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The effectiveness of Incentives on Cancer Screening Among Indigenous Populations: Systematic Review
Nafiseh Khalaj1, Idin Panahi2, Ella J McLaren2
1The University of Queensland Brisbane Australia.
Summary
Incentives like education and outreach improve cancer screening participation for Indigenous Peoples. Co-designed, culturally tailored approaches are most effective for increasing screening rates and knowledge.
Area of Science:
- Public Health
- Health Disparities
- Cancer Prevention
Background:
- Indigenous Peoples face significant inequities in accessing cancer screening.
- The effectiveness of various incentives in improving screening participation among Indigenous populations is not well understood.
Purpose of the Study:
- To systematically review the effectiveness of incentives on cancer screening participation among Indigenous populations.
Main Methods:
- Systematic review following PRISMA guidelines, searching major databases.
- Inclusion of 35 articles appraised using the Mixed-Methods Appraisal Tool.
- Analysis of education, outreach, and combined intervention strategies.
Main Results:
- Education programs improved screening rates (11.7%–370%) and knowledge.
- Outreach programs, especially with personalized follow-ups, increased participation by over 31%.
- Co-designed, culturally tailored interventions demonstrated superior effectiveness.
Conclusions:
- Culturally tailored incentives and community co-design are crucial for improving Indigenous cancer screening.
- Future research, policy, and practice should prioritize these effective, equitable approaches.
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