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Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening

Aboriginal and Torres Strait Islander women have lower participation in Australia’s National Cervical Screening Program than other Australian women. Under-screened (including never screened) women’s voices are rarely heard in research evidence, despite being a priority group for interventions to inc...

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Autores principales: Butler, Tamara L., Lee, Natasha, Anderson, Kate, Brotherton, Julia M. L., Cunningham, Joan, Condon, John R., Garvey, Gail, Tong, Allison, Moore, Suzanne P., Maher, Clare M., Mein, Jacqueline K., Warren, Eloise F., Whop, Lisa J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432770/
https://www.ncbi.nlm.nih.gov/pubmed/36044466
http://dx.doi.org/10.1371/journal.pone.0271658
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author Butler, Tamara L.
Lee, Natasha
Anderson, Kate
Brotherton, Julia M. L.
Cunningham, Joan
Condon, John R.
Garvey, Gail
Tong, Allison
Moore, Suzanne P.
Maher, Clare M.
Mein, Jacqueline K.
Warren, Eloise F.
Whop, Lisa J.
author_facet Butler, Tamara L.
Lee, Natasha
Anderson, Kate
Brotherton, Julia M. L.
Cunningham, Joan
Condon, John R.
Garvey, Gail
Tong, Allison
Moore, Suzanne P.
Maher, Clare M.
Mein, Jacqueline K.
Warren, Eloise F.
Whop, Lisa J.
author_sort Butler, Tamara L.
collection PubMed
description Aboriginal and Torres Strait Islander women have lower participation in Australia’s National Cervical Screening Program than other Australian women. Under-screened (including never screened) women’s voices are rarely heard in research evidence, despite being a priority group for interventions to increase cervical screening participation. This study aimed to describe under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening. Participants were 29 under-screened (women who had either never screened, had not screened in the previous five years or had recently screened in the past three months after more than five years) Aboriginal and Torres Strait Islander women from five communities across three states/territories. Female Aboriginal and Torres Strait Islander researchers Yarned with women about why they did not participate in screening and how to improve screening. Yarning is an Indigenous qualitative research method in which relationships and trust facilitate culturally safe conversation. Transcripts were analysed thematically. The proportion of eligible women who screened within 30 days after the Yarn was calculated. We identified four themes describing how the harms outweighed the benefits of cervical screening for under-screened women. These were: 1) distress, discomfort, and trauma; 2) lack of privacy and control; 3) complicated relationships with health care providers (HCPs); and 4) pressured, insensitive, and/or culturally unsafe communication from HCPs. Under-screened women who had recently screened had maintained privacy and control through self-collection and had experienced trauma-informed and empathetic care from their HCPs. While we cannot unequivocally attribute women’s subsequent participation in screening to their involvement in this study, it is notable that one third of eligible under-screened women were screened within 30 days after the Yarn. Enhancing privacy, implementing trauma-informed approaches to care and sensitivity to the clinician-client relationship dynamics could enhance women’s sense of comfort in, and control over, the screening procedure. The opportunity to Yarn about cervical screening and self-collection may address these issues and support progress toward cervical cancer elimination in Australia.
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spelling pubmed-94327702022-09-01 Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening Butler, Tamara L. Lee, Natasha Anderson, Kate Brotherton, Julia M. L. Cunningham, Joan Condon, John R. Garvey, Gail Tong, Allison Moore, Suzanne P. Maher, Clare M. Mein, Jacqueline K. Warren, Eloise F. Whop, Lisa J. PLoS One Research Article Aboriginal and Torres Strait Islander women have lower participation in Australia’s National Cervical Screening Program than other Australian women. Under-screened (including never screened) women’s voices are rarely heard in research evidence, despite being a priority group for interventions to increase cervical screening participation. This study aimed to describe under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening. Participants were 29 under-screened (women who had either never screened, had not screened in the previous five years or had recently screened in the past three months after more than five years) Aboriginal and Torres Strait Islander women from five communities across three states/territories. Female Aboriginal and Torres Strait Islander researchers Yarned with women about why they did not participate in screening and how to improve screening. Yarning is an Indigenous qualitative research method in which relationships and trust facilitate culturally safe conversation. Transcripts were analysed thematically. The proportion of eligible women who screened within 30 days after the Yarn was calculated. We identified four themes describing how the harms outweighed the benefits of cervical screening for under-screened women. These were: 1) distress, discomfort, and trauma; 2) lack of privacy and control; 3) complicated relationships with health care providers (HCPs); and 4) pressured, insensitive, and/or culturally unsafe communication from HCPs. Under-screened women who had recently screened had maintained privacy and control through self-collection and had experienced trauma-informed and empathetic care from their HCPs. While we cannot unequivocally attribute women’s subsequent participation in screening to their involvement in this study, it is notable that one third of eligible under-screened women were screened within 30 days after the Yarn. Enhancing privacy, implementing trauma-informed approaches to care and sensitivity to the clinician-client relationship dynamics could enhance women’s sense of comfort in, and control over, the screening procedure. The opportunity to Yarn about cervical screening and self-collection may address these issues and support progress toward cervical cancer elimination in Australia. Public Library of Science 2022-08-31 /pmc/articles/PMC9432770/ /pubmed/36044466 http://dx.doi.org/10.1371/journal.pone.0271658 Text en © 2022 Butler et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Butler, Tamara L.
Lee, Natasha
Anderson, Kate
Brotherton, Julia M. L.
Cunningham, Joan
Condon, John R.
Garvey, Gail
Tong, Allison
Moore, Suzanne P.
Maher, Clare M.
Mein, Jacqueline K.
Warren, Eloise F.
Whop, Lisa J.
Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening
title Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening
title_full Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening
title_fullStr Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening
title_full_unstemmed Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening
title_short Under-screened Aboriginal and Torres Strait Islander women’s perspectives on cervical screening
title_sort under-screened aboriginal and torres strait islander women’s perspectives on cervical screening
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432770/
https://www.ncbi.nlm.nih.gov/pubmed/36044466
http://dx.doi.org/10.1371/journal.pone.0271658
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