Determinants of cancer screenings participation in Queensland: a scoping review
Paraniala Silas C. Lui
1 2 3 * , Kamal Singh 4 , Tam Nguyen 1 2 , Brian Kurth 1 2 , Thuc Phan 1 2 , Ashleigh Nelson 1 2 , Renata Danisevska 1 2 , Tony De Ambrosis 1 2
1 Darling Downs and West Moreton Primary Health Network, Level 1, 162 Humes Street, Toowoomba, QLD 4350, Australia.
2 Darling Downs Health Innovation and Research Collaborative, Level 2 Administration Building, Baillie, Henderson Hospital, Toowoomba, QLD 4350, Australia.
3 Centre for Health Research, University of Southern Queensland, Springfield Campus, 37 Sinnathambly Boulevard, QLD 4300, Australia.
4 School of Health, Federation University, Brisbane Campus, PO Box 5274, Brisbane, QLD 4000, Australia.
Handling Editor: Felicity Goodyear-Smith
Abstract
Cancer screening programmes for cervical, breast, and colorectal cancer have successfully reduced mortality rates among target groups. However, a large proportion of women and men are unscreened.
This review aims to provide an overview of the literature regarding the determinants of cancer screening participation among target groups in Queensland.
Electronic databases were searched for studies on determinants of cancer screening participation in Queensland. Retrieved studies were screened, and eligible articles were selected for data extraction. Both peer-reviewed and grey literature studies were included. The determinants of cancer screening participation were classified according to the I-Change model.
Sixteen out of 75 articles were selected and analysed. Information factors, such as the lack of tailored strategies, determined cancer screening participation. Age, gender, cultural beliefs, fear and past experiences were the most reported predisposing factors to cancer screening participation. Lack of knowledge, misconceptions, low awareness, timely access to service, privacy and confidentiality were mainly reported awareness and motivation factors. Encouragement from health professionals, providing more information and interactions with communities would result in different effects on cancer screening participation among the target groups.
The I-Change model is a valuable tool in mapping the current determinants of cancer screening participation programs. Further research may be needed to fully understand the barriers and facilitators of cancer screening programs.
Keywords: bowel cancer, breast screening, cancer screening, cervical screening, determinants, primary healthcare, queensland, target groups.
References
1 Ferlay J, Colombet M, Soerjomataram I, et al. Cancer statistics for the year 2020: an overview. Int J Cancer 2021; 149(4): 778-89.
| Crossref | Google Scholar |
2 Australian Institute of Health Welfare. Cancer in Australia 2021. 2021. Available at https://www.aihw.gov.au/reports/cancer/cancer-in-australia-2021
3 Olver IN, Roder D. History, development and future of cancer screening in Australia. Public Health Res Pract 2017; 27(3): e2731725.
| Crossref | Google Scholar |
4 Smith D, Thomson K, Bambra C, et al. The breast cancer paradox: a systematic review of the association between area-level deprivation and breast cancer screening uptake in Europe. Cancer Epidemiol 2019; 60: 77-85.
| Crossref | Google Scholar |
5 Lew JB, Feletto E, Wade S, et al. Benefits, harms and cost-effectiveness of cancer screening in Australia: an overview of modelling estimates. Public Health Res Pract 2019; 29(2): e2921913.
| Crossref | Google Scholar |
6 Jacklyn G, Bell K, Hayen A. Assessing the efficacy of cancer screening. Public Health Res Pract 2017; 27(3): e2731727.
| Crossref | Google Scholar |
7 Worthington J, Lew JB, Feletto E, et al. Improving Australian National Bowel Cancer Screening Program outcomes through increased participation and cost-effective investment. PLoS One 2020; 15(2): e0227899.
| Crossref | Google Scholar |
8 Bongaerts THG, Büchner FL, Middelkoop BJC, et al. Determinants of (non-)attendance at the Dutch cancer screening programmes: a systematic review. J Med Screen 2020; 27(3): 121-9.
| Crossref | Google Scholar |
9 World Health Organization. WHO guidelines for screening and treatment of cervical pre-cancer lesions for cervical prevention. 2021. Available at https://www.who.int/news/item/06-07-2021-new-recommendations-for-screening-and-treatment-to-prevent-cervical-cancer#:~:text=WHO%E2%80%99s%20global%20strategy%20for%20cervical%20cancer%20elimination%20%E2%80%93,of%20those%20needing%20it%20to%20receive%20appropriate%20treatment
10 Australian Institute of Health and Welfare. Cancer data in Australia. 2020. Available at https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia
11 Marques P, Nunes M, Antunes MdL, et al. Factors associated with cervical cancer screening participation among migrant women in Europe: a scoping review. Int J Equity Health 2020; 19(1): 160.
| Crossref | Google Scholar |
12 Wu Z, Liu Y, Li X, et al. Factors associated with breast cancer screening participation among women in mainland China: a systematic review. BMJ Open 2019; 9(8): e028705.
| Crossref | Google Scholar |
13 The Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual: 2015 edition / Supplement. 2015. Available at https://synthesismanual.jbi.global
14 Cooke R, French DP. How well do the theory of reasoned action and theory of planned behaviour predict intentions and attendance at screening programmes? A meta-analysis. Psychol Health 2008; 23(7): 745-65.
| Crossref | Google Scholar |
15 Drossaert CHC, Boer H, Seydel ER. Prospective study on the determinants of repeat attendance and attendance patterns in breast cancer screening using the theory of planned behaviour. Psychol Health 2003; 18(5): 551-65.
| Crossref | Google Scholar |
16 de Vries H. An integrated approach for understanding health behavior; the I-Change Model as an example. Psychol Behav Sci Int J 2017; 2(2): 555585.
| Crossref | Google Scholar |
17 Hagger MS, Chatzisarantis NLD. An integrated behavior change model for physical activity. Exerc Sport Sci Rev 2014; 42(2): 62-9.
| Crossref | Google Scholar |
18 de Vries H, Mudde A, Leijs I, et al. The European Smoking Prevention Framework Approach (EFSA): an example of integral prevention. Health Educ Res 2003; 18(5): 611-26.
| Crossref | Google Scholar |
19 Dasgupta P, Condon JR, Whop LJ, et al. Access to Aboriginal Community-Controlled Primary Health Organizations can explain some of the higher pap test participation among Aboriginal and Torres Strait Islander women in North Queensland, Australia. Front Oncol 2021; 11(2976): 725145.
| Crossref | Google Scholar |
20 Nagendiram A, Bidgood R, Banks J, et al. Knowledge and perspectives of the new National Cervical Screening Program: a qualitative interview study of North Queensland women-‘I could be that one percent’. BMJ Open 2020; 10(3): e034483.
| Crossref | Google Scholar |
21 Dasgupta P, Aitken JF, Condon J, et al. Spatial and temporal variations in cervical cancer screening participation among indigenous and non-indigenous women, Queensland, Australia, 2008-2017. Cancer Epidemiol 2020; 69: 101849.
| Crossref | Google Scholar |
22 Butler TL, Anderson K, Condon JR, et al. Indigenous Australian women’s experiences of participation in cervical screening. PLoS One 2020; 15(6): e0234536.
| Crossref | Google Scholar |
23 Meiklejohn JA, Arley BD, Pratt G, et al. ‘We just don’t talk about it’: Aboriginal and Torres Strait Islander peoples’ perceptions of cancer in regional Queensland. Rural Remote Health 2019; 19(2): 4789.
| Crossref | Google Scholar |
24 Diaz A, Vo B, Baade PD, et al. Service level factors associated with cervical screening in Aboriginal and Torres Strait Islander Primary Health Care Centres in Australia. Int J Environ Res Public Health 2019; 16(19): 3630.
| Crossref | Google Scholar |
25 Dasgupta P, Whop LJ, Diaz A, et al. Spatial variation in cervical cancer screening participation and outcomes among Indigenous and non-Indigenous Australians in Queensland. Geogr Res 2019; 57(1): 111-22.
| Crossref | Google Scholar |
26 Anaman-Torgbor JA, King J, Correa-Velez I. Barriers and facilitators of cervical cancer screening practices among African immigrant women living in Brisbane, Australia. Eur J Oncol Nurs 2017; 31: 22-9.
| Crossref | Google Scholar |
27 Whop LJ, Garvey G, Baade P, et al. The first comprehensive report on Indigenous Australian women’s inequalities in cervical screening: a retrospective registry cohort study in Queensland, Australia (2000-2011). Cancer 2016; 122(10): 1560-9.
| Crossref | Google Scholar |
28 Cullerton K, Gallegos D, Ashley E, et al. Cancer screening education: can it change knowledge and attitudes among culturally and linguistically diverse communities in Queensland, Australia? Health Promot J Austr 2016; 27(2): 140-7.
| Crossref | Google Scholar |
29 Prior D. The meaning of cancer for Australian Aboriginal women; changing the focus of cancer nursing. Eur J Oncol Nurs 2009; 13(4): 280-6.
| Crossref | Google Scholar |
30 Byrnes P, McGoldrick C, Crawford M, et al. Cervical screening in general practice - strategies for improving participation. Aust Fam Physician 2007; 36(3): 183-4, 192.
| Google Scholar |
31 Manderson L, Hoban E. Cervical cancer services for Indigenous women: advocacy, community-based research and policy change in Australia. Women Health 2006; 43(4): 69-88.
| Crossref | Google Scholar |
32 Hughes K, Leggett B, Del Mar C, et al. Guaiac versus immunochemical tests: faecal occult blood test screening for colorectal cancer in a rural community. Aust N Z J Public Health 2005; 29(4): 358-64.
| Crossref | Google Scholar |
33 Viertel Centre for Research in Cancer Control. Queensland Cancer Risk Study Results. 2005. Available at https://cancerqld.blob.core.windows.net/site/content/uploads/2021/08/Queensland‐Cancer‐Risk‐Study‐2005.pdf
34 DiSipio T, Rogers C, Newman B, et al. The Queensland Cancer Risk Study: behavioural risk factor results. Aust N Z J Public Health 2006; 30(4): 375-82.
| Crossref | Google Scholar |
36 Knops-Dullens T, de Vries N, de Vries H. Reasons for non-attendance in cervical cancer screening programmes: an application of the Integrated Model for Behavioural Change. Eur J Cancer Prev 2007; 16(5): 436-45.
| Crossref | Google Scholar |
37 von Wagner C, Semmler C, Good A, et al. Health literacy and self-efficacy for participating in colorectal cancer screening: the role of information processing. Patient Educ Couns 2009; 75(3): 352-7.
| Crossref | Google Scholar |
38 Baccolini V, Isonne C, Salerno C, et al. The association between adherence to cancer screening programs and health literacy: a systematic review and meta-analysis. Prev Med 2022; 155: 106927.
| Crossref | Google Scholar |
39 O’Hara J, McPhee C, Dodson S, et al. Barriers to breast cancer screening among diverse cultural groups in Melbourne, Australia. Int J Environ Res Public Health 2018; 15(8): 1677.
| Crossref | Google Scholar |
40 Pariser A, Hirko KA, Muñoz GM, et al. Barriers to access for cervical and breast cancer screenings among female latinx migrant farmworkers in the US: a scoping literature review. J Prim Care Community Health 2022; 13: 21501319211073252.
| Crossref | Google Scholar |
41 Vallone F, Lemmo D, Martino ML, et al. Factors promoting breast, cervical and colorectal cancer screenings participation: a systematic review. Psychooncology 2022; 31(9): 1435-47.
| Crossref | Google Scholar |
43 Tricco AC, Lillie E, Zarin W, et al. PRISMA Extension for Scoping Reviews (PRISMA‐ScR): checklist and explanation. Ann Intern Med 2018; 169(7): 467-473.
| Crossref | Google Scholar |
