Understanding low colorectal cancer screening uptake in South Asian faith communities in England – a qualitative study

BMC Public Health

Research Article

Mary C. Thomas¹  Rosalind Raine¹  Cecily K. Palmer¹  Christian von Wagner²  Lesley M. McGregor² 

[1] Department of Applied Health Research, University College London, 1-19 Torrington Place, London, UK;Department of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, 1-19 Torrington Place, London, UK;

关键词: South Asian;    Minority ethnic groups;    Colorectal cancer screening;    Bowel cancer screening;    Guaiac faecal occult blood test (gFOBt);    Access;    Uptake;    Health services;    Qualitative;    Key informant;   

DOI  :  10.1186/s12889-015-2334-9

 received in 2015-05-06, accepted in 2015-09-23,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundColorectal cancer screening uptake within the South Asian population in England is approximately half that of the general population (33 % vs 61 %), and varies by Muslim (31.9 %), Sikh (34.6 %) and Hindu (43.7 %) faith background. This study sought to explore reasons for low uptake of CRC screening in South Asian communities and for the variability of low uptake between three faith communities; and to identify strategies by which uptake might be improved.MethodsWe interviewed 16 ‘key informants’ representing communities from the three largest South Asian faith backgrounds (Islam, Hinduism and Sikhism) in London, England.ResultsReasons for low colorectal cancer screening uptake were overwhelmingly shared across South Asian faith groups. These were: limitations posed by written English; limitations posed by any written language; reliance on younger family members; low awareness of colorectal cancer and screening; and difficulties associated with faeces. Non-written information delivered verbally and interactively within faith or community settings was preferred across faith communities.ConclusionsEfforts to increase accessibility to colorectal cancer screening in South Asian communities should use local language broadcasts on ethnic media and face-to-face approaches within community and faith settings to increase awareness of colorectal cancer and screening, and address challenges posed by written materials.

【 授权许可】

CC BY   
© Palmer et al. 2015