Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review
PURPOSEThe persistent high morbidity and mortality from breast and cervical cancer in low- and middle-income countries (LMICs) may be influenced by global disparities in the uptake of screening services. This review sought to synthesize existing evidence to determine factors that influence the exper...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
American Society of Clinical Oncology
2023-05-01
|
| Series: | JCO Global Oncology |
| Online Access: | https://ascopubs.org/doi/10.1200/GO.22.00359 |
| _version_ | 1797833315637526528 |
|---|---|
| author | Edem J. Akoto Matthew J. Allsop |
| author_facet | Edem J. Akoto Matthew J. Allsop |
| author_sort | Edem J. Akoto |
| collection | DOAJ |
| description | PURPOSEThe persistent high morbidity and mortality from breast and cervical cancer in low- and middle-income countries (LMICs) may be influenced by global disparities in the uptake of screening services. This review sought to synthesize existing evidence to determine factors that influence the experience of women relating to breast and cervical screening in LMICs.METHODSA qualitative systematic review of the literature identified through Global Health, Embase, PsycInfo, and MEDLINE. Eligible studies included those outlining primary qualitative research or mixed-method studies with reporting of qualitative findings, detailing women's experiences of involvement with programs for breast or cervical cancer screening. Framework synthesis was used to explore and organize findings from primary qualitative studies and the Critical Appraisal Skills Programme checklist used for quality assessment.RESULTSDatabase searches yielded 7,264 studies for title and abstract screening and 90 full-text articles for screening, with qualitative data from 17 studies and a total of 722 participants included in this review. Four stages influencing experiences of women were generated across both breast and cervical cancer screening approaches, with individual (eg, knowledge of cancer), social (eg, religion, cultural beliefs), and health system (eg, accessibility) factors identified that influence women's initial and subsequent engagement.CONCLUSIONThis study synthesizes existing evidence of factors that influence engagement with breast and cervical cancer screening in LMICs. Evidence-informed recommendations are proposed that may improve the experience of cancer screening in LMICs, with further research necessary to explore their operationalization and impact on cancer care delivery. |
| first_indexed | 2024-04-09T14:21:15Z |
| format | Article |
| id | doaj.art-f76204db6d784d9b9a09ff7170d338cd |
| institution | Directory Open Access Journal |
| issn | 2687-8941 |
| language | English |
| last_indexed | 2024-04-09T14:21:15Z |
| publishDate | 2023-05-01 |
| publisher | American Society of Clinical Oncology |
| record_format | Article |
| series | JCO Global Oncology |
| spelling | doaj.art-f76204db6d784d9b9a09ff7170d338cd2023-05-04T19:58:43ZengAmerican Society of Clinical OncologyJCO Global Oncology2687-89412023-05-01910.1200/GO.22.00359Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic ReviewEdem J. Akoto0Matthew J. Allsop1Lekma Hospital, Accra, GhanaAcademic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, United KingdomPURPOSEThe persistent high morbidity and mortality from breast and cervical cancer in low- and middle-income countries (LMICs) may be influenced by global disparities in the uptake of screening services. This review sought to synthesize existing evidence to determine factors that influence the experience of women relating to breast and cervical screening in LMICs.METHODSA qualitative systematic review of the literature identified through Global Health, Embase, PsycInfo, and MEDLINE. Eligible studies included those outlining primary qualitative research or mixed-method studies with reporting of qualitative findings, detailing women's experiences of involvement with programs for breast or cervical cancer screening. Framework synthesis was used to explore and organize findings from primary qualitative studies and the Critical Appraisal Skills Programme checklist used for quality assessment.RESULTSDatabase searches yielded 7,264 studies for title and abstract screening and 90 full-text articles for screening, with qualitative data from 17 studies and a total of 722 participants included in this review. Four stages influencing experiences of women were generated across both breast and cervical cancer screening approaches, with individual (eg, knowledge of cancer), social (eg, religion, cultural beliefs), and health system (eg, accessibility) factors identified that influence women's initial and subsequent engagement.CONCLUSIONThis study synthesizes existing evidence of factors that influence engagement with breast and cervical cancer screening in LMICs. Evidence-informed recommendations are proposed that may improve the experience of cancer screening in LMICs, with further research necessary to explore their operationalization and impact on cancer care delivery.https://ascopubs.org/doi/10.1200/GO.22.00359 |
| spellingShingle | Edem J. Akoto Matthew J. Allsop Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review JCO Global Oncology |
| title | Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review |
| title_full | Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review |
| title_fullStr | Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review |
| title_full_unstemmed | Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review |
| title_short | Factors Influencing the Experience of Breast and Cervical Cancer Screening Among Women in Low- and Middle-Income Countries: A Systematic Review |
| title_sort | factors influencing the experience of breast and cervical cancer screening among women in low and middle income countries a systematic review |
| url | https://ascopubs.org/doi/10.1200/GO.22.00359 |
| work_keys_str_mv | AT edemjakoto factorsinfluencingtheexperienceofbreastandcervicalcancerscreeningamongwomeninlowandmiddleincomecountriesasystematicreview AT matthewjallsop factorsinfluencingtheexperienceofbreastandcervicalcancerscreeningamongwomeninlowandmiddleincomecountriesasystematicreview |