Understanding low colorectal cancer screening uptake in South Asian faith communities in England--a qualitative study.

Abstract:

BACKGROUND:Colorectal cancer screening uptake within the South Asian population in England is approximately half that of the general population (33 % vs 61 %), and varies by Muslim (31.9 %), Sikh (34.6 %) and Hindu (43.7 %) faith background. This study sought to explore reasons for low uptake of CRC screening in South Asian communities and for the variability of low uptake between three faith communities; and to identify strategies by which uptake might be improved. METHODS:We interviewed 16 'key informants' representing communities from the three largest South Asian faith backgrounds (Islam, Hinduism and Sikhism) in London, England. RESULTS:Reasons for low colorectal cancer screening uptake were overwhelmingly shared across South Asian faith groups. These were: limitations posed by written English; limitations posed by any written language; reliance on younger family members; low awareness of colorectal cancer and screening; and difficulties associated with faeces. Non-written information delivered verbally and interactively within faith or community settings was preferred across faith communities. CONCLUSIONS:Efforts to increase accessibility to colorectal cancer screening in South Asian communities should use local language broadcasts on ethnic media and face-to-face approaches within community and faith settings to increase awareness of colorectal cancer and screening, and address challenges posed by written materials.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Palmer CK,Thomas MC,McGregor LM,von Wagner C,Raine R

doi

10.1186/s12889-015-2334-9

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

998

issn

1471-2458

pii

10.1186/s12889-015-2334-9

journal_volume

15

pub_type

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