Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study
Abstract Background Regular cervical screening can significantly reduce the onset and prevalence of cervical cancer. In Ontario, Canada, South Asian women have the lowest rates of cervical cancer screening among major ethnic groups in the province. Methods Using an innovative and participant-driven...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12889-025-21448-6 |
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| author | Kimberly Devotta Aisha Lofters Jacqueline Bender Patricia O’Campo |
| author_facet | Kimberly Devotta Aisha Lofters Jacqueline Bender Patricia O’Campo |
| author_sort | Kimberly Devotta |
| collection | DOAJ |
| description | Abstract Background Regular cervical screening can significantly reduce the onset and prevalence of cervical cancer. In Ontario, Canada, South Asian women have the lowest rates of cervical cancer screening among major ethnic groups in the province. Methods Using an innovative and participant-driven method called Concept Mapping (CM), we set out to understand how the lives and experiences of South Asian women living in Ontario shape their decisions around getting screened for cervical cancer. We engaged over 70 South Asian women and people who serve them in healthcare and community, to drive the CM process. Results Participants brainstormed 45 unique and distinct statements. Through sorting and map interpretation, participants identified and interpreted 6 clusters amongst the statements: (1) Personal beliefs and misconceptions around cervical cancer; (2) Education and knowledge issues around cervical cancer; (3) Cultural beliefs and influences specific to sexual health; (4) Barriers to prioritizing uptake of cervical screening; (5) System/ infrastructure gaps or inadequacies; and (6) Lack of comfort and supportive relationships in healthcare. Additional analysis shows us the interrelationships between the ideas. Statements within the clusters about education and knowledge issues around cervical cancer, personal beliefs and misconceptions, as well as cultural beliefs and influences specific to sexual health are viewed as distinct beliefs with clear effects on the uptake of cervical screening. More complex interrelationships are seen with the cluster of statements about barriers to prioritizing uptake of cervical screening. Conclusions As Ontario and many other jurisdictions around the world seek to strengthen cervical screening efforts in line with national and international goals to eliminate cervical cancer by 2040, it is critical to address underscreening. This CM study recognizes the value of engaging those most impacted by an issue, to identify and prioritize how and where to intervene to address low rates of cervical screening. To address underscreening we need to design multi-level interventions that address the identified ideas and the interrelationships among them. |
| format | Article |
| id | doaj-art-945eb798914646bfb1cf106a2f4c9c1d |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj-art-945eb798914646bfb1cf106a2f4c9c1d2025-01-26T12:56:16ZengBMCBMC Public Health1471-24582025-01-0125111510.1186/s12889-025-21448-6Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping studyKimberly Devotta0Aisha Lofters1Jacqueline Bender2Patricia O’Campo3University of TorontoUniversity of TorontoUniversity of TorontoUniversity of TorontoAbstract Background Regular cervical screening can significantly reduce the onset and prevalence of cervical cancer. In Ontario, Canada, South Asian women have the lowest rates of cervical cancer screening among major ethnic groups in the province. Methods Using an innovative and participant-driven method called Concept Mapping (CM), we set out to understand how the lives and experiences of South Asian women living in Ontario shape their decisions around getting screened for cervical cancer. We engaged over 70 South Asian women and people who serve them in healthcare and community, to drive the CM process. Results Participants brainstormed 45 unique and distinct statements. Through sorting and map interpretation, participants identified and interpreted 6 clusters amongst the statements: (1) Personal beliefs and misconceptions around cervical cancer; (2) Education and knowledge issues around cervical cancer; (3) Cultural beliefs and influences specific to sexual health; (4) Barriers to prioritizing uptake of cervical screening; (5) System/ infrastructure gaps or inadequacies; and (6) Lack of comfort and supportive relationships in healthcare. Additional analysis shows us the interrelationships between the ideas. Statements within the clusters about education and knowledge issues around cervical cancer, personal beliefs and misconceptions, as well as cultural beliefs and influences specific to sexual health are viewed as distinct beliefs with clear effects on the uptake of cervical screening. More complex interrelationships are seen with the cluster of statements about barriers to prioritizing uptake of cervical screening. Conclusions As Ontario and many other jurisdictions around the world seek to strengthen cervical screening efforts in line with national and international goals to eliminate cervical cancer by 2040, it is critical to address underscreening. This CM study recognizes the value of engaging those most impacted by an issue, to identify and prioritize how and where to intervene to address low rates of cervical screening. To address underscreening we need to design multi-level interventions that address the identified ideas and the interrelationships among them.https://doi.org/10.1186/s12889-025-21448-6Concept mappingCervical screeningHealth equityWomen’s healthCommunity engagementSouth Asian women |
| spellingShingle | Kimberly Devotta Aisha Lofters Jacqueline Bender Patricia O’Campo Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study BMC Public Health Concept mapping Cervical screening Health equity Women’s health Community engagement South Asian women |
| title | Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study |
| title_full | Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study |
| title_fullStr | Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study |
| title_full_unstemmed | Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study |
| title_short | Perceptions of cervical screening uptake amongst South Asian women in Ontario, Canada: a concept mapping study |
| title_sort | perceptions of cervical screening uptake amongst south asian women in ontario canada a concept mapping study |
| topic | Concept mapping Cervical screening Health equity Women’s health Community engagement South Asian women |
| url | https://doi.org/10.1186/s12889-025-21448-6 |
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