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The SWIM study: Ethnic minority women's ideas and preferences for a tailored intervention to promote national cancer screening programmes—A qualitative interview study
Authors:Camilla Rahr Tatari,Berit Andersen,Trine Brogaard,Sara Badre‐  Esfahani,Negin Jaafar,Pia Kirkegaard
Affiliation:1. Department of Public Health Programmes, Randers Regional Hospital, Randers Denmark ; 2. University Research Clinic for Cancer Screening, Department of Clinical Medicine, Aarhus University, Aarhus Denmark ; 3. Laegerne i Gellerup, Brabrand Denmark ; 4. Department of Gynaecology and Obstetrics, Aarhus University Hospital, Aarhus Denmark
Abstract:
BackgroundEthnic minority women from non‐Western countries are less likely than the native women to participate in screening programmes for cervical cancer, breast cancer and colorectal cancer. This social inequality can result in loss of possibility for prevention, delayed diagnosis and treatment and, ultimately, lower chance of survival. Developing a tailored intervention might be the solution to reduce social inequalities in cancer screening, and a key feature in intervention research is to consult the target group.ObjectiveTo explore ethnic minority women''s own ideas and preferences for a cancer screening intervention and identify their attitudes to different strategies.MethodsAn interview study with five focus group interviews, two group interviews with an interpreter and three individual interviews. Thirty‐seven women from 10 non‐Western countries contributed to the study. The interviews were audio‐recorded and transcribed verbatim followed by a thematic analysis.ResultsAccording to the women, a tailored intervention should focus on knowledge in the form of face‐to‐face teaching. The women further suggested information material in their own language with a simple, positive and concrete communication strategy. They would like to be involved in an awareness strategy and share the knowledge with their network.ConclusionEthnic minority women were interested in a tailored intervention, and they were keen to contribute with ideas and preferences. The findings emphasized the potential of a tailored intervention with specific suggestions to the content when attempting to reduce inequality in cancer screening participation.Patient or Public ContributionMinority women were involved in the interview study.
Keywords:decision making   Denmark   early detection of cancer   emigrants and immigrants   ethnic groups   health status disparities   mass screening   minority health   preventive health services   qualitative research
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