Exploring ways to overcome barriers to mammography uptake and retention among South Asian immigrant women

dc.contributor.authorAhmad, F
dc.contributor.authorJandu, B
dc.contributor.authorAlbagli, A
dc.contributor.authorAngus, JE
dc.contributor.authorGinsburg, O
dc.date.accessioned2016-06-22T16:25:07Z
dc.date.available2016-06-22T16:25:07Z
dc.date.issued2013-01
dc.description.abstractSouth Asians comprise one of the fastest growing immigrant groups in North America. Evidence indicates that South Asian (SA) immigrant women are vulnerable to low rates of breast cancer screening. Yet, there is a dearth of knowledge pertaining to socio-culturally tailored strategies to guide the uptake of screening mammography in the SA community. In 2010, the authors conducted semi-structured focus groups to elicit perspectives of health and social service professionals on possible solutions to barriers identified by SA immigrant women in a recent study conducted in the Greater Toronto Area. Thirty-five health and social services staff members participated in five focus groups. The discussions were audio taped and detailed field notes were taken. All collected data was transcribed verbatim and thematic analysis was conducted using techniques of constant comparison within and across the group discussions. Three dominant themes were identified: 1) “Target and Tailor” focused on awareness-raising through multiple direct and indirect modes or approaches with underlying shared processes of involving men and the whole family, use of first language, and learning from peers; 2) “Enhancing Access to Services” included a focus on ‘adding ancillary services’ and ‘reinforcement of existing services’ including expansion to a one-stop model; and 3) “Meta-Characteristics” centred on providing ‘multi-pronged’ approaches to reach the community, and ‘sustainability’ of initiatives by addressing structural barriers of adequate funding, healthcare provider mix, inter-sectoral collaboration, and community voice. The findings simultaneously shed light on the grass-roots practical strategies and the system level changes in order to develop efficient programmes for the uptake of mammography among SA immigrant women. The parallel focus on the “Target and Tailor” and “Enhancing Access to Services” calls for coordination at the policy level so that multiple sectors work jointly to streamline resources, or meta-characteristics.en_US
dc.description.sponsorshipThe project funds were provided by the Canadian Cancer Society, Ontario Division.en_US
dc.identifier.citationAhmad F, Jandu B, Albagli A, Angus JE & Ginsburg O. Exploring ways to overcome barriers to mammography uptake and retention among South Asian immigrant women. Health & Social Care in Community 2013 January; 21(1); 88–97 (DOI: 10.1111/j.1365-2524.2012.01090.x).en_US
dc.identifier.urihttp://hdl.handle.net/10315/31401
dc.language.isoenen_US
dc.publisherWileyen_US
dc.rights"This is the peer reviewed version of the following article: Ahmad F, Jandu B, Albagli A, Angus JE & Ginsburg O. Exploring ways to overcome barriers to mammography uptake and retention among South Asian immigrant women. Health & Social Care in Community 2013 January; 21(1); 88–97. has been published in final form at: DOI: 10.1111/j.1365-2524.2012.01090.x This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."en_US
dc.rights.articlehttps://doi.org/10.1111/j.1365-2524.2012.01090.xen_US
dc.subjectBarriersen_US
dc.subjectCanadaen_US
dc.subjectFocus groupsen_US
dc.subjectImmigranten_US
dc.subjectMammographyen_US
dc.subjectWomenen_US
dc.titleExploring ways to overcome barriers to mammography uptake and retention among South Asian immigrant womenen_US
dc.typeArticleen_US

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