Breast screening and ethnic minority women: a literature review

Raja-Jones, Hansa

doi:10.12968/bjon.1999.8.19.1284

Cited by 18 publications

(5 citation statements)

References 7 publications

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“…Perceptions of cultural insensitivity and language problems echo barriers expressed in breast and cervical screening research, indicating a need for greater engagement on this issue among health practitioners and staff and possible change at the practice level. 21, 22…”

Section: Discussionmentioning

confidence: 99%

Perceived barriers to flexible sigmoidoscopy screening for colorectal cancer among UK ethnic minority groups: a qualitative study

et al. 2009

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Objectives Evidence from existing UK screening programmes indicates disparities in uptake rates between UK ethnic minorities and the white majority population. The aim of this study was to explore barriers to the uptake of flexible sigmoidoscopy (FS) screening among UK ethnic minority populations. Specifically, beliefs about bowel cancer, perceived barriers to the test and ideas about ways to increase uptake were investigated. Methods Nine focus groups were conducted with a total of 53 participants from African-Caribbean, Gujarati Indian, Pakistani and white British communities. The topic guide was based on the Health Belief Model. Discussions were subject to framework analysis. Results Most participants expressed limited awareness of bowel cancer and cited this as a barrier to screening attendance. Anxiety regarding the invasiveness of the test, the bowel preparation and fear of a cancer diagnosis were common barriers across all ethnic groups. Language difficulties, failure to meet religious sensitivities and the expression of culturally influenced health beliefs were all discussed as specific barriers to uptake. Ethnically tailored health promotion and general practitioner involvement were recommended as ways of overcoming such barriers. Conclusions The study was the first attempt to qualitatively explore barriers to FS bowel cancer screening in UK ethnic minorities. Most barriers were shared by all ethnic groups but health educators should supplement approaches designed for the majority to incorporate the specific needs of individual minority groups to ensure equitable access.

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Section: Discussionmentioning

confidence: 99%

Perceived barriers to flexible sigmoidoscopy screening for colorectal cancer among UK ethnic minority groups: a qualitative study

et al. 2009

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“…However, even where need seems to be low, service provision should take account of the fact that diverse populations may still be at risk, 3 and also that their risk profile may change over time, especially for conditions that are linked to lifestyle and environmental factors as well as genetic makeup. 50 …”

Section: Differential Needs and Provisionmentioning

confidence: 99%

Access to health care for ethnic minority populations

Szczepura¹

2005

Postgraduate Medical Journal

294

274

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This paper reviews the research evidence on access to health care by ethnic minority populations, and discusses what might need to be done to improve access to services. Research on the process of care, and the quality of care received, is considered as well as studies examining uptake of services. Changes in legal context are increasing the pressure on healthcare organisations to examine and adapt their services to ensure equitable access. Examples presented include a new UK population cancer screening programme. The main challenges for clinicians, managers, and policy makers in ensuring equitable access are discussed.

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“…Access may also be impeded by language or cultural barriers, preferences for use of 'traditional' or 'Western' health care providers, and a lack of awareness of health care opportunities (Deinard and Dunnigan 1987;Elliott and Gillie 1998;Raja-Jones 1999). Access to health services, and ultimately overall health, may be especially limited among immigrant women whose family, job, or cultural expectations and roles may make it difficult to access and use resources (Anderson et al 1993;Dyck 1995;MacKinnon and Howard 2000;Oxman-Martinez et al 2000;Weerasinghe et al 2000).…”

Section: Background: Canadian Immigration the Healthy Immigrant Effementioning

confidence: 99%

Chronic Conditions and the Healthy Immigrant Effect: Evidence from Canadian Immigrants

Newbold¹

2006

Journal of Ethnic and Migration Studies

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The literature suggests that the foreign-born, and especially recent arrivals, enjoy better health than their Canadian-born counterparts, as measured by a number of health outcomes including self-assessed health and chronic conditions. Using data drawn from Statistics Canada's longitudinal National Population Health Survey (NPHS), the paper evaluates the so-called 'healthy immigrant effect' with respect to chronic conditions. Specifically, it evaluates the presence, number and type of chronic conditions (heart disease, asthma, arthritis, diabetes) within the immigrant population, with comparisons made to the native-born population. Native-and foreign-born prevalence rates for chronic conditions are also ageÁsex standardised to aid comparison. Evidence from both descriptive and multivariate analysis supports the healthy immigrant effect with respect to chronic conditions. Strong evidence of health disparities across arrival cohorts is also found.

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Breast screening and ethnic minority women: a literature review

Cited by 18 publications

References 7 publications

Perceived barriers to flexible sigmoidoscopy screening for colorectal cancer among UK ethnic minority groups: a qualitative study

Perceived barriers to flexible sigmoidoscopy screening for colorectal cancer among UK ethnic minority groups: a qualitative study

Access to health care for ethnic minority populations

Chronic Conditions and the Healthy Immigrant Effect: Evidence from Canadian Immigrants

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