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Barriers and facilitators to cervical cancer screening among under- and neverscreened women in Flanders, Belgium

2024-12Artigo científico Acesso aberto
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dc.contributor.authorVerberckmoes, Bo
dc.contributor.authorDe Paepe, Elien
dc.contributor.authorDe Vestele, Janne
dc.contributor.authorGama, Ana
dc.contributor.authorKeygnaert, Ines
dc.contributor.authorVermandere, Heleen
dc.contributor.authorDegomme, Olivier
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2024-10-31T23:26:00Z
dc.date.available2024-10-31T23:26:00Z
dc.date.issued2024-12
dc.descriptionFunding Information: This work was supported by the European Union\u2019s Horizon 2020 research and innovation programme [grant number 825747] and the Research Foundation \u2013 Flanders (file number G0E2421N). The funding agencies had no input into the conduct and analysis of the study, nor the writing of the manuscript or the decision to submit the manuscript for publication. Publisher Copyright: © The Author(s) 2024.
dc.description.abstractBackground: Cervical cancer is detectable and preventable in premalignant stages. In 2013, a population-based cervical cancer screening (CCS) programme was set up in Flanders (Belgium) promoting screening by means of sending reminder letters. Yet, in 2021, only a CCS coverage of 63.6% has been reached, which is just a bare increase since the implementation of the programme (62.7% in 2013) (Jaarrapport 2022, Centrum voor Kankeropsporing (CvKO), 2022; Jaarrapport 2015, Centrum voor Kankeropsporing (CvKO), 2015). Objectives: To explore the characteristics of under- and neverscreened women in Flanders and to gain a better understanding of the barriers that prevent these women from attending CCS as well as factors that may facilitate CCS uptake. Methods: Twelve in-depth interviews and six focus group discussions were conducted with gynaecologists, general practitioners, community health workers and stakeholders providing support to women belonging to potentially underscreened population groups. Reported barriers and facilitators were subsequently classified using the Socio-Ecological Model (SEM). Finally, a causal loop diagram was constructed to visualise the dynamic interrelations among the barriers and facilitators. Results: Stakeholders and healthcare professionals confirm the vulnerability for cervical cancer screening in women with a substance use disorder and women with a migration background. The participation in screening among female sex workers is contingent upon their specific work environment. The group of never- or underscreened women is very heterogeneous and includes many women who are either unaware of CCS or have other priorities. A lack of focus on prevention is the most commonly reported barrier at the healthcare system level. Increasing awareness about cervical cancer (screening) and creating more opportunities for healthcare workers to offer prevention services are the primary facilitators. Conclusion: To improve screening participation in Flanders, different screening strategies tailored to a diversity of women are needed.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1135255
dc.identifier.doi10.1186/s12889-024-20166-9
dc.identifier.issn1471-2458
dc.identifier.otherPURE: 102272383
dc.identifier.otherPURE UUID: 9a1fb657-5dbd-4b1a-8b86-ed3f3610d11a
dc.identifier.otherScopus: 85206797617
dc.identifier.otherPubMed: 39425098
dc.identifier.otherPubMedCentral: PMC11487805
dc.identifier.urihttp://hdl.handle.net/10362/174434
dc.identifier.urlhttps://www.scopus.com/pages/publications/85206797617
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBarriers and facilitators
dc.subjectCervical cancer screening
dc.subjectCommunity workers
dc.subjectHealthcare workers
dc.subjectSexual health
dc.subjectUnderscreened
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleBarriers and facilitators to cervical cancer screening among under- and neverscreened women in Flanders, Belgiumen
dc.title.subtitlea qualitative study on community and healthcare providers’ perspectivesen
dc.typejournal article
degois.publication.issue1
degois.publication.titleBMC Public Health
degois.publication.volume24
dspace.entity.typePublication
rcaap.rightsopenAccess

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