Interventions to improve the uptake of screening across a range of conditions in Ethnic Minority Groups: a systematic review

Kelly, Claire; Pericleous, Marinos; Hendy, Jane; Lusignan, Simon de; Ahmed, Ayesha; Vandrevala, Tushna; Ala, Aftab

doi:10.1111/ijcp.13202

Cited by 10 publications

(8 citation statements)

References 72 publications

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“…We included in our FG a later sample of younger south Asian men to broaden representation. We carried out triangulation by supporting field observations with relevant FG data and the researchers' own knowledge of migration linked issues, including verbatim text where possible, and a comprehensive literature review of the topic (Kelly et al 2018). Further, we formed a patient and public involvement panel with whom we shared theme development and received feedback.…”

Section: Discussionmentioning

confidence: 99%

An examination of how to engage migrants in the research process: building trust through an ‘insider’ perspective

et al. 2019

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An examination of how to engage migrants in the research process: Building trust through an 'insider' perspective Introduction: Ensuring all members of society can equally participate in research and the provision of services is a challenging goal. Increased migration has been mirrored by media narratives of social threat, leaving many migrants feeling differentiated and distrustful of mainstream society. Objectives: We explore how migrant and ethnic minority populations can be given the opportunity to participate in the research process. In this work, we iteratively and jointly developed a range of engagement strategies that adopt an 'insider' approach; seeking to eliminate feelings of differentiation and 'otherness' by establishing mutual trust. Design: Recruitment activities were carried out with 8 focus groups of first generation South Asian migrants (the largest ethnic minority group in England). Our analysis was grounded in the broad principles of action research with reflective evaluation of our recruitment process using field observations and relevant focus group data; asking whether we tackled barriers to engagement. Results: Our findings show that 'otherness' can be reduced by establishing a trustworthy researcher-community relationship, but also that this relationship is complex, and needs to acknowledge residual mistrust. Alongside, researchers need to enable opportunities for empowered interaction, with flexible strategies to negotiate potential power divides. Conclusions: We can successfully create opportunities for engagement but there is no 'one size fits all'. Engagement requires tailored approaches that embrace flexibility, and position both engagement and non-engagement as positive and empowered choices.

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Section: Discussionmentioning

confidence: 99%

An examination of how to engage migrants in the research process: building trust through an ‘insider’ perspective

et al. 2019

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“…Invitational strategies are also important to increase participation in cervical cancer screening. Invitation letters [26], telephone calls [26][27][28], educational pamphlet [28,29] and framed messages [26,28] are effective methods that are suggested to increase the uptake of cervical cancer screening.…”

Section: Discussionmentioning

confidence: 99%

Women's Attitude and Beliefs about Cervical Cancer and Pap Smear Test by using the Health Belief Model

Yanıkkerem¹,

Karakuş²,

Esmeray³

2018

Int J Cancer Clin Res

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Background: Determination of women's attitudes and beliefs about cervical cancer and pap smear test are so important to overcome barriers and provide screening behavior. The aim of this study was to determine women's attitude and beliefs about cervical cancer and pap smear test according to Health Belief Model. Methods:The study was conducted with a sample of 611 women who applied to the hospital, which is located in Turkey. Characteristics of women questionnaire and Health Belief Model Scale for Cervical Cancer and Pap Smear Test are used for the study.Results: In the study, 31.3% of women had pap smear test and women who had higher socioeconomic status, who had children, had gynecological examination regularly and who were at an advanced age were most likely to have pap smear test. Women with low socio-economic status (education, employment and income status) had low score from health motivation and high score from perceived barriers. Women who had regular gynecological examination had the pap smear test, heard and had information about the test were found to have the higher score for benefits of pap smear tests and health motivation and lower score from perceived barriers subscale. The most important barrier for having pap smear test was found as male doctor (53.9%). Susceptibility score was lower in employed, younger women and women who heard pap smear test. Barriers score was high in younger women, women with three or more children and women who had stillbirth. Conclusion:Negative beliefs and attitudes about cervical cancer and lower socioeconomic status affect the rate of having pap smear test.

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“…A recent review of interventions to improve the screening participation across a range of conditions in ethnic minority groups found that most multifaceted interventions, group-education and media interventions were successful [19]. However, the review also emphasised that community-based interventions are particularly sensitive to context, and despite focused attention and different interventions to reach ethnic minority women, the challenges of how to compose an intervention to increase screening participation among these women continue to exist.…”

Section: Introductionmentioning

confidence: 99%

Perceptions about cancer and barriers towards cancer screening among ethnic minority women in a deprived area in Denmark – a qualitative study

Tatari

Andersen

Brogaard³

et al. 2020

BMC Public Health

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Background: Screening programmes for cervical cancer, breast cancer and colorectal cancer have been implemented in many Western countries to reduce cancer incidence and mortality. Ethnic minority women are less likely to participate in cancer screening than the majority population. In worst case this can result in higher incidence rates, later diagnosis and treatment and ultimately inferior survival. In this paper we explored the perceptions about cancer and perceived barriers towards cancer screening participation among ethnic minority women in a deprived area in Denmark. Methods: Interview study with ethnic minority women in a deprived area in Denmark. The interviews were transcribed verbatim followed by an inductive content analysis. Results: Cancer was perceived as a deadly disease that could not be treated. Cancer screening was perceived as only relevant if the women had symptoms. Knowledge about cancer screening was fragmented, often due to inadequate Danish language skills and there was a general mistrust in the Danish healthcare system due to perceived low medical competences in Danish doctors. There was, however, a very positive and curious attitude regarding information about the Danish cancer screening programmes and a want for more information. Conclusion: Ethnic minority women did not have sufficient knowledge about cancer and the purpose of cancer screening. Perceptions about cancer screening were characterised by openness and the study showed positive and curious attitudes towards screening participation. The findings emphasise the importance of culturally adapted interventions for ethnic minority women in attempts to reduce inequality in screening participation.

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Interventions to improve the uptake of screening across a range of conditions in Ethnic Minority Groups: a systematic review

Abstract: This systematic review appraises data from international studies on a variety of minority groups, interventions and screening programmes providing a narrative review of their success and limitations.

Cited by 10 publications

References 72 publications

An examination of how to engage migrants in the research process: building trust through an ‘insider’ perspective

An examination of how to engage migrants in the research process: building trust through an ‘insider’ perspective

Women's Attitude and Beliefs about Cervical Cancer and Pap Smear Test by using the Health Belief Model

Perceptions about cancer and barriers towards cancer screening among ethnic minority women in a deprived area in Denmark – a qualitative study

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