School of Medicine, Western Sydney University, Sydney, NSW 2560, Australia.
Translational Health Research Institute, Western Sydney University, Sydney, NSW 2560, Australia.
Int J Environ Res Public Health. 2021 Aug 30;18(17):9129. doi: 10.3390/ijerph18179129.
Breast cancer is the most common cause of cancer amongst Australian women and the second most common cause of cancer mortality. Despite the proven effectiveness of early intervention, screening rates remain subpar across many regions in New South Wales (NSW). Screening rates are particularly low within the culturally and linguistically diverse (CALD) area of South Western Sydney (SWS). The objective of this study was to qualitatively explore barriers and facilitators to breast screening from the perspectives of CALD women from SWS. CALD women aged ≥40 who resided in SWS were invited to participate in a semi-structured interview to explore barriers and facilitators to breast cancer screening. Interviews were recorded, transcribed verbatim and analysed thematically to identify recurring patterns in the data. Sixteen women from CALD backgrounds participated. Women in this study reported absence of symptoms, fatalistic beliefs and embarrassment during the procedure to be the primary reasons for reluctance to screen. Lack of general practitioner (GP) endorsement, transport issues and pain associated with the procedure were also reported as additional barriers to screening. Common facilitators to screening included encouragement from family and friends, family history of cancer and media adverts. CALD women have distinctive barriers to mammography, which lead to poor breast screening participation rates. Opportunistic health promotion in this area is warranted and may lead to better health outcomes amongst this population.
乳腺癌是澳大利亚女性中最常见的癌症病因，也是癌症死亡的第二大常见原因。尽管早期干预的有效性已得到证实，但新南威尔士州（新州）许多地区的筛查率仍然不理想。在悉尼西南部（西南悉尼）的文化和语言多样化（CALD）地区，筛查率尤其低。本研究的目的是从西南悉尼的 CALD 女性的角度定性探讨乳腺癌筛查的障碍和促进因素。邀请居住在西南悉尼的年龄≥40 岁的 CALD 妇女参加半结构式访谈，以探讨乳腺癌筛查的障碍和促进因素。对访谈进行录音、逐字转录并进行主题分析，以确定数据中的反复出现的模式。共有 16 名来自 CALD 背景的妇女参加。本研究中的妇女报告说，无症状、宿命论信念和对程序的尴尬是不愿意进行筛查的主要原因。缺乏全科医生（GP）的认可、交通问题以及与该程序相关的疼痛也被报告为额外的筛查障碍。常见的筛查促进因素包括家人和朋友的鼓励、癌症家族史和媒体广告。CALD 妇女对乳房 X 光检查有独特的障碍，导致其乳腺癌筛查参与率较低。在这一领域进行机会性健康促进是必要的，可能会为这一人群带来更好的健康结果。
