Evidence map›Paper›PMID 36929590›Full record

ArticlePsycho-oncology2023

Barriers to colonoscopy in UK colorectal cancer screening programmes: Qualitative interviews with ethnic minority groups.

Robert S Kerrison, Natalie Gil, Elizabeth Travis, Robyn Jones, Katriina L Whitaker, Colin Rees, Stephen Duffy, Christian von Wagner

Open access · hybridAbstract read
In one paragraph

Article in Psycho-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Sociodemographic variation in symptomatic faecal immunochemical testing return: a population-based analysis of 125 659 patients.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  6. Article
  7. Article
  8. Language as a barrier to colorectal cancer screening in flanders: an ecological study.Archives of public health = Archives belges de sante publique · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Perceptions of the Impact of Comorbidity on the Bowel Cancer Screening Programme: Qualitative Study With Bowel Screening Participants and Staff.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Robert S KerrisonSchool of Health Sciences, University of Surrey, Surrey, UK.ORCID 0000-0002-8900-749X
Natalie GilSchool of Health Sciences, University of Surrey, Surrey, UK.
Elizabeth TravisSchool of Psychology, University of Leeds, Leeds, UK.ORCID 0000-0003-1140-1822
Robyn JonesDepartment of Behavioural Science and Health, University College London, London, UK.ORCID 0000-0002-2216-2022
Katriina L WhitakerSchool of Health Sciences, University of Surrey, Surrey, UK.ORCID 0000-0002-0947-1840
Colin ReesFaculty of Medical Sciences, Newcastle University, Newcastle, UK.
Stephen DuffyWolfson Institute of Population Health, Queen Mary University London, London, UK.
Christian von WagnerDepartment of Behavioural Science and Health, University College London, London, UK.
University of Surrey · GBUniversity College London · GBNewcastle University · GBQueen Mary University of London · GBUniversity of Leeds · GB

Funding

Cancer Research UK C68512/A28209
6 · The paper itself

Abstract

objectivePeople from ethnic minority backgrounds are less likely to attend colonoscopy, following faecal immunochemical test screening, and are more likely to be diagnosed with colorectal cancer at an advanced stage as a result. The aim of this research was to explore the barriers and facilitators to attending colonoscopy, perceived by ethnic minority groups living in the United Kingdom.

methodsSemi-structured online and telephone interviews were conducted with thirty men and women of Black-African (n = 5), Black-Caribbean (n = 5), South Asian (n = 10) and White British (n = 10) descent. Participants were eligible for screening, but had not necessarily been invited for colonoscopy. All interviews were conducted in the participant's first language and were assessed using Framework-analysis, in line with a conceptual framework developed from previous interviews with healthcare professionals.

resultsFive thematic groups of barriers and facilitators were developed: 'Locus of control', 'Cultural attitudes and beliefs', 'Individual beliefs, knowledge and personal experiences with colonoscopy and cancer', 'Reliance on family and friends' and 'Health concerns'. Differences were observed, between ethnic groups, for: 'Locus of control', 'Cultural attitudes and beliefs' and 'Reliance on family and friends'. Black and South Asian participants frequently described the decision to attend colonoscopy as lying with 'God' (Muslims, specifically), 'the doctor', or 'family' (Locus of control). Black and South Asian participants also reported relying on friends and family for 'language, transport and emotional support' (Reliance on family and friends). Black-African participants, specifically, described cancer as 'socially taboo' (Cultural attitudes and beliefs).

conclusionsThe results highlight several targets for culturally-tailored interventions to make colonoscopy more equitable.

Indexed as

Colorectal NeoplasmsEthnicityColonoscopyEarly Detection of CancerEthnic and Racial MinoritiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMinority GroupsQualitative Researchbarriers and facilitatorscolonoscopycolorectal cancerethnic inequalitiesethnic Minoritiesinterviewspsycho-oncologyqualitative researchscreening

Identifiers

PMID36929590
PMCPMC10946452
OpenAlexW4327679270

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.