Opportunities and Barriers to Breast Cancer Screening in a Rural Community in Coastal Karnataka, India: A Qualitative Analysis

Kathrikolly, Thejas; Shetty, Ranjitha S; Nair, Suma

doi:10.31557/apjcp.2020.21.9.2569

Cited by 9 publications

(18 citation statements)

References 19 publications

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“…Women with higher education and engagement professional occupations are more likely to be aware of their health conditions as well as the necessity of adopting preventive measures. So far, there is not sufficient research evidence on the barriers to cancer screening uptake among Indian women [ 34 – 36 ]. Evidence from the available small-scale studies reveals that there is a lack of awareness regarding the services and the risk factors of cancer among women.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic correlates of cervix, breast and oral cancer screening among Indian women

Zhu

Bishwajit

et al. 2022

PLoS ONE

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Introduction Cervix, breast and oral cancers account for about one-third of all cancers in India which as a group is a major contributor to all non-communicable disease-related morbidity and mortality among women. Existing evidence suggests that early diagnosis plays a pivotal role in the prevention and intervention of these cancers, and many community-based early screening and awareness programs have been in place in developed countries. Currently, there is not enough research evidence regarding the sociodemographic correlates of cervix, breast and oral cancer screening among Indian women. In the present study, we aimed to assess the self-reported percentage and sociodemographic factors associated with the use of these three types of cancer screening services among Indian women aged 15–49 years. Methods Data were collected from National Family Health Survey conducted during 2015–16. Sample population was 699,686 women aged 15–49 years. Associations between self-reported cervical, breast and oral cancer screening status and the associated sociodemographic factors were analyzed using multivariable logistic regression methods. Results The percentage of screening for cervical (21%), breast (8.95%), and oral cancers (13.45%) varied significantly across the population sub-groups. Higher age, urban residence, higher education, having employment, health insurance, use of electronic media, higher household wealth quintile, having healthcare autonomy, showed a positive effect on taking screening services. Further analyses revealed that the strength of the associations varied considerably between urban and rural residents, denoting the need for region-specific intervention strategies. Sex of household head, age, watching TV, using radio, and having health insurance were the most significant contributors to the outcome effects. Conclusions The present study provides important insights regarding the current scenario of seeking cancer screening services among women in India. These findings could inform policy analysis and make an avenue for further in-depth analysis for future studies. Our findings conclude that cancer prevention policies should focus on leveraging the positive effects of better socioeconomic status, employment, health insurance ownership, exposure to electronic media, and better healthcare autonomy to improve the cancer screening service uptake among Indian women.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic correlates of cervix, breast and oral cancer screening among Indian women

Zhu

Bishwajit

et al. 2022

PLoS ONE

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“…People with higher educational level, employed and with greater socioeconomic status are more likely to attend cancer screenings. [21][22][23][24][25][26] Differently, being part of a minority group (i.e., for ethnicity/religion/ culture/gender identity/sexual orientation/diagnosis of mental/physical disorders) results in lower screening rates when compared to the general population.…”

Section: Background Informationmentioning

confidence: 99%

“…Conversely, people possessing fatalism are more likely to perceive greater barriers for screening and, accordingly, less likely to accomplish health recommendations. 46,82,87 In the same direction, the presence of procrastination, addressed by studies reporting "lack of time", "difficulties in planning appointment", "forgetfulness", and "other priorities" as barriers 24,29,39,58,59,62,64,65,88 is associated with notable low rates of screening participation.…”

Section: Individual Characteristicsmentioning

confidence: 99%

“…39,65,[106][107][108][109] Nevertheless, the relational dimension may also entail potential shadows, in particular concerning cancer stigma and shame. 21,24,26,61,75 This can be expressed, for example, through the idea of personal responsibility (i.e., people with cancer are to blame for their condition), and the avoidance/expression of uncomfortable feelings when around someone with cancer. 110 Research targeting cancer stigma has deeply underlined the need for empowering men on women's health, enhancing their knowledge, perceptions, and attitudes related to cancer screening (e.g., mainly the need for male family members/husband/partner).…”

Section: Vallone Et Almentioning

confidence: 99%

“…110 Research targeting cancer stigma has deeply underlined the need for empowering men on women's health, enhancing their knowledge, perceptions, and attitudes related to cancer screening (e.g., mainly the need for male family members/husband/partner). 23,24,39,88,111 However, people belonging to minority groups can perceive even higher levels of shame and stigma related to cancer screening. Specifically, people with mental/physical disorders 50,51 and members of sexual and gender minorities 27,28 may require tailored support to overwhelm concerns related to cancer screening, since they may feel their needs as misunderstood.…”

Section: Vallone Et Almentioning

confidence: 99%

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Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

et al. 2022

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Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation. Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted. Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination. Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence-based interventions and health-promotion campaigns worldwide. Research and practical implications are highlighted and discussed.

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Smartphone Mammography for Breast Cancer Screening

2021

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Opportunities and Barriers to Breast Cancer Screening in a Rural Community in Coastal Karnataka, India: A Qualitative Analysis

Abstract: remains dismally low in the country especially among the vulnerable groups. This coupled with a non-existent organised screening programme results in delayed diagnosis and poor survival rates (Singh et al., 2015). Existing sporadic screening services on the other hand, are

Cited by 9 publications

References 19 publications

Sociodemographic correlates of cervix, breast and oral cancer screening among Indian women

Sociodemographic correlates of cervix, breast and oral cancer screening among Indian women

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

Smartphone Mammography for Breast Cancer Screening

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