Chinese-Australian Women’s Knowledge, Facilitators and Barriers Related to Cervical Cancer Screening: A Qualitative Study
Open accessAbstract
Understanding the different facilitators and barriers to screening within cultural and ethnic groups is important for developing appropriate education and outreach programs to underserved groups. Qualitative methods were employed to gain a rich understanding of participant views. In-depth interviews were conducted with 18 Chinese Australian women in their native languages and analysed using content analysis. Knowledge of cervical cancer was low, and few participants understood the benefits and purpose of screening. Having a doctor's recommendation was a strong motivator, and returning for screening was encouraged by having a female Chinese doctor perform the exam, receiving a reminder letter and the absence of cost for screening participation. However, participation was inhibited by logistical barriers, cultural beliefs and previous painful screening experiences. A range of multifaceted facilitators and barriers must be considered when developing interventions to increase the rates of cervical screening in this population.
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Less than 10% of women in Nigeria have ever been screened for cervical cancer, whereas 40-50% of women are screened in developed countries.
“Less than 10% of women have ever been screened for cervical cancer, whereas 40-50% of women are screened in developed countries.3,5”
Despite the recommendation that cervical screening saves lives, uptake for cervical screening for women in developing countries is still very low.
“Despite the recommendation that cervical screening does save lives, the uptake for cervical screening for women in developing countries is still very low.5”
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Olanlesi-Aliu, A., Martin, P., & Daniels, F. (2019) · Southern African Journal of Gynaecological Oncology · doi:10.1080/20742835.2019.1679528 · Cited by 3 · see citing works
“To ensure the increase in the participation rate of people in cervical cancer prevention programmes even when such involvement does not require a cost, there is a need to understand and identify the obstacles to its successful and effective implementation.(11) Health workers and policy-makers mentioned cultural belief…”
Background
- Authors
- Kwok, C., White, K., & Roydhouse, J. K.
- Affiliations
- The University of Sydney (AU)
- Edith Cowan University (AU)
- Corresponding author
- Kwok, Cannas
- Venue
- Journal of Immigrant and Minority Health
- Published
- 2011-06-12
- Volume
- 13
- Issue
- 6
- Pages
- 1076-1083
- ISSN
- 1557-1912 (ISSN-L)
- 1557-1920
- OpenAlex
- W2054631690
- Cited by
- 64
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 9 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 8 · 2013: 3 · 2012: 1
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- Journal of Immigrant and Minority Health (publishedVersion)
- PubMed (publishedVersion)
- Edith Cowan University Research Online (Edith Cowan University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- cervical cancer screening, screening knowledge, barriers to screening, facilitators of screening, cultural beliefs, physician recommendations, female physicians, reminder letters, screening costs, underserved populations, health education
- MeSH terms
- Adult, Aged, Australia, Uterine Cervical Neoplasms, China, Female, Health Services Accessibility, Humans, Interviews as Topic, Health Knowledge, Attitudes, Practice, Mass Screening, Middle Aged, Patient Acceptance of Health Care
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