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Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia

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  • Jonathan O’Hara

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Crystal McPhee

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Sarity Dodson

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia
    The Fred Hollows Foundation, Melbourne 3053, Australia)

  • Annie Cooper

    (BreastScreen Victoria, Melbourne 3053, Australia)

  • Carol Wildey

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Melanie Hawkins

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Alexandra Fulton

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Vicki Pridmore

    (BreastScreen Victoria, Melbourne 3053, Australia)

  • Victoria Cuevas

    (BreastScreen Victoria, Melbourne 3053, Australia)

  • Mathew Scanlon

    (BreastScreen Victoria, Melbourne 3053, Australia)

  • Patricia M. Livingston

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Richard H. Osborne

    (Health Systems Improvement Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong 3220, Australia)

  • Alison Beauchamp

    (Department of Rural Health, Monash University, Moe 3825, Australia
    Department of Medicine-Western Health, The University of Melbourne, St Albans 3021, Australia
    Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St Albans 3021, Victoria, Australia)

Abstract

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.

Suggested Citation

  • Jonathan O’Hara & Crystal McPhee & Sarity Dodson & Annie Cooper & Carol Wildey & Melanie Hawkins & Alexandra Fulton & Vicki Pridmore & Victoria Cuevas & Mathew Scanlon & Patricia M. Livingston & Richa, 2018. "Barriers to Breast Cancer Screening among Diverse Cultural Groups in Melbourne, Australia," IJERPH, MDPI, vol. 15(8), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1677-:d:162353
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    References listed on IDEAS

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    1. Brown, Roger L. & Baumann, Linda J. & Helberg, Clay P. & Han, Youngshook & Fontana, Susan A. & Love, Richard R., 1996. "The simultaneous analysis of patient, physician and group practice influences on annual mammography performance," Social Science & Medicine, Elsevier, vol. 43(3), pages 315-324, August.
    2. Peter Kolarcik & Eva Cepova & Andrea Madarasova Geckova & Gerald R. Elsworth & Roy W. Batterham & Richard H. Osborne, 2017. "Structural properties and psychometric improvements of the Health Literacy Questionnaire in a Slovak population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(5), pages 591-604, June.
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    Cited by:

    1. Don Nutbeam & Diane Levin-Zamir & Gill Rowlands, 2018. "Health Literacy in Context," IJERPH, MDPI, vol. 15(12), pages 1-3, November.
    2. Thi Thu Le Pham & Janneke Berecki-Gisolf & Angela Clapperton & Kerry S. O’Brien & Sara Liu & Katharine Gibson, 2021. "Definitions of Culturally and Linguistically Diverse (CALD) : A Literature Review of Epidemiological Research in Australia," IJERPH, MDPI, vol. 18(2), pages 1-23, January.
    3. Karina Friis & Anna Aaby & Mathias Lasgaard & Marie Hauge Pedersen & Richard H. Osborne & Helle Terkildsen Maindal, 2020. "Low Health Literacy and Mortality in Individuals with Cardiovascular Disease, Chronic Obstructive Pulmonary Disease, Diabetes, and Mental Illness: A 6-Year Population-Based Follow-Up Study," IJERPH, MDPI, vol. 17(24), pages 1-10, December.
    4. Daniela Lemmo & Maria Luisa Martino & Anna Rosa Donizzetti & Maria Francesca Freda & Daniela Caso, 2022. "The Relationship between Healthcare Providers and Preventive Practices: Narratives on Access to Cancer Screening," IJERPH, MDPI, vol. 19(17), pages 1-18, September.

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