Intercultural consultations: investigation of factors that deter non-English speaking women from attending their general practitioners for cervical screening.

OBJECTIVES

To determine the factors that deter ethnic minority women living in east London from attending their general practitioner for cervical cytology screening.

DESIGN

Qualitative study by means of focus group discussions between October 1993 and March 1994.

SETTING

East London.

SUBJECTS

Non-health specific established community groups and specially convened groups of Bengali, Kurdish, Turkish, Urdu and Punjabi, and Chinese speaking women.

MAIN OUTCOME MEASURES

The spontaneous views of non-English speaking women resident in east London on cervical screening, focusing on attitudes to screening, their experiences of the cervical cytology screening services as currently provided, and their knowledge and beliefs about cervical screening.

RESULTS

Some reported attitudinal barriers to cervical cytology screening such as fear of cancer were not deterrents. Administrative and language barriers were more important, as were inadequate surgery premises and concerns about sterility.

CONCLUSION

Contrary to popular belief among general practitioners in east London, women from ethnic minorities are enthusiastic about cervical cytology screening once they understand the purpose of the test and the call and recall procedures. It is possible to consult with community groups in their own language through focus group discussions, working with bilingual health advocates who have had a short practical training in facilitating small group discussions. This form of user consultation could be carried out focusing on other aspects of health promotion.