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
Roshan das Nair
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|
|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|
|Keywords||Cancer screening; screening uptake; screening barriers; qualitative review; meta-synthesis; meta-ethnography; cancer fear; patient-practitioner relationship.|
|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|
B Young J Pub Health AAM 2017.pdf
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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