Understanding the participation in cervical screening of Muslim women in Victoria, Australia from record-linkage data

Yeasmeen, Tahira; Kelaher, Margaret; Brotherton, Julia; Malloy, Michael J.

doi:10.1016/j.jcpo.2019.100201

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Previous studies have found that health behaviour of the Muslim population is influenced by values formed by their religious affiliation [14]. In our prior study [15], using cervical screening registry data matched with hospital admission records, we also observed that women born in Muslim countries participate less in cervical screening than women born in Australia and other Non-Muslim countries. In that study, we used Victorian Admitted Episodes Dataset (VAED) linked with Victorian Cervical Cytology Registry (VCCR) data and estimated the cervical screening rates for women in Victoria.…”

Section: Introductionmentioning

confidence: 52%

Understanding the participation of breast screening among women born in predominantly Muslim countries living in Victoria, Australia from record-linkage data

et al. 2020

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Background Early detection of breast cancer can improve survival rates and decrease mortality rates. This study investigates whether there are significant differences in participation in breast screening among women born in Muslim countries compared to women born in Non-Muslim countries and Australia. Methods Screening data from January 1 st , 2000 to December 31 st , 2013 from the Breast Screen Victoria Registry (BSV) was linked with hospital records from the Victorian Admitted Episodes Dataset (VAED). Countries having more than 50% of their population as Muslim were categorised as Muslim countries. Age adjusted rates were calculated for women born in Muslim and Non-Muslim countries and compared with the Australian age adjusted rates. Logistic regression assessed the association between screening status and other factors which include country of birth, marital status, age and socioeconomic status. Results Women born in Muslim countries (Odds Ratio (OR) = 0.70, 95%CI = 0.68-0.72) and in other Non-Muslim countries (OR = 0.87, 95%CI = 0.86-0.88) had lower odds of participation in breast screening than Australian born women. Women aged 60-64 years (OR = 1.42, 95% CI = 1.40-1.44) had higher odds of participation in the BreastScreen program than 50-54 age group. Conclusion This study provides valuable insights to understanding breast screening participation among women born in Muslim countries residing in Victoria. This population level study contributes to the broader knowledge of screening participation of women born in Muslim

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Section: Introductionmentioning

confidence: 52%

Understanding the participation of breast screening among women born in predominantly Muslim countries living in Victoria, Australia from record-linkage data

et al. 2020

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“…People born in India represent 2.3% of the Australian population 10 and are one of the fastest growing populations of people born overseas 11 . While participation in cervical screening by ethnicity is not routinely collected at a national level, 3 findings from a data linkage study in Victoria suggested that age‐adjusted screening rates for Indian‐born women were ~10% lower compared to Australian‐born women 12 . Globally, there is evidence to suggest that migrant women are less likely to benefit from cervical cancer prevention programmes because of reported economic‐, cultural‐, language‐, health systems‐ and patient‐level barriers, with migrants from Asia having lower adherence to cervical screening 13 .…”

Section: Introductionmentioning

confidence: 99%

“…11 While participation in cervical screening by ethnicity is not routinely collected at a national level, 3 findings from a data linkage study in Victoria suggested that age‐adjusted screening rates for Indian‐born women were ~10% lower compared to Australian‐born women. 12 Globally, there is evidence to suggest that migrant women are less likely to benefit from cervical cancer prevention programmes because of reported economic‐, cultural‐, language‐, health systems‐ and patient‐level barriers, with migrants from Asia having lower adherence to cervical screening. 13 Barriers to cervical screening programmes amongst Indian‐born women stem from an intersection of personal, 14 , 15 , 16 practical 17 and cultural barriers, 18 including an unfamiliarity with the concept of preventative health, 19 , 20 English proficiency, fatalistic attitudes, 21 modesty and stigma associated with cancer.…”

Section: Introductionmentioning

confidence: 99%

The acceptability of, and informational needs related to, self‐collection cervical screening among women of Indian descent living in Victoria, Australia: A qualitative study

Machado Colling,

Creagh,

Gogia

et al. 2024

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BackgroundIn July 2022, self‐collection became universally available as part of Australia's National Cervical Screening Program. This change aims to address screening inequities experienced among underscreened populations, including women of Indian descent. This study explored experiences of cervical screening, alongside the acceptability of self‐collection, among women of Indian descent living in Victoria, Australia. We also aimed to articulate the informational needs to promote self‐collection among this population.MethodsFive focus group discussions with 39 women living in Victoria were conducted in English (n = 3) and Punjabi (n = 2). Transcripts were thematically analysed, as informed by the Theoretical Framework of Acceptability.ResultsWomen were motivated by the choice to self‐collect, perceiving the ability to maintain modesty and greater autonomy as key enablers. Healthcare practitioners were seen as central in supporting patient‐centred models of care. Perceived barriers to self‐collection included concerns around its accuracy and women's confidence in collecting their own sample. Widespread dissemination of culturally tailored promotion strategies communicating concepts such as 'privacy' and 'accuracy' were suggested by women to promote self‐collection.ConclusionSelf‐collection was highly acceptable among women of Indian descent, particularly when assured of its accuracy, and sociocultural norms and previous screening experiences are considered. This study highlights the huge potential that self‐collection can play in increasing equity in Australia's cervical screening programme.Patient or Public ContributionMembers of the public were involved in focus group discussions. Findings were summarised and disseminated via a poster. A bicultural worker was involved in all stages of the research.

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“…Incidence and mortality from cervical cancer in Australia has dropped by more than 50% since the introduction of routine screening in 1991 [1]. However, rates remain high among culturally and linguistically diverse (CALD) women from migrant and refugee backgrounds who are less likely to engage in preventative health practices, including cervical screening and human papillomavirus (HPV) vaccination [2][3][4][5][6][7]. Disproportionate rates of screening between CALD and Australian born women is a major public health concern as women who have never engaged in cervical screening are more likely to develop cervical cancer and have poorer treatment outcomes [8].…”

Section: Introductionmentioning

confidence: 99%

Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study

et al. 2022

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Background Participation of culturally and linguistically diverse (CALD) women from migrant and refugee backgrounds in cervical screening is crucial to eliminate cervical cancer as a public health problem within the next 20 years. However, CALD women report low participation in cervical screening. Barriers to participation can be addressed with culturally tailored, community-based programs. There is a need for research to explore the process, feasibility, acceptability and barriers to cultural tailoring in the delivery and evaluation of cervical screening health education. Methods CALD community health workers took part in a 2 day training program then co-designed, culturally tailored and co-facilitated cervical screening health promotion forums within their communities. Forums were delivered to a total of seven groups, involving 12 sessions and 71 CALD women. The forums were evaluated for feasibility, acceptability, implementation and effectiveness using a survey, interviews and observations. Data were collected from CALD women, facilitators and researchers. Results The co-design and co-delivery of cervical screening health promotion forums was time and resource intensive however allowed for deeper cultural tailoring resulting in engagement with ‘hard to reach’ CALD women, improved health literacy and intention to screen. Flexibility in the intervention implementation was crucial to ensure forums were responsive to community interests and needs. Online delivery of the forums in response to the COVID-19 pandemic was acceptable to most groups. Conclusions Co-designed, culturally tailored cervical screening health promotion forums are feasible and acceptable to CALD women, in both face-to-face and online formats. Adjustments to the intervention protocol were recommended to improve future implementation.

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Understanding the participation in cervical screening of Muslim women in Victoria, Australia from record-linkage data

Cited by 4 publications

References 20 publications

Understanding the participation of breast screening among women born in predominantly Muslim countries living in Victoria, Australia from record-linkage data

Understanding the participation of breast screening among women born in predominantly Muslim countries living in Victoria, Australia from record-linkage data

The acceptability of, and informational needs related to, self‐collection cervical screening among women of Indian descent living in Victoria, Australia: A qualitative study

Co-designed, culturally tailored cervical screening education with migrant and refugee women in Australia: a feasibility study

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