‘I do not need to… I do not want to… I do not give it priority…’– why women choose not to attend cervical cancer screening

Oscarsson, Marie; Wijma, Barbro; Benzein, Eva

doi:10.1111/j.1369-7625.2007.00478.x

Cited by 65 publications

(67 citation statements)

References 31 publications

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“…9,[13][14][15] In addition, the health professionals suggested that population mobility, particularly in young women, might be a problem, and some thought that structural factors such as GP incentivisation and the change in the age of first screening might contribute to declining participation in this group; barriers that women themselves would not necessarily be aware of. For some women, the decision not to attend screening was informed; they perceived that the costs outweighed the benefits or they were not sexually active.…”

Section: Discussionmentioning

confidence: 99%

Exploring age differences in reasons for nonattendance for cervical screening: a qualitative study

Waller

Jackowska²,

Marlow

et al. 2011

BJOG

105

101

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Objectives To explore differences in barriers to attendance at cervical screening across age groups because coverage of the cervical screening programme in England has been falling, particularly among women in the youngest age group (25-29 years).Design A qualitative study.Setting A university in London.Sample Professionals working in the screening field (n = 12) and women of varying ages who had either never attended for cervical screening or did not attend regularly (n = 46). MethodsIn Study 1 we interviewed professionals to elicit their views on the reasons for lower screening attendance in young women. In Study 2, we carried out four focus groups (n = 27) and 19 individual interviews with under-screened women to explore their barriers to attendance. Verbatim transcripts were analysed using Framework Analysis.Results Reasons for nonattendance were many and varied. Health professionals identified population-level factors, service provision issues, time pressures, risk perceptions, lack of knowledge and psychological barriers. The nonattenders fell into two groups: those who had made an active decision not to take part (who tended to be older), and those who intended to be screened but did not attend (predominantly younger women). Practical barriers were raised more often by younger women whereas older women had more negative attitudes to screening.Conclusion This study provides rich data on the complex reasons why women do not attend for cervical screening. It points to age differences in barriers to screening, and suggests that addressing practical issues such as appointment systems and clinic times may have a positive impact on attendance in young women.

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Section: Discussionmentioning

confidence: 99%

Exploring age differences in reasons for nonattendance for cervical screening: a qualitative study

Waller

Jackowska²,

Marlow

et al. 2011

BJOG

105

101

View full text Add to dashboard Cite

show abstract

“…A number of studies have described identifying non-attendeers from health records held by service providers and contacting the individuals directly by phone or letter to invite them to participate (Hall et al, 2015; McCaffery et al, 2001; Oscarsson, Mijma, & Benzein, 2008). Other studies have described forging links with community leaders to access their networks and approach individuals directly (Quaife, Marlow, McEwen, Janes, & Wardle, 2016) or have offered financial incentives to encourage participation (Ellis et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Rockliffe

Chorley

Marlow

et al. 2018

International Journal of Qualitative Studies on Health and Well

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In this article, we discuss the challenges faced in recruiting “hard-to-reach” groups for interview studies, specifically those who do not access preventative healthcare services. We do this by reflecting on the varying success of different recruitment methods we have used in two recent studies; one investigating ethnic disparities in human papillomavirus vaccination uptake and another exploring difference in cervical screening non-participation. Engaging new community groups to help with recruitment proved particularly difficult, as did recruiting online. Our most successful recruitment methods included recruiting through community groups with whom we had previously established relationships, recruiting through schools and re-contacting participants who previously completed a related survey. We conclude that successful recruitment is dependent on study awareness and engagement. We urge others to be transparent in reporting recruitment methods in order to benefit the qualitative research community and suggest that details are published as supplementary material alongside qualitative articles in future.

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“…Furthermore, they may be relatively unaware of the fact that the earlier stages of cancer can be asymptomatic. Symptoms clearly influence perceived risk, with lack of symptoms being a frequent explanation for the lack of need for screening (Oscarsson, Wijma, & Benzein, 2008) even though asymptomatic disease is the screening target. Individual characteristics seem also to inform perception of personal risk, including sociodemographic, health, and lifestyle factors (e.g.…”

Section: Individual Determinants Of Cancer Screening Participationmentioning

confidence: 99%

Screening for prevention and early diagnosis of cancer.

Wardle

Robb

Vernon

et al. 2015

American Psychologist

135

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‘I do not need to… I do not want to… I do not give it priority…’– why women choose not to attend cervical cancer screening

Cited by 65 publications

References 31 publications

Exploring age differences in reasons for nonattendance for cervical screening: a qualitative study

Exploring age differences in reasons for nonattendance for cervical screening: a qualitative study

It’s hard to reach the “hard-to-reach”: the challenges of recruiting people who do not access preventative healthcare services into interview studies

Screening for prevention and early diagnosis of cancer.

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