Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark - A qualitative study

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Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark - A qualitative study. / Koed Badre-Esfahani, Sara; Kjeld Petersen, Lone; Tatari, Camilla Rahr; Blaakær, Jan; Andersen, Berit; Seibæk, Lene.

In: PLOS ONE, Vol. 16, No. 6, e0250816, 06.2021.

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@article{90d92b868a5f4d53b1b82de3cc70723b,
title = "Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark - A qualitative study",
abstract = "BackgroundCervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women–especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern.AimTo explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark.MethodFocus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation.FindingsSeventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceivedrelevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV.ConclusionElements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest thatfuture studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement.",
keywords = "Cervical Cancer prevention, ethnic minority women, HPVV",
author = "{Koed Badre-Esfahani}, Sara and {Kjeld Petersen}, Lone and Tatari, {Camilla Rahr} and Jan Blaak{\ae}r and Berit Andersen and Lene Seib{\ae}k",
year = "2021",
month = jun,
doi = "10.1371/journal.pone.0250816",
language = "English",
volume = "16",
journal = "P L o S One",
issn = "1932-6203",
publisher = "public library of science",
number = "6",

}

RIS

TY - JOUR

T1 - Perceptions of cervical cancer prevention among a group of ethnic minority women in Denmark - A qualitative study

AU - Koed Badre-Esfahani, Sara

AU - Kjeld Petersen, Lone

AU - Tatari, Camilla Rahr

AU - Blaakær, Jan

AU - Andersen, Berit

AU - Seibæk, Lene

PY - 2021/6

Y1 - 2021/6

N2 - BackgroundCervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women–especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern.AimTo explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark.MethodFocus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation.FindingsSeventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceivedrelevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV.ConclusionElements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest thatfuture studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement.

AB - BackgroundCervical cancer screening (CCS) and human papillomavirus vaccination (HPVV) are effective measures against cervical cancer (CC). Attendance in HPVV and CCS provides the greatest protection, while combined non-attendance in HPVV and CCS provides little to no protection. It is hence concerning that some large ethnic minority groups show considerably lower HPVV and CCS attendance than other women–especially women from Middle-Eastern and North African (MENA) countries and Pakistan. Little is, however, known about the reasons for this low combined attendance pattern.AimTo explore perceptions of and barriers to HPVV and CCS, among MENA and Pakistani women in Denmark.MethodFocus group interviews were conducted. Data was transcribed verbatim, and analysed using systematic text condensation.FindingsSeventeen long-term resident women originating from six major MENA countries and Pakistan were included. Mean age was 36 years. We found that these women, across different age groups and descent, had sparse knowledge and understanding about CC, and their perceivedrelevance of disease prevention was low. Compared to HPVV, their barriers to CCS were more fixed and often linked to socio-cultural factors such as taboos related to female genitals and sexuality. Moreover, they presented unmet expectations and signs of mistrust in the healthcare system. However, at the end of the interviews, participants became more attentive toward CC prevention, particularly toward HPVV.ConclusionElements of insufficient knowledge and understanding of CC and its prevention were found among a group of MENA and Pakistani women. Their socio-cultural background further represents a barrier particularly towards CCS. Additionally, negative experiences and unmet expectations lessen their trust in the healthcare system. All of which underlines the need for new tailored CC preventive strategies for this group. Based on our findings we suggest thatfuture studies develop and evaluate interventions aiming to improve HPVV and CCS, including user-involvement.

KW - Cervical Cancer prevention

KW - ethnic minority women

KW - HPVV

U2 - 10.1371/journal.pone.0250816

DO - 10.1371/journal.pone.0250816

M3 - Journal article

C2 - 34061863

VL - 16

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 6

M1 - e0250816

ER -