Identifying barriers and facilitators to participation in cancer screening among Irish travellers, a minority ethnic group in Ireland, using a codesigned approach
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View abstract on PubMed
Summary
This summary is machine-generated.Irish Travellers show high breast and cervical cancer screening participation but low bowel screening uptake. Embarrassment and fear are key barriers, while Traveller Community Health Workers are crucial facilitators for cancer screening access.
Area Of Science
- Public Health
- Health Disparities
- Cancer Screening
Background
- Irish Travellers, a minority ethnic group, face unique challenges in accessing healthcare.
- Cancer screening programmes aim to reduce cancer mortality through early detection.
Purpose Of The Study
- To assess participation rates of eligible Irish Travellers in national bowel, breast, and cervical cancer screening programmes.
- To identify barriers and facilitators influencing Traveller participation in these screening initiatives.
Main Methods
- A co-designed survey questionnaire was distributed to Irish Travellers via Traveller Community Health Workers (TCHWs).
- The survey adapted questions from the National Cancer Control Programme's 2022 National Survey on Cancer Awareness.
- Data were collected from 483 completed questionnaires across 12 Primary Health Care Traveller Projects.
Main Results
- High participation was observed for breast (72.6%) and cervical (65.4%) screening.
- Bowel screening uptake was low (12.5% men, 19.2% women).
- Embarrassment regarding the faecal immunochemical test and fear were significant barriers, particularly for men in bowel screening. TCHWs and invitations were key facilitators.
Conclusions
- Irish Travellers encounter barriers to mainstream healthcare, necessitating improved access to cancer screening.
- Traveller Community Health Workers play a vital role in facilitating screening attendance.
- Universal ethnic identifiers are needed for monitoring Traveller participation and outcomes in screening programmes.
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