Cancer screening education: Can it change knowledge and attitudes among culturally and linguistically diverse communities in Queensland, Australia?

Cullerton, Katherine, Gallegos, Danielle, Ashley, Ella, Do, Hong, Voloschenko, Anna, Fleming, Mary-Lou, Ramsey, Rebecca, & Gould, Trish (2016) Cancer screening education: Can it change knowledge and attitudes among culturally and linguistically diverse communities in Queensland, Australia? Health Promotion Journal of Australia. (In Press)

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Issue addressed

  • Screening for cancer of the cervix, breast and bowel can reduce morbidity and mortality. Low participation rates in cancer screening have been identified among migrants internationally. Attempting to impact on low rates of cancer screening, the Ethnic Communities Council of Queensland developed a pilot Cancer Screening Education Program for breast, bowel and cervical cancer. This study determines the impact of education sessions on knowledge, attitudes and intentions to participate in screening for culturally and linguistically diverse (CALD) communities living in Brisbane, Queensland.


  • Seven CALD groups (Arabic-speaking, Bosnian, South Asian (including Indian and Bhutanese), Samoan and Pacific Island, Spanish-speaking, Sudanese and Vietnamese) participated in a culturally-tailored, cancer screening education pilot program that was developed utilising the Health Belief Model. A pre and post education session evaluation measured changes in knowledge, attitudes and intention related to breast, bowel and cervical cancer and screening. The evaluation focused on perceived susceptibility, perceived seriousness, and the target population’s beliefs about reducing risk by cancer screening.


  • There were 159 participants in the three cancer screening sessions. Overall participants’ knowledge increased; some attitudes toward participation in cancer screening became more positive; and intent to participate in future screening increased (n=146).


  • These results indicate the importance of developing screening approaches that address the barriers to participation among CALD communities and that a culturally tailored education program is effective in improving knowledge, attitudes about and intentions to participate in cancer screening.

So what

  • It’s important that culturally tailored programs are developed in conjunction with communities to improve health outcomes.

Impact and interest:

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ID Code: 96800
Item Type: Journal Article
Refereed: Yes
Keywords: breast cancer, cervical cancer, colorectal cancer, screening, ethnicity, lifestyle intervention
DOI: 10.1071/HE15116
ISSN: 1036-1073
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2016 Australian Health Promotion Association
Deposited On: 12 Jul 2016 23:25
Last Modified: 17 Jul 2016 04:37

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