Khattak, H. M., Woof, V. G., French, D. P., Donnelly, L. S., Ruane, H., Ulph, F., Qureshi, N., Khan, N., Evans, D. G. and Robb, K. A. (2023) The role of knowledge, primary care and community engagement to improve breast-screening access for Pakistani women in the United Kingdom: a secondary analysis of a qualitative study. Journal of Health Services Research and Policy, (doi: 10.1177/13558196231155824) (PMID:37039238) (Early Online Publication)
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Abstract
Objective: Breast cancer incidence is rising among Pakistani women in the United Kingdom. However, uptake of breast screening remains low. This study aimed to improve access to breast screening for British-Pakistani women by exploring their knowledge of breast cancer and the role of primary care and community networks to support screening access amongst British-Pakistani women. Methods: We undertook a secondary qualitative analysis of 18 semi-structured interviews with British-Pakistani women from East Lancashire in the United Kingdom. Anonymized transcripts of the interviews were used for a thematic analysis. Results: Three themes were identified in the interviewees’ responses: (i) ‘Women’s knowledge of breasts and breast cancer’, which described how a cultural taboo exists around Pakistani women’s bodies and around breast cancer; (ii) ‘Role of primary care’, which detailed how General Practitioners can support informed decisions and offer a trusted and valued information source; (iii) ‘Community engagement’, which described the potential to disseminate breast-screening information through the whole community, including primary care providers, all family members and mosques. Conclusions: Our analysis suggested three main targets for future interventions to improve access to breast screening for British-Pakistani women: (i) co-produced strategies to increase knowledge of breasts and breast screening; (ii) greater collaboration with local General Practitioners to support women to make informed choices about screening; and (iii) community engagement involving General Practitioners and community leaders, to inform everyone – not just screening-age women – about breast cancer and screening.
Item Type: | Articles |
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Additional Information: | : DGE and DF are supported by the National Institute for Health Research (NIHR) BRC Manchester (Grant Reference Number 1215- 200074). The data collected for research for the primary analysis were funded by the National Institute for Health Research (Programme Grants for Applied Research, RP-PG-1214-200016). |
Status: | Early Online Publication |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Robb, Professor Katie |
Authors: | Khattak, H. M., Woof, V. G., French, D. P., Donnelly, L. S., Ruane, H., Ulph, F., Qureshi, N., Khan, N., Evans, D. G., and Robb, K. A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing |
Journal Name: | Journal of Health Services Research and Policy |
Publisher: | SAGE Publications |
ISSN: | 1355-8196 |
ISSN (Online): | 1758-1060 |
Published Online: | 11 April 2023 |
Copyright Holders: | Copyright © 2023 The Authors |
First Published: | First published in Journal of Health Services Research and Policy 2023 |
Publisher Policy: | Reproduced under a Creative Commons License |
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