Culturally informed views on cancer screening: a qualitative research study of the differences between older and younger Somali immigrant women

BMC Public Health

Kolawole Okuyemi²  Rebekah Pratt²  Kathryn B Goldade³  Abdifatah Mohamed⁴  Fardowsa Mohamed⁴  Farnaaz Kia¹  Nora Ali¹  Jennifer M O’Brien⁵  Warfa Osman⁴  Nancy C Raymond⁵ 

[1] University of Minnesota Medical School, Minneapolis, USA;Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, USA;Independent Research Consultant, St. Paul, USA;New American Community Services, St. Paul, USA;Department of Psychiatry and Deborah E. Powell Center for Women's Health, University of Minnesota Medical School, Minneapolis, USA

关键词: Barriers to screening;    Somali;    Breast and cervical cancer screening;    Immigrant health;   

Others  :  1122933
DOI  :  10.1186/1471-2458-14-1188

 received in 2014-01-15, accepted in 2014-10-30,  发布年份 2014

【 摘 要 】

Background

Somali women are infrequently screened for breast or cervical cancer, and there is a paucity of evidence-based interventions to increase cancer screening in this community. In order to create a culturally relevant intervention for Somali women living in Minnesota, we sought to understand what Somali immigrant women know about breast and cervical cancer, what are the attitudes toward screening and what cultural barriers are there to screen as well as cultural factors that would facilitate screening.

Methods

In partnership with a community-based organization, New American Community Services (NACS), focus groups were conducted to explore the issues described above. Two focus groups were held with younger women age 20 to 35 and two were held with women age 36 to 65.

Results

Twenty-nine women participated in the four focus groups. The women identified 1) differences in health care seeking behavior in Somalia verses the United States; 2) cultural understanding of cancer and disease; 3) barriers to mammogram or Pap screening; 4) facilitators to seeking preventive cancer screening; and 5) risk factors for developing cancer.

Conclusions

Cultural misperceptions and attitudes need to be addressed in developing culturally-appropriate interventions to improve screening uptake for Somali women. A nuanced response is required to address barriers specific to younger and older groups. Culturally informed beliefs can be integrated into intervention development, preventive care and screening promotion.

【 授权许可】

   
2014 Raymond et al.; licensee BioMed Central Ltd.

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