Dataset Information

Barriers to and discourses about breast cancer prevention among immigrant women in Spain: a qualitative study.

ABSTRACT:

Objectives

To identify knowledge, barriers and discourses about breast cancer screening in Spain among female immigrants from low-income countries and native Spanish women from a low socioeconomic class.

Design

Qualitative interview study with thematic analysis interpreted using cultural mediators.

Setting

Mallorca, Spain.

Participants

Thirty-six in-depth interviews, using cultural mediators, of immigrant women living in Mallorca who were 50-69?years old and were from Maghreb, Sub-Saharan Africa, Eastern Europe, Latin America, China or were native to Spain and from a low socioeconomic class.

Results

We analysed the interviews to assess breast cancer perceptions and beliefs, discourses about breast cancer prevention and barriers to accessing breast cancer prevention programmes. Although the women reported an association of breast cancer with death, they acknowledged the effectiveness of early detection. They also exhibited reluctance to talk about cancer. Discourses about cancer prevention tended to be proactive or fatalistic, depending on the woman's country of origin. For all women, fear of results and lack of time were barriers that limited participation in breast cancer prevention programmes. Language barriers, frequent changes of residence and fear due to status as an irregular (undocumented) immigrant were barriers specific to immigrant women.

Conclusions

The culture of origin affects whether an immigrant has a fatalistic or proactive approach toward breast cancer screening. Immigrants from low-income countries and Spanish natives from a low socioeconomic class experience barriers in access to breast cancer screening. Frequently changing homes is also a barrier for immigrant women.

SUBMITTER: March S

PROVIDER: S-EPMC6252688 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Barriers to and discourses about breast cancer prevention among immigrant women in Spain: a qualitative study.

March Sebastià S Villalonga Barbara B Sanchez-Contador Carmen C Vidal Clara C Mascaro Aina A Bennasar Maria de Lluc ML Esteva Magdalena M

BMJ open 20181118 11

<h4>Objectives</h4>To identify knowledge, barriers and discourses about breast cancer screening in Spain among female immigrants from low-income countries and native Spanish women from a low socioeconomic class.<h4>Design</h4>Qualitative interview study with thematic analysis interpreted using cultural mediators.<h4>Setting</h4>Mallorca, Spain.<h4>Participants</h4>Thirty-six in-depth interviews, using cultural mediators, of immigrant women living in Mallorca who were 50-69 years old and were fro ...[more]

PMID: 30455384

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Project description:Over half of malaria cases reported in the USA occur among people travelling to visit friends and relatives (VFRs), predominantly to West Africa. Few studies have queried VFR travellers directly on barriers to seeking pre-travel care. We aim to describe the knowledge, attitudes and practices of VFRs travelling to malaria-endemic countries from the USA. With these findings, we aim to design interventions to encourage preventive behaviours before and during travel. Sixteen focus groups were held in two US metropolitan areas with West African immigrant populations: Minneapolis-St. Paul, MN, and New York City, NY. A total of 172 people from 13 African countries participated. Focus group discussions were audio-recorded and transcribed, and modified grounded theory analysis was performed. Participants reviewed themes to verify intent of statements. Participants described the high cost of provider visits and chemoprophylaxis, challenges in advocating for themselves in healthcare settings and concerns about offending or inconveniencing hosts as barriers to malaria prevention. Cultural barriers to accessing pre-travel care included competing priorities when trip planning, such as purchasing gifts for family, travel logistics and safety concerns. When participants sought pre-travel care, most consulted their primary care provider. Participants expressed low confidence in US providers' knowledge and training about malaria and other tropical diseases. Barriers to pre-travel care for VFR travellers are multifaceted and extend beyond their perception of disease risk. Only some barriers previously reported in anecdotal and qualitative literature were supported in our findings. Future interventions should be aimed at barriers identified by individual communities and involve primary and travel specialist healthcare providers. Additional work is needed to address systems-level barriers to accessing care and establishing community-based programs to support West African VFR traveller health.

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Dataset Information

Barriers to and discourses about breast cancer prevention among immigrant women in Spain: a qualitative study.

Objectives

Design

Setting

Participants

Results

Conclusions

Publications

Barriers to and discourses about breast cancer prevention among immigrant women in Spain: a qualitative study.

Similar Datasets

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