sampling kit for human papillomavirus testing as a tool for cervical cancer screening: What are the barriers and the motivators?

Hilverda

Fissers

Broek

2021

Womens Health (Lond Engl)

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Health and Social Care Outcomes in the Community: Review of Religious Considerations in Interventions with Muslim-Minorities in Australia, Canada, UK, and the USA

et al. 2022

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The aims of this integrative review included examining the intervention characteristics, religious tailoring, and behavioural outcomes of health and social care interventions with Muslim-minorities in Australia, Canada, UK, and the USA. Nineteen articles were included, and each showed some level of improved health and social care outcomes associated with interventions that were religiously tailored to Islamic teachings, and when notions of health were extended to physical, psychological, spiritual and social domains. Future studies should measure levels of religiosity to understand whether religiously tailored interventions produce a significant intervention effect when compared to non-religiously tailored interventions with Muslims.

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“Well, that Was Pretty Clever!”—Ethnic Minority Women’s Views on HPV Self-Sampling Devices for Cervical Cancer Screening: Attitudes to Brushes, First-Void Urine, and Menstrual Blood Devices

Hald,

Tatari,

Kirkegaard

et al. 2024

J. Racial and Ethnic Health Disparities

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Background Ethnic minority women are less likely to participate in cervical cancer uteri (CCU) screening compared to native women. Human Papillomavirus (HPV) self-sampling kits for CCU screening may be a potential strategy to increase participation. This study aimed to explore views and attitudes on four different types of self-sampling kits (two brushes, a first-void urine device, and a menstrual blood device) among non-Western ethnic minority women living in Denmark. Methods The study was a social science single case study based on focus group interviews with 30 women aged 32–54 with non-Western background from a deprived area. A phenomenological approach was applied to describe the phenomenon “self-sampling” as seen from the women’s lifeworlds. The interviews were transcribed verbatim and analysed using systematic text condensation. Results The women expressed significant interest in the possibility of using HPV self-sampling kits as an alternative to being screened by their general practitioner. They were particularly motivated to use the non-invasive self-sampling kits for CCU screening as they were deemed suitable for addressing cultural beliefs related to their bodies and virginity. The women expressed interest in the use of the invasive self-sampling kits but were cautious, primarily due to lack of confidence in correctly performing self-sampling with a brush and due to cultural beliefs. Conclusion The use of non-invasive self-sampling kits, such as a first-void urine collection device and menstrual blood pad, represents a promising solution to overcome cultural barriers and promote greater equality in CCU screening participation among non-Western ethnic minority women.

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Decision-making, barriers, and facilitators regarding cervical cancer screening participation among Turkish and Moroccan women in the Netherlands: a focus group study

Cited by 15 publications

References 31 publications

Turkish and Moroccan Dutch women’s views of using a self-sampling kit for human papillomavirus testing as a tool for cervical cancer screening: What are the barriers and the motivators?

Turkish and Moroccan Dutch women’s views of using a self-sampling kit for human papillomavirus testing as a tool for cervical cancer screening: What are the barriers and the motivators?

Health and Social Care Outcomes in the Community: Review of Religious Considerations in Interventions with Muslim-Minorities in Australia, Canada, UK, and the USA

“Well, that Was Pretty Clever!”—Ethnic Minority Women’s Views on HPV Self-Sampling Devices for Cervical Cancer Screening: Attitudes to Brushes, First-Void Urine, and Menstrual Blood Devices

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