Social determinants and participation in fecal occult blood test based colorectal cancer screening: A qualitative systematic review and meta-synthesis
Open access copy at publisher website
Description
Issue Addressed: Colorectal cancer (CRC) screening through fecal occult blood testing (FOBT) has saved thousands of lives globally with multiple countries adopting comprehensive population wide screening programs. Participation rates in FOBT based CRC screening for the socially and economically disadvantaged remains low. The aim of this systematic review is to explore empirical evidence that will guide targeted interventions to improve participation rates within priority populations. Methods: PubMed, Embase, Scopus, Cinahl and PsycInfo were systematically searched from inception to 22 June 2022. Eligible studies contained qualitative evidence identifying barriers to FOBT based CRC screening for populations impacted by the social determinants of health. An inductive thematic synthesis approach was applied using grounded theory methodology, to explore descriptive themes and interpret these into higher order analytical constructs and theories. Results: A total of 8,501 publications were identified and screened. A total of 48 studies from 10 countries were eligible for inclusion, representing 2,232 subjects. Coding within included studies resulted in 30 key descriptive themes with a thematic frequency greater than 10%. Coded themes applied to four overarching, interconnected barriers driving inequality for priority populations: social, behavioural, economic and technical/interfaces. So What?: This study has highlighted the need for stronger patient/provider relationships to mitigate barriers to FOBT screening participation for diverse groups. Findings can assist health professionals and policy makers address the systemic exclusion of priority populations in cancer screening by moving beyond the responsibility of the individual to a focus on addressing the information asymmetry driving low value perceptions.
Impact and interest:
Citation counts are sourced monthly from Scopus and Web of Science® citation databases.
These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.
Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.
ID Code: | 245938 | ||||||
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Item Type: | Contribution to Journal (Review article) | ||||||
Refereed: | Yes | ||||||
ORCID iD: |
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Additional Information: | Funding Information: This study was funded by the Department of Gastroenterology, Princess Alexandra Hospital. The authors would like to acknowledge the School of Medicine Librarian, Dr Marcos Riba who assisted with guiding the literature search. Further acknowledgement goes to Ms Emma Pearse for her assistance with screening articles against the criteria. Open access publishing facilitated by The University of Queensland, as part of the Wiley - The University of Queensland agreement via the Council of Australian University Librarians. | ||||||
Measurements or Duration: | 28 pages | ||||||
Keywords: | cancer screening, colorectal cancer screening, FOBT, health equity, preventative health, public health | ||||||
DOI: | 10.1002/hpja.732 | ||||||
ISSN: | 1036-1073 | ||||||
Pure ID: | 156592297 | ||||||
Divisions: | Current > Research Centres > Centre for Behavioural Economics, Society & Technology Current > QUT Faculties and Divisions > Faculty of Business & Law Current > Schools > School of Advertising, Marketing & Public Relations Current > Schools > School of Economics & Finance |
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Funding Information: | This study was funded by the Department of Gastroenterology, Princess Alexandra Hospital. The authors would like to acknowledge the School of Medicine Librarian, Dr Marcos Riba who assisted with guiding the literature search. Further acknowledgement goes to Ms Emma Pearse for her assistance with screening articles against the criteria. Open access publishing facilitated by The University of Queensland, as part of the Wiley - The University of Queensland agreement via the Council of Australian University Librarians. | ||||||
Copyright Owner: | 2023 The Authors | ||||||
Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||||
Deposited On: | 30 Jan 2024 04:56 | ||||||
Last Modified: | 29 Feb 2024 14:13 |
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