Socio-Culturally Informed Views Influencing Iranian Adults’ Decision About Colorectal Cancer Screening: A Qualitative Study

Besharati, Fereshteh; Karimi‐Shahanjarini, Akram; Hazavehei, Seyed Mohammad Mehdi; Bagheri, Fahimeh; Bashirian, Saeed

doi:10.5812/ijcm.9546

Cited by 4 publications

(7 citation statements)

References 30 publications

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“…The public noted a low priority for personal health and seeking health care. In turn, low priority for health and health care contributed to a low or overall lack of intention to seek health care services and valued personal health ( 21 ). The public also noted a distrust of Western medicine ( 31 ).…”

Section: Resultsmentioning

confidence: 99%

“…Time restraints, religious objection, religious protection, urban residents being more likely to undergo screening, and a distrust of Western medicine were all extracted from the literature review at the individual level for the public ( 17 , 31 , 33 , 38 , 46 ). For provider-related factors, distrust of physicians and poor physician-patient relationships were noted as barriers to undergoing CRC screening ( 21 ). At the health system level, cost, a lack of screening facilities, difficulty in arranging transport to and from testing facilities, and low socioeconomic status were all found to be barriers to CRC screening ( 17 , 21 , 24 , 34 , 36 , 40 , 47 , 48 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…For provider-related factors, distrust of physicians and poor physician-patient relationships were noted as barriers to undergoing CRC screening ( 21 ). At the health system level, cost, a lack of screening facilities, difficulty in arranging transport to and from testing facilities, and low socioeconomic status were all found to be barriers to CRC screening ( 17 , 21 , 24 , 34 , 36 , 40 , 47 , 48 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The Emotion domain was well-defined among the public at the individual level. Fear, as it relates to test results, undergoing screening, endoscopic procedures, and potential pain from screening are all factors that were commonly identified at this level ( 15 , 17 , 18 , 20 , 21 , 23 , 25 , 31 , 34 , 36 , 39 , 40 , 42 , 46 ). Additionally, anxiety, shyness, embarrassment/shame, weariness of screening being conducted by a provider of the opposite sex, and a ‘bad feeling’ were also described in the literature ( 15 , 17 , 18 , 21 , 23 , 25 , 31 , 46 ) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“… Barriers to colorectal cancer screening in the Eastern Mediterranean Region: provider level ( 15 , 21 , 26 , 27 , 35 , 42 , 48 , 50 , 52 ). …”

Section: Methodsmentioning

confidence: 99%

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Barriers to colorectal cancer screening in the Eastern Mediterranean Region: a scoping review using the theoretical domains framework

Hartley,

Chhachhi,

Khader

et al. 2023

J Gastrointest Oncol

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Background Colorectal cancer screening plays a key role in mitigating morbidity and mortality associated with the disease. Regions such as the Eastern Mediterranean Region experience a particularly large burden of colorectal cancer. While trends have been described at the country level within the region, it is important to understand what barriers exist to colorectal cancer screening, so that more effective interventions can be conceptualized and implemented. Methods A scoping review was conducted by applying the Theoretical Domains Framework. The search strategy was conceptualized and implemented by searching two online databases (Scopus and PubMed) that identified papers published between 2000 and 2021 that were available in English and related to colorectal cancer screening in the Eastern Mediterranean Region. Duplicates were removed both automatically by EndNote and manually for those that remained by two members of the research team. Two data collection matrices, constructed according to the Theoretical Domains Framework, were used to extract data on multi-level barriers to screening as perceived by the at-risk population and providers. Results Barriers related to colorectal cancer screening were evident at the individual, public, provider, and health system levels. The most noted barriers among both matrices pertained to the domains of knowledge, emotion, environmental context and resources, and beliefs about consequences. At the individual level, knowledge was the most-cited barrier. At the provider and health system levels, knowledge and environmental context and resources were the most-cited barriers, respectively. Conclusions In understanding barriers at the individual, provider, and health system levels, more effective interventions can be developed to promote screening and early detection for colorectal cancer.

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Section: Resultsmentioning

confidence: 99%