Reasons behind Low Cervical Screening Uptake among South Asian Immigrant Women: A Qualitative Exploration

被引:7
|
作者
Alam, Zufishan [1 ]
Deol, Hanoor [2 ]
Dean, Judith Ann [3 ]
Janda, Monika [1 ]
机构
[1] Univ Queensland, Ctr Hlth Serv Res, Fac Med, Princess Alexandra Hosp Campus, Woolloongabba, Qld 4102, Australia
[2] Univ Queensland, Fac Med, Herston Campus, Herston, Qld 4006, Australia
[3] Univ Queensland, Fac Med, Sch Publ Hlth, Herston Campus, Herston, Qld 4006, Australia
关键词
cervical cancer; screening; HPV test; self-sampling; immigrant; South Asian; REPRODUCTIVE HEALTH; CANCER; BRISBANE; MIGRANT; EXPERIENCES; CHALLENGES; BEHAVIORS; REFUGEE;
D O I
10.3390/ijerph19031527
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Despite advancements in prevention strategies, cervical cancer remains a leading cause of death among underprivileged women. Although Australia has low age-standardized cervical cancer incidence rates compared with other countries, disparities exist in cervical screening uptake among certain population subgroups, especially those from culturally and linguistically diverse (CALD) backgrounds. South Asian immigrant women have been reported to have lower cervical screening uptake than Australian-born women and those from other immigrant backgrounds. The objective of this study was to gain insight into the reasons and barriers for low cervical screening participation among South Asian immigrant women, through qualitative exploration. Semi-structured, in-depth interviews were conducted with 20 women, aged 26-50 years, living in Queensland, Australia, who were recruited via purposive sampling. After translation and transcription of recorded interviews, data was analysed via inductive thematic approach. Resulting themes, illustrating barriers towards screening, included: lack of cervical cancer and screening knowledge, especially of the changes in the revised screening program; effect of preventive, health-seeking behaviours; health care system factors; role of practical constraints and influence of sociocultural beliefs. Results suggest that culturally informed interventions, that involve relevant information provision and behavioural change strategies, to clarify women's misconceptions, are required.
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页数:15
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