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Factors influencing the decision to attend screening for cancer in the UK: a meta-ethnography of qualitative research

Young, Ben; Bedford, Laura; Kendrick, Denise; Vedhara, Kavita; Robertson, John; das Nair, Roshan

Authors

Ben Young

Laura Bedford

Denise Kendrick

Kavita Vedhara

John Robertson

Roshan das Nair



Abstract

Background: This review aimed to better understand experiences of being invited to cancer screening and associated decision-making.
Methods: Qualitative evidence explaining UK cancer screening attendance decisions was systematically identified. Data were extracted and meta-ethnography used to identify shared themes, synthesise findings and generate higher level interpretations.
Results: Thirty four studies met inclusion criteria. They related to uptake of breast, cervical, colorectal, prostate, ovarian and lung cancer screening. Three primary themes emerged from the synthesis. Relationships with the health service shaped decisions, influenced by trust, compliance with power, resistance to control or surveillance, and perceived failures to meet cultural, religious and language needs. Fear of cancer screening was both a motivator and barrier in different ways and to varying degrees. Strategies to negotiate moderate fear levels were evident. Experiences of risk included the creation of alternative personal risk discourses and the use of screening as a coping strategy, influenced by disease beliefs and feelings of health and wellness.
Conclusions: The findings highlight the importance of the provider-patient relationship in screening uptake and enrich our understanding of how fear and risk are experienced and negotiated. This knowledge can help promote uptake and improve the effectiveness of cancer screening.

Journal Article Type Article
Journal Journal of Public Health
Print ISSN 1741-3842
Electronic ISSN 1741-3842
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
APA6 Citation Young, B., Bedford, L., Kendrick, D., Vedhara, K., Robertson, J., & das Nair, R. (in press). Factors influencing the decision to attend screening for cancer in the UK: a meta-ethnography of qualitative research. Journal of Public Health, doi:10.1093/pubmed/fdx026
DOI https://doi.org/10.1093/pubmed/fdx026
Keywords Cancer screening; screening uptake; screening barriers; qualitative review; meta-synthesis; meta-ethnography; cancer fear; patient-practitioner relationship.
Publisher URL https://academic.oup.com/jpubhealth/article-lookup/doi/10.1093/pubmed/fdx026
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingh.../end_user_agreement.pdf
Additional Information This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record B. Young, L. Bedford, D. Kendrick, K. Vedhara, J.F.R. Robertson, R. das Nair; Factors influencing the decision to attend screening for cancer in the UK: a meta-ethnography of qualitative research. J Public Health (Oxf) 2017 1-25. is available online at: https://doi.org/10.1093/pubmed/fdx026

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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