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dc.contributor.authorIqbal, Nadia
dc.contributor.authorBerstad, Paula Marianna
dc.contributor.authorSolbjør, Marit
dc.contributor.authorDiaz Perez, Esperanza
dc.contributor.authorCzapka, Elzbieta
dc.contributor.authorHofvind, Solveig Sand-Hanssen
dc.contributor.authorBhargava, Sameer
dc.date.accessioned2024-10-07T09:24:18Z
dc.date.available2024-10-07T09:24:18Z
dc.date.issued2024-07-11
dc.description.abstractBackground The Norwegian colorectal cancer (CRC) screening program started in May 2022. Inequalities in CRC screening participation are a challenge, and we expect that certain groups, such as immigrants, are at risk of nonparticipation. Prior to the start of the national screening program, a pilot study showed lower participation rates in CRC screening among immigrants from Pakistan. These immigrants are a populous group with a long history in Norway and yet have a relatively low participation rate also in other cancer screening programs. The purpose of this study was to identify and explore perspectives and factors influencing CRC screening participation among immigrants from Pakistan in Norway.<p> <p>Materials and methods In this study we used a qualitative study design and conducted 12 individual interviews with Pakistani immigrants aged between 50 and 65 years. The participants varied in terms of gender, age, education, work, residence time in Norway and familiarity with the Norwegian language and culture. We performed thematic analysis with health literacy as a theoretical framework to understand Pakistani immigrants’ perspectives on CRC screening. <p>Results We identified four main themes: Health-related knowledge, the health care system, screening, and social factors. Within these themes we identified several factors that affect Pakistani immigrants’ accessibility to CRC screening. These factors included knowledge of the causes and development of cancer, sources of health-related information, the general practitioner’s role, understanding of screening and the intention behind it, language skills and religious beliefs. <p>Conclusion There are many factors influencing Pakistani immigrants’ decision of participation in CRC screening. The roles of the general practitioner and adult children are particularly important. Key elements to improve accessibility to CRC screening and enable informed participation for Pakistani immigrants are measures that improve personal and organizational health literacy.en_US
dc.identifier.citationIqbal, Berstad, Solbjør, Diaz Perez, Czapka, Hofvind, Bhargava. Access to colorectal cancer screening for Pakistani immigrants in Norway – a qualitative study. BMC Health Services Research. 2024;24(1)en_US
dc.identifier.cristinIDFRIDAID 2288564
dc.identifier.doi10.1186/s12913-024-11275-7
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/35079
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Health Services Research
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleAccess to colorectal cancer screening for Pakistani immigrants in Norway – a qualitative studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)