Vicerrectoria de Investigaciones, Fundación Universitaria de Ciencias de la Salud, Bogota, Colombia.
Nursery Program, Universidad de Ciencias Aplicadas y Ambientales, Bogota, Colombia.
Ethn Health. 2024 Nov;29(8):893-907. doi: 10.1080/13557858.2024.2387112. Epub 2024 Aug 6.
Despite cervical cancer (CC) being a preventable disease, its incidence remains high in marginalized communities due to inequalities that restrict access to health services. This article investigates the experiences, perceptions, and attitudes regarding the screening of indigenous women in a region of the Colombian Amazon during a cervical cancer prevention initiative facilitated by community participation.
Qualitative study based on interviews conducted with women and indigenous leaders from Paujil reserve. They participated in research focused on cervical cancer prevention, which employed a methodology of collaboration between academia and communities aimed at enhancing women's health and reducing inequalities in access to healthcare services. The analysis utilized a deductive and inductive approach.
Five main themes were addressed: 'Barriers within health services'; 'Individual and cultural constraints'; 'Motivations and facilitators'; 'Positive experiences within the research framework'; and 'Suggestions for encouraging women's participation.' Challenges related to appointment scheduling and result delivery were frequently cited as obstacles to access. Misinformation, feelings of shame, fear, and distrust towards health services played significant roles in the reluctance to undergo screening. Factors such as support from family and community networks, respectful treatment, ease of scheduling appointments, the presence of female healthcare professionals, and involvement of leaders fluent in indigenous languages were identified as positive facilitators of screening acceptance.
Understanding the factors that influence access to screening is crucial for reducing inequalities in service delivery for indigenous women. The involvement of trained leaders who can identify these factors and motivate women can have a positive impact on the acceptance and guidance of cervical cancer prevention programs.
尽管宫颈癌 (CC) 是一种可预防的疾病，但由于限制获得卫生服务的不平等现象，边缘化社区的发病率仍然很高。本文调查了在哥伦比亚亚马逊地区的一个宫颈癌预防倡议中，社区参与促进下，针对土著妇女进行筛查的经验、看法和态度。
这是一项基于访谈的定性研究，受访者为 Paujil 保护区的妇女和土著领袖。他们参与了以关注宫颈癌预防为重点的研究，该研究采用了学术界和社区之间合作的方法，旨在增强妇女的健康并减少获得医疗保健服务的不平等。分析采用了演绎和归纳的方法。
五个主要主题得到了探讨：“卫生服务中的障碍”、“个人和文化限制”、“动机和促进因素”、“研究框架内的积极经验”和“鼓励妇女参与的建议”。经常提到与预约安排和结果传递相关的挑战是获取服务的障碍。信息不足、羞耻感、对卫生服务的恐惧和不信任在不愿进行筛查方面发挥了重要作用。一些因素，如家庭和社区网络的支持、尊重的待遇、预约安排的便利性、女性医疗保健专业人员的存在以及能流利使用土著语言的领导的参与，被确定为筛查接受的积极促进因素。
了解影响筛查获取的因素对于减少土著妇女服务提供方面的不平等至关重要。培训有素的领导的参与，他们能够识别这些因素并激励妇女，对宫颈癌预防计划的接受和指导可以产生积极影响。
