Encouraging Black, Asian and Minority Ethnic (BAME) Women to Attend Breast Screening - A Qualitative Synthesis of Barriers and Facilitators
PHE ePoster Library. Baird J. Sep 12, 2019; 274486; 47
Jessica Baird
Jessica Baird
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Abstract
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Abstract Abstract Background Breast cancer is the most commonly diagnosed cancer amongst women. Annually, breast cancer is responsible for over 10,000 deaths in the UK. Screening incurs a 20% reduction in mortality and, according to Public Health England, accounts for 1,300 lives saved annually. Despite screening benefits, UK levels have reached a 10-year low with BAME women having consistently lower than average uptake and consequently, a poorer prognosis upon diagnosis. Aims To identify, appraise and synthesise qualitative evidence exploring the barriers and facilitators to BAME women attending breast screening in the UK.
Methods
The methodology outlined by the Cochrane guidelines was used to structure this systematic review. In November 2018, a search strategy was applied to Embase, PubMed and Medline yielding 3808 results. Titles and abstracts were screened according to their relevance to the research question. The 29 remaining articles were screened according to the inclusion and exclusion criteria. A thematic synthesis approach was used through the development of sub-themes and themes from the findings of the remaining 8 papers.
Results
Three overarching themes relating to breast screening barriers and facilitators emerged; knowledge-related factors (patient knowledge, patient awareness, language, emotional influence), accessibility factors (financial, distance, gender of healthcare professionals, previous experiences) and cultural-related factors (support networks, religious influences, family commitments). These themes were categorised into the patient perspective and healthcare professional perspective.
Conclusions
Lack of knowledge was presented as the most influential barrier. Accordingly, targeted educational interventions were identified as the most influential facilitators amongst all BAME groups. External funding details
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