Factors influencing participation in colorectal cancer screening—a qualitative study in an ethnic and socio‐economically diverse inner city population

Bibliographic Data

ID19506617
AuthorsNimarta Dharni (0000-0002-6680-3661, Bradford Institute for Health Research Bradford Teaching Hospitals NHS Foundation Trust Bradford UK, corresponding author), David Armstrong (0000-0003-3652-9662, Department of Primary Care and Public Health Services King's College London London UK), Guy Chung‐Faye (King's College Hospital NHS Foundation Trust London UK), Alison J Wright (0000-0002-0373-5219, Department of Primary Care and Public Health Services King's College London London UK)
Year2017
Volume20
Issue4
Pages608-617
Publication date2017-08-01
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.12489
PMID27550367
OpenAlexW2514787625
LanguageEN
Citations received6
References cited30

BACKGROUND: Ethnic and socio-economic inequalities have been reported in the uptake of colorectal cancer (CRC) screening. This study aimed to explore the factors affecting CRC screening participation in an ethnically and socio-economically diverse inner city population. METHODS: Semi-structured interviews were undertaken with 50 people aged 55-74 years, recruited from GP practices in south-east London. Participants were from Black African (n=13), Black Caribbean (n=15), White British (n=17), Black other (n=2) and White other (n=3) backgrounds. Participants' socio-economic status (SES) was assessed using a combined measure of educational attainment, housing tenure and car ownership. Participants' SES varied although there were more participants from less deprived backgrounds than those from more deprived backgrounds. The interview topic guide was informed by the Theoretical Domains Framework. Interviews were recorded, transcribed and analysed using framework analysis. FINDINGS: Lack of awareness of CRC screening was a barrier for all participants. There were also some notable group differences by ethnicity and SES. Cancer fear was a barrier for White British participants of varying SES. Misunderstanding instructions for completing the guaiac faecal occult blood test (gFOBt) was a barrier for people of low SES regardless of ethnicity. For Black African and Black Caribbean participants, of any SES, religious faith and a perceived civic duty to participate in screening encouraged participation. DISCUSSION AND CONCLUSIONS: This is the first study to provide detailed information on the separate views of Black African and Black Caribbean participants about screening. Consideration of ethnicity and SES together also allowed us to identify pertinent barriers for particular groups that can be targeted to improve access to screening for those who wish to take part

Cancer · Colorectal cancer · Environmental health · Ethnic group · Geography · Population · Qualitative research · Social science · Sociology · Anthropology · Colorectal Cancer Screening and Detection · Colorectal Cancer Surgical Treatments · Global Cancer Incidence and Screening · Medicine

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