Qualitative factors influencing breast and cervical cancer screening in women: A scoping review

Lau, Jerrald; Shrestha, Pami; Ng, Janelle Shaina; Wong, Gretel Jianlin; Legido‐Quigley, Helena; Tan, Ker‐Kan

doi:10.1016/j.pmedr.2022.101816

Cited by 8 publications

(8 citation statements)

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“…There is uncertainty about whether interventions targeting both patients and healthcare professionals increase SMDM, compared to an intervention targeting either member of the pair ( 27 ). Furthermore, while factors associated with low participation have been widely described ( 28 , 29 , 56 – 58 ) literature does not report a relationship between DA availability and improved use of screening mammography for women meeting the criteria associated with lower participation.…”

Section: Discussionmentioning

confidence: 98%

Breast cancer: a randomized controlled trial assessing the effect of a decision aid on mammography screening uptake: study protocol

Hild¹,

Teigné²,

Ferrat

et al. 2023

Front. Oncol.

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IntroductionBreast cancer (BC) is the primary cancer among women. The World Health Organization recommends a bilateral screening mammogram every 2 years for women aged 50 to 74 years. However, it has been shown that there is an absence of information about the benefits and risks of screening. Shared medical decision-making is important to ensure patients are involved in the decision process. Decision aids can facilitative this decision-making process. This article presents a protocol to evaluate the effect of a decision aid on participation rates in the French organized BC screening program.Methods and analysisDesign and setting. The design is a 2 arm randomized controlled study, performed in the Pays de la Loire region (French West Coast). Randomization will be based on general medicine practices (Primary Care).ParticipantsWomen aged between 50 and 74 years, eligible for BC screening. In this region, there are 75000 women, and 2800 general practitioners eligible for recruitment.InterventionIn the « Decision aid for organized cancer screening » arm, the intervention will distribute invitation letters to eligible women combined with the provision of decision aid to these women and their general practitioners and an incentive to implement shared medical decision-making. In the « Standard organized cancer screening » arm, only the screening invitation will be sent to eligible women.Primary endpointBC screening participation rates will be assessed after an 18-month follow-up period.Statistical analysisIn this non-inferiority trial, the percentage of women who are up-to-date with their screening at 18 months after the intervention will be compared across arms using a generalized mixed linear model.DiscussionThe research team expect to demonstrate that providing a better explanation of the benefits and risks of BC screening is not at odds with screening participation. The study results should help policy makers thinking about implementing shared medical decision-making within the framework of organized BC screening programs in the future.Ethics and disseminationOn 6 December 2021, the protocol received a favorable opinion from the French Committee for the Protection of Persons (2021-A01583-38). This study is registered with ClinicalTrials.gov, number NCT05607849. (Version 1, November 7, 2022; https://www.clinicaltrials.gov/ct2/show/NCT05607849). The study findings will be used for publication in peer-reviewed scientific journals and presentations in scientific meetings.

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Section: Discussionmentioning

confidence: 98%

Breast cancer: a randomized controlled trial assessing the effect of a decision aid on mammography screening uptake: study protocol

Hild¹,

Teigné²,

Ferrat

et al. 2023

Front. Oncol.

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“…This difference could be attributed to the education level of a population in a high-income country like Singapore (Chan et al, 2021) and also the trust in our healthcare professionals. Women might view the screening process as a medical necessity and have a greater say over their health decisions, unlike countries in Asia where women are less empowered (Lau et al, 2022). Furthermore, in Singapore, numerous safeguards ensure respect for all patients and the standard of care is regarded highly worldwide.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the reasons for poor uptake of mammogram and cervical cancer screening services that have been postulated included socioeconomic (e.g., perceived costs of screening), psychological (e.g., low perceived susceptibility, fear of screening outcomes) and cultural or religious (e.g., taboos regarding nakedness, preference for traditional medicine) factors (Malhotra et al, 2016;Shaw et al, 2018). While these factors have been used to inform breast and cervical cancer screening initiatives, the wider influence of gender in women's decision to screen plays a crucial role as well (Lau et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…'Gender' is defined as the conceptualisation of roles and responsibilities attributed to an individual's sex which change over time, place, and life stage and commonly involves social constructs such as norms, powerlessness and socialisation related to gender (Cislaghi & Heise, 2020;Heise et al, 2019). According to a recent scoping review (Lau et al, 2022), factors related to the established gender norms (e.g., women's role in the household), factors related to socialisation of gender (e.g., embarrassment, sexual context of female cancer screening), factors related to gender inequality (e.g., effect on marital relationship), and factors leading to lack of empowerment (e.g., poor sexual health knowledge) and financial barriers received emphasis across Southeast Asia. However, only four out of the 72 studies included in the scoping review originated from Southeast Asia.…”

Section: Introductionmentioning

confidence: 99%

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Understanding Barriers and Facilitators of Breast and Cervical Cancer Screening among Singapore Women: A Qualitative Approach

Surendran

Foo

Tan

et al. 2023

Asian Pac J Cancer Prev

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Breast cancer is the number one cancer amongst females in Singapore. From 2015 to 2019, 11,805 new cases were diagnosed. Correspondingly over the same period, 1107 new cases of cervical cancer were diagnosed, contributing to a significant burden as well (Ministry of Health, 2020). The age-standardised incidence rate of breast and cervical cancer in Singapore is 73.8 and 6.7 per 100, 000 population respectively in 2020 (Singapore Cancer Registry Annual Report, 2020). Notably, both these cancers are among the few where early screening has shown to be associated with superior oncological outcomes if detected early. Likewise in Singapore, women aged 40 and above are advised to undergo mammography

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“…This study emphasizes the importance of educating the general population and addressing factors influencing delays in cervical cancer screening. 10…”

Section: Introductionmentioning

confidence: 99%

Assessment of Knowledge on Cervical Cancer among Women with a View to Develop Information Booklet

Naik,

Monteiro

2024

Journal of Health and Allied Sciences NU

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Introduction Cervical cancer manifests in the cervix cells, the lower part of the uterus connecting to the vagina. Similar to other cancers, the exact cause of cervical cancer remains uncertain and idiopathic. However, it is established that the human papilloma virus plays a significant role in initiating cellular changes in the cervix. In India, the lack of cancer awareness and screening facilities results in many women presenting at an advanced and deadly stage of the disease, negatively impacting their prognosis and clinical outcomes. Methods A total of 255 women aged between 18 and 45 years, who were either patients or accompanying bystanders at a tertiary care hospital, were selected using purposive sampling technique. Statistical Analysis Descriptive statistics were used to represent the sociodemographic characteristics levels. Association of sociodemographic variables levels is determined using chi-squared test. Results The mean age of the participants was 31.83 ± 6.83 years, majority (162 [63.5%]) were living in a rural area, most (175 [68.6%]) of the participants were married, majority (254 [99.6%]) of the subjects were not having any family history of cervical cancer, most (202 [79.2%]) of the participants were having a single sexual partner, majority (108 [42.4%]) were not having any information on cervical cancer, most (134 [52.5%]) of the participants were unaware of cervical cancer screening, 39 (15.3%) were aware but delaying, 26 (10.2%) were aware, 17 (6.7%) were aware but not decided to do, 16 (6.3%) were aware but undecided, and 21 (8.2%) were in “others” category. Conclusion Although women are having good knowledge and positive attitude toward cervical cancer screening and prevention, still there is a gap to transform it into practice. There is a need for more educational programs to connect identified knowledge slits and uplift regular practice of cervical cancer screening.

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Qualitative factors influencing breast and cervical cancer screening in women: A scoping review

Cited by 8 publications

References 91 publications

Breast cancer: a randomized controlled trial assessing the effect of a decision aid on mammography screening uptake: study protocol

Breast cancer: a randomized controlled trial assessing the effect of a decision aid on mammography screening uptake: study protocol

Understanding Barriers and Facilitators of Breast and Cervical Cancer Screening among Singapore Women: A Qualitative Approach

Assessment of Knowledge on Cervical Cancer among Women with a View to Develop Information Booklet

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