Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review
Open accessAbstract
Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation. Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted. Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination. Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence‐based interventions and health‐promotion campaigns worldwide. Research and practical implication s are highlighted and discussed.
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Awareness/knowledge can be viewed as a requisite for attendance and as central in influencing other factors.
“Awareness/knowledge can be viewed as a requisite for attendance [10] and as central in influencing other factors.”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
The Results section (“Knowledge and awareness”; page unavailable) says high knowledge and awareness promote cancer-screening attendance, mainly among first-time attenders. It does not establish that knowledge or awareness is a requisite for attendance. The citation is attached to that requisite claim, not to the sentence’s separate assertion about influencing other factors. (LLM, conf=0.84)
Experimental — accuracy not yet measuredFatalism is an emotional barrier.
“Emotional barriers include fear of cancer, screening results and treatment [8,9,15] and fatalism [10,24].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
In Results, under “Individual characteristics” (page unavailable), the review says people with fatalism perceive greater barriers to screening and are less likely to follow health recommendations. It does not classify fatalism as an emotional barrier; its separate “Emotions” section names fear, shame, embarrassment and discomfort instead. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMore flexible access, such as flexible scheduling or options for screening facilities, can increase attendance.
“Long wait times can be a barrier [22,26], whereas more flexible access, e.g., flexible scheduling or options for screening facilities can increase attendance [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
The Discussion (Clinical implications; page unavailable) recommends more flexible access to screening, and the Results (System barriers; page unavailable) describe measures that facilitate access. The review does not specifically identify flexible scheduling or a choice of screening facilities as measures that increase attendance; its scheduling example is a second fixed-date appointment. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSocial supports facilitate self-efficacy, which in turn is associated with screening attendance.
“Such supports are important because they facilitate self-efficacy, which in turn is associated with screening attendance [7,10,11,14].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
The Results (Research question one; page not provided) identify high perceived self-efficacy as a factor promoting screening adherence and report that talking with family and friends can promote screening. The review does not say that social support facilitates self-efficacy, so it does not establish the claimed link between them. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn systematic reviews, perceived control in personal health choices and high self-efficacy to attend screening are positively associated with screening.
“In systematic reviews, perceived control in personal health choices and high self-efficacy to attend screening have been positively associated with screening [7,10,11,14].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
These aspects are especially important in encouraging information-seeking related to cancer screening and increasing willingness to overcome barriers.
“These aspects are especially important in encouraging information-seeking related to cancer screening, and increasing the willingness to overcome barriers [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Fear of screening results is a commonly reported barrier and relates to the view of cancer being deadly.
“Fear of screening results is a commonly reported barrier, relating to the view of cancer being deadly [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Negative emotions such as fear or embarrassment related to cancer screening are emotional barriers.
“Research has emphasised the role of emotional barriers, i.e., negative emotions such as fear or embarrassment related to cancer screening, and the importance of taking into account the psychological impact of cancer screening [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Those who see themselves at risk of developing cancer are willing to repeat screening in recommended timeframes.
“Those who see themselves at risk of developing cancer often consider cancer screening as potentially life-saving and are willing to repeat screening in recommended timeframes [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Those who see themselves at risk of developing cancer often consider cancer screening as potentially life-saving.
“Those who see themselves at risk of developing cancer often consider cancer screening as potentially life-saving and are willing to repeat screening in recommended timeframes [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Social networks are a key source of information and practical and emotional support driving screening attendance.
“Social networks (e.g., community members, family, friends) are a key source of information and practical and emotional support driving screening attendance [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Accessibility barriers include long distances and lack of access to healthcare services.
“Accessibility barriers include long distances and lack of access to healthcare services [10] as well as lack of transportation and difficulties in finding an escort for older adults [9].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Social stigma related to cancer and cancer screening can be a barrier for screening in communities whose cultural background supports blaming and isolating people diagnosed with cancer.
“According to a systematic review, social stigma related to cancer and cancer screening can also be a barrier for screening in communities whose cultural background supports the idea that people diagnosed with cancer are to be blamed and isolated [10].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
Physicians can be a key source of information and support.
“Physicians can be a key source of information and support [10]”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [10]
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- Authors
- Vallone, F., Lemmo, D., Martino, M. L., Donizzetti, A. R., Freda, M. F., Palumbo, F., Lorenzo, E., D’Argenzio, A., & Caso, D.
- Affiliations
- University of Naples Federico II (IT)
- Regione Campania (IT)
- Corresponding author
- Caso, Daniela
- ORCID
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2022-07-12
- Volume
- 31
- Issue
- 9
- Pages
- 1435-1447
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- PMC
- PMC9541457
- OpenAlex
- W4284883114
- Cited by
- 65
- References
- 120
- Citations by year
- 2026: 15 · 2025: 17 · 2024: 23 · 2023: 6 · 2022: 4
- FWCI
- 1.53
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psycho-Oncology (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
- Keywords
- cancer screening participation, breast cancer screening, cervical cancer screening, colorectal cancer screening, barriers to screening, facilitators of screening, patient-provider relationship, health system barriers, health promotion interventions, superdiversity
- MeSH terms
- Breast Neoplasms, Uterine Cervical Neoplasms, Female, Health Promotion, Humans, Colorectal Neoplasms, Early Detection of Cancer
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