Knowledge, beliefs and attitudes of the Roma population regarding colorectal cancer screening
Por:
Santiago-Portero MC, Gómez-García JM, Reig-Gómez H, Oltra-Durá T and Gascón-Cánovas JJ
Publicada:
1 ene 2018
Ahead of Print:
20 nov 2017
Categoría:
Public health, environmental and occupational health
Resumen:
Objective: To identify predisposing, inhibitory and facilitating factors that may affect participation in colorectal cancer screening programs in the Roma population.
Method: Qualitative and exploratory study by focus group technique. Three focus groups of men and three groups of women were carried out, with a total of 16 men and 18 women from the Roma population, aged 50-69 years, from the province of Alicante. A discourse analysis was performed with the PRECEDE model as an analysis framework.
Results: Several barriers to participation were identified, such as the aversion of the Roma population to talk about cancer, refusal to anticipate a diagnosis that can cause suffering to the person and their family, poor knowledge of the disease and the preventive programmes, refusal to collect and handle samples, fear and shame about the colonoscopy, acceptance of divine will, difficulties in understanding and reading, and the perception of being discriminated by their ethnicity in the health sector. However, predisposing factors to participate in the screening programme also were identified, for example willingness to receive relevant information through more appropriate pathways, as well as their confidence in professional counselling.
Conclusion: A willingness to receive the recommendation to participate and understanding information from health professionals have been identified. This will enable us to envisage potential strategies for approaching this population group. This could contribute to improved participation of the Roma population in colorectal cancer screening programmes and to open up new ways to promote preventive behaviours. (C) 2017 SESPAS. Published by Elsevier Espatia, S.L.U.
Filiaciones:
:
Ctr Salud Publ Elche, Elche, Alicante, Spain
Centro de Salud Pública de Elche, Elche (Alicante), España
:
Hosp Gen Univ Elche, Serv Med Prevent, Elche, Alicante, Spain
Servicio de Medicina Preventiva, Hospital General Universitario de Elche, Elche (Alicante), España
Reig-Gómez H:
CEU Univ, Univ Cardenal Herrera CEU, Dept Enfermeria, Fac Ciencias Salud, Elche, Alicante, Spain
Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, Elche (Alicante), España
:
Hosp Marina Baixa, Unidad Psiquiatria, La Vila Joiosa, Alicante, Spain
Unidad de Psiquiatría, Hospital Marina Baixa, La Vila Joiosa (Alicante), España
Gascón-Cánovas JJ:
Univ Murcia, Dept Ciencias Sociosanitarias, Fac Med, Murcia, Spain
IMIB Arrixaca, Murcia, Spain
Departamento de Ciencias Sociosanitarias, Facultad de Medicina, Universidad de Murcia
IMIB-Arrixaca, Murcia, España
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