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IJERPH, Vol. 15, Pages 1677: Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

07 Aug 2018

IJERPH, Vol. 15, Pages 1677: Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15081677

Authors:
Jonathan O’Hara
Crystal McPhee
Sarity Dodson
Annie Cooper
Carol Wildey
Melanie Hawkins
Alexandra Fulton
Vicki Pridmore
Victoria Cuevas
Mathew Scanlon
Patricia M. Livingston
Richard H. Osborne
Alison Beauchamp

This study explored the association between health literacy, barriers to breast cancer screening, and breast screening participation for women from culturally and linguistically diverse (CALD) backgrounds. English-, Arabic- and Italian-speaking women (n = 317) between the ages of 50 to 74 in North West Melbourne, Australia were recruited to complete a survey exploring health literacy, barriers to breast cancer screening, and self-reported screening participation. A total of 219 women (69%) reported having a breast screen within the past two years. Results revealed that health literacy was not associated with screening participation. Instead, emotional barriers were a significant factor in the self-reported uptake of screening. Three health literacy domains were related to lower emotional breast screening barriers, feeling understood and supported by healthcare providers, social support for health and understanding health information well enough to know what to do. Compared with English- and Italian-speaking women, Arabic-speaking women reported more emotional barriers to screening and greater challenges in understanding health information well enough to know what to do. Interventions that can improve breast screening participation rates should aim to reduce emotional barriers to breast screening, particularly for Arabic-speaking women.

Click here to view the full article which appeared in International Journal of Environmental Research and Public Health