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Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.

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Τίτλος: Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.
Συγγραφείς: Kolahdooz F; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada., Jang SL; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada., Yi KJ; Department of Kinesiology, Faculty of Science, McMaster University, Hamilton, ON, Canada., Deck S; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada., Milligan C; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada., DeLancey D; Aurora College, Yellowknife, NT, Canada., Irlbacher-Fox S; Hotıì ts'eeda Northwest Territories SPOR Support Unit, Yellowknife, NT, Canada., Seaman L; Beaufort Delta Region, Northwest Territories Health and Social Services Authority, Inuvik, NT, Canada., Falk R; Beaufort Delta Region, Northwest Territories Health and Social Services Authority, Inuvik, NT, Canada., Mantla-Look L; Hotıì ts'eeda Northwest Territories SPOR Support Unit, Yellowknife, NT, Canada., Cook S; Northwest Territories Health and Social Services Authority, Yellowknife, NT, Canada., Corriveau A; Independent Public Health Consultant, Yellowknife, NT, Canada., Gotay C; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada., Kandola K; Department of Health and Social Services, Government of Northwest Territories, Yellowknife, NT, Canada., Sharma S; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Πηγή: Global health action [Glob Health Action] 2026 Dec; Vol. 19 (1), pp. 2657081. Date of Electronic Publication: 2026 Apr 20.
Τύπος έκδοσης: Journal Article; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101496665 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1654-9880 (Electronic) Linking ISSN: 16549880 NLM ISO Abbreviation: Glob Health Action Subsets: MEDLINE
Imprint Name(s): Publication: <2016- > : Philadelphia, PA : Taylor & Francis
Original Publication: Häggeby : Co-Action Publishing
Ιατρικοί όροι (MeSH): Early Detection of Cancer*/statistics & numerical data , Health Services, Indigenous*/statistics & numerical data , Patient Acceptance of Health Care*, Breast Neoplasms/diagnosis ; Breast Neoplasms/ethnology ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/ethnology ; Uterine Cervical Neoplasms/diagnosis ; Uterine Cervical Neoplasms/ethnology ; Aged ; Female ; Humans ; Male ; Middle Aged ; Arctic Regions ; Canada ; Health Services Accessibility ; Interviews as Topic ; Northwest Territories ; Qualitative Research ; Indigenous Canadians
Περίληψη: Background: Indigenous communities in Canada have high age-standardized rates of cancer mortality. Remote communities in Canada's northern territories have a high proportion of Indigenous residents and disproportionately low utilization rates of screening services for breast, cervical, and colorectal cancers, which could contribute to delayed cancer diagnosis and less favourable clinical outcomes. Knowledge is limited regarding the under-utilization of cancer screening services.
Objective: This study identified factors contributing to the underutilization of breast, cervical, and colorectal cancer screening services and documented suggestions to promote utilization in remote Indigenous communities in Northwest Territories, Canada.
Methods: This qualitative study consisted of four sessions of sharing circles and two one-on-one interviews with nine healthcare professionals, eight community members including Elders, and five community leadership from two Northwest Territories communities. Data were transcribed verbatim and coded and analyzed using NVivo-10. The constant comparative method determined emergent themes.
Results: Data identified four themes of factors influencing the utilization of cancer screening services (socio-environmental, socio-cultural, socio-political, and personal themes), covering limited resources, limited cultural considerations, the legacy of colonial practices, and fear. Five themes regarding suggested approaches to encourage utilization were community outreach, collaboration, sustainability, cultural safety, and support for healthcare professionals.
Conclusions: Factors identified to affect cancer screening service utilization and suggested approaches to improve the utilization are supported by other studies and initiatives in the region highlighting the relevance and feasibility of the findings. The findings could further inform community-based interventions for improving the utilization of cancer screening and support services in remote Indigenous communities.
References: Gut. 2018 Feb;67(2):291-298. (PMID: 27733426)
Soc Sci Med. 2005 Dec;61(12):2528-35. (PMID: 15953668)
Int J Circumpolar Health. 2020 Dec;79(1):1816678. (PMID: 33290187)
Healthcare (Basel). 2020 Apr 26;8(2):. (PMID: 32357396)
BMC Public Health. 2012 Jul 18;12:528. (PMID: 22809457)
Teach Learn Med. 2017 Apr-Jun;29(2):129-142. (PMID: 27813660)
BMC Health Serv Res. 2021 Mar 20;21(1):261. (PMID: 33743709)
Soc Sci Med. 2019 Oct;238:112495. (PMID: 31465937)
Health Rep. 2009 Sep;20(3):21-30. (PMID: 19813436)
J Prim Care Community Health. 2022 Jan-Dec;13:21501327211058322. (PMID: 35068237)
J Community Health. 2019 Aug;44(4):636-645. (PMID: 30661152)
Aust N Z J Public Health. 2009 Apr;33(2):109-18. (PMID: 19413852)
Inform Health Soc Care. 2019 Jan;44(1):79-91. (PMID: 29239662)
BMJ Open. 2019 Dec 4;9(12):e030885. (PMID: 31806609)
Curr Oncol. 2021 May 06;28(3):1728-1743. (PMID: 34066460)
Crit Public Health. 2016 Jan 1;26(4):368-380. (PMID: 27867262)
CMAJ Open. 2015 Apr 02;3(2):E149-57. (PMID: 26389092)
CMAJ. 2017 Nov 27;189(47):E1469. (PMID: 29180392)
J Cancer Educ. 2014 Dec;29(4):728-34. (PMID: 24756545)
Prev Med. 2020 May;134:106018. (PMID: 32057956)
Qual Health Res. 2007 May;17(5):690-8. (PMID: 17478650)
Cancer Epidemiol. 2016 Dec;45:126-134. (PMID: 27810484)
Lancet Oncol. 2014 Oct;15(11):e504-16. (PMID: 25281469)
J Glob Oncol. 2015 Oct 28;1(2):83-91. (PMID: 28804777)
Hum Resour Health. 2017 May 23;15(1):34. (PMID: 28535773)
Cancers (Basel). 2022 Feb 12;14(4):. (PMID: 35205668)
Bioethics. 2019 Sep;33(7):827-834. (PMID: 31222791)
J Cancer Policy. 2023 Jun;36:100413. (PMID: 36806641)
Nurse Res. 2011;18(4):17-22. (PMID: 21853888)
Health Educ Behav. 2013 Aug;40(4):449-57. (PMID: 23086556)
Contemp Nurse. 2013 Dec;46(1):13-7. (PMID: 24716757)
Contemp Clin Trials. 2017 May;56:34-45. (PMID: 28315481)
J Cancer Educ. 2011 Mar;26(1):121-8. (PMID: 20443096)
Eur J Cancer. 2020 Mar;127:207-223. (PMID: 31980322)
Contributed Indexing: Keywords: Indigenous; Northern Canada; cancer screening services; qualitative; remote communities
Local Abstract: [plain-language-summary] Main findings: This qualitative study explores socio-environmental, socio-cultural, socio-political, and personal aspects of utilizing publicly funded breast, cervical, and colorectal cancer screening services in remote Indigenous communities in Northwest Territories, Canada.Added knowledge: Addressing low rates of utilizing cancer screening services in remote Indigenous communities in Northwest Territories requires implementing community outreach, encouraging community collaboration, supporting sustainability, establishing cultural safety, and providing support for healthcare professionals.Global health impact for policy and action: The findings can inform interventions, practices, and policies to improve the utilization of cancer screening services for remote Indigenous communities, where increasing cancer mortality warrants promoting the utilization of cancer screening services and early detection.
Entry Date(s): Date Created: 20260420 Date Completed: 20260715 Latest Revision: 20260912
Update Code: 20260912
PubMed Central ID: PMC13097168
DOI: 10.1080/16549716.2026.2657081
PMID: 42003703
Βάση Δεδομένων: MEDLINE
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  Data: Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.
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  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Kolahdooz+F%22&quot;&gt;Kolahdooz F&lt;/searchLink&gt;; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Jang+SL%22&quot;&gt;Jang SL&lt;/searchLink&gt;; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Yi+KJ%22&quot;&gt;Yi KJ&lt;/searchLink&gt;; Department of Kinesiology, Faculty of Science, McMaster University, Hamilton, ON, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Deck+S%22&quot;&gt;Deck S&lt;/searchLink&gt;; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Milligan+C%22&quot;&gt;Milligan C&lt;/searchLink&gt;; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22DeLancey+D%22&quot;&gt;DeLancey D&lt;/searchLink&gt;; Aurora College, Yellowknife, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Irlbacher-Fox+S%22&quot;&gt;Irlbacher-Fox S&lt;/searchLink&gt;; Hotı&#236; ts&#39;eeda Northwest Territories SPOR Support Unit, Yellowknife, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Seaman+L%22&quot;&gt;Seaman L&lt;/searchLink&gt;; Beaufort Delta Region, Northwest Territories Health and Social Services Authority, Inuvik, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Falk+R%22&quot;&gt;Falk R&lt;/searchLink&gt;; Beaufort Delta Region, Northwest Territories Health and Social Services Authority, Inuvik, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Mantla-Look+L%22&quot;&gt;Mantla-Look L&lt;/searchLink&gt;; Hotı&#236; ts&#39;eeda Northwest Territories SPOR Support Unit, Yellowknife, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Cook+S%22&quot;&gt;Cook S&lt;/searchLink&gt;; Northwest Territories Health and Social Services Authority, Yellowknife, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Corriveau+A%22&quot;&gt;Corriveau A&lt;/searchLink&gt;; Independent Public Health Consultant, Yellowknife, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Gotay+C%22&quot;&gt;Gotay C&lt;/searchLink&gt;; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Kandola+K%22&quot;&gt;Kandola K&lt;/searchLink&gt;; Department of Health and Social Services, Government of Northwest Territories, Yellowknife, NT, Canada.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Sharma+S%22&quot;&gt;Sharma S&lt;/searchLink&gt;; Indigenous Global Health Research Group, Department of Medicine, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22101496665%22&quot;&gt;Global health action&lt;/searchLink&gt; [Glob Health Action] 2026 Dec; Vol. 19 (1), pp. 2657081. &lt;i&gt;Date of Electronic Publication: &lt;/i&gt;2026 Apr 20.
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  Data: &lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Early+Detection+of+Cancer%22&quot;&gt;Early Detection of Cancer*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Early+Detection+of+Cancer+statistics+%26+numerical+data%22&quot;&gt;statistics &amp; numerical data&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Health+Services%2C+Indigenous%22&quot;&gt;Health Services, Indigenous*&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Health+Services%2C+Indigenous+statistics+%26+numerical+data%22&quot;&gt;statistics &amp; numerical data&lt;/searchLink&gt; &lt;br /&gt;&lt;searchLink fieldCode=&quot;MM&quot; term=&quot;%22Patient+Acceptance+of+Health+Care%22&quot;&gt;Patient Acceptance of Health Care*&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Breast+Neoplasms%22&quot;&gt;Breast Neoplasms&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Breast+Neoplasms+diagnosis%22&quot;&gt;diagnosis&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Breast+Neoplasms%22&quot;&gt;Breast Neoplasms&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Breast+Neoplasms+ethnology%22&quot;&gt;ethnology&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Colorectal+Neoplasms%22&quot;&gt;Colorectal Neoplasms&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Colorectal+Neoplasms+diagnosis%22&quot;&gt;diagnosis&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Colorectal+Neoplasms%22&quot;&gt;Colorectal Neoplasms&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Colorectal+Neoplasms+ethnology%22&quot;&gt;ethnology&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Uterine+Cervical+Neoplasms%22&quot;&gt;Uterine Cervical Neoplasms&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Uterine+Cervical+Neoplasms+diagnosis%22&quot;&gt;diagnosis&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Uterine+Cervical+Neoplasms%22&quot;&gt;Uterine Cervical Neoplasms&lt;/searchLink&gt;/&lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Uterine+Cervical+Neoplasms+ethnology%22&quot;&gt;ethnology&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Aged%22&quot;&gt;Aged&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Female%22&quot;&gt;Female&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Humans%22&quot;&gt;Humans&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Male%22&quot;&gt;Male&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Middle+Aged%22&quot;&gt;Middle Aged&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Arctic+Regions%22&quot;&gt;Arctic Regions&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Canada%22&quot;&gt;Canada&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Health+Services+Accessibility%22&quot;&gt;Health Services Accessibility&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Interviews+as+Topic%22&quot;&gt;Interviews as Topic&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Northwest+Territories%22&quot;&gt;Northwest Territories&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Qualitative+Research%22&quot;&gt;Qualitative Research&lt;/searchLink&gt; ; &lt;searchLink fieldCode=&quot;MH&quot; term=&quot;%22Indigenous+Canadians%22&quot;&gt;Indigenous Canadians&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
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  Data: Background: Indigenous communities in Canada have high age-standardized rates of cancer mortality. Remote communities in Canada&#39;s northern territories have a high proportion of Indigenous residents and disproportionately low utilization rates of screening services for breast, cervical, and colorectal cancers, which could contribute to delayed cancer diagnosis and less favourable clinical outcomes. Knowledge is limited regarding the under-utilization of cancer screening services.&lt;br /&gt;Objective: This study identified factors contributing to the underutilization of breast, cervical, and colorectal cancer screening services and documented suggestions to promote utilization in remote Indigenous communities in Northwest Territories, Canada.&lt;br /&gt;Methods: This qualitative study consisted of four sessions of sharing circles and two one-on-one interviews with nine healthcare professionals, eight community members including Elders, and five community leadership from two Northwest Territories communities. Data were transcribed verbatim and coded and analyzed using NVivo-10. The constant comparative method determined emergent themes.&lt;br /&gt;Results: Data identified four themes of factors influencing the utilization of cancer screening services (socio-environmental, socio-cultural, socio-political, and personal themes), covering limited resources, limited cultural considerations, the legacy of colonial practices, and fear. Five themes regarding suggested approaches to encourage utilization were community outreach, collaboration, sustainability, cultural safety, and support for healthcare professionals.&lt;br /&gt;Conclusions: Factors identified to affect cancer screening service utilization and suggested approaches to improve the utilization are supported by other studies and initiatives in the region highlighting the relevance and feasibility of the findings. The findings could further inform community-based interventions for improving the utilization of cancer screening and support services in remote Indigenous communities.
– Name: Ref
  Label: References
  Group: RefInfo
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  Group:
  Data: &lt;i&gt;Keywords: &lt;/i&gt;Indigenous; Northern Canada; cancer screening services; qualitative; remote communities&lt;br /&gt;&lt;i&gt;Local Abstract: &lt;/i&gt;[plain-language-summary] &lt;b&gt;Main findings:&lt;/b&gt; This qualitative study explores socio-environmental, socio-cultural, socio-political, and personal aspects of utilizing publicly funded breast, cervical, and colorectal cancer screening services in remote Indigenous communities in Northwest Territories, Canada.&lt;b&gt;Added knowledge:&lt;/b&gt; Addressing low rates of utilizing cancer screening services in remote Indigenous communities in Northwest Territories requires implementing community outreach, encouraging community collaboration, supporting sustainability, establishing cultural safety, and providing support for healthcare professionals.&lt;b&gt;Global health impact for policy and action:&lt;/b&gt; The findings can inform interventions, practices, and policies to improve the utilization of cancer screening services for remote Indigenous communities, where increasing cancer mortality warrants promoting the utilization of cancer screening services and early detection.
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  Data: &lt;i&gt;Date Created: &lt;/i&gt;20260420 &lt;i&gt;Date Completed: &lt;/i&gt;20260715 &lt;i&gt;Latest Revision: &lt;/i&gt;20260912
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  Label: Update Code
  Group: Date
  Data: 20260912
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  Data: PMC13097168
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  Label: DOI
  Group: ID
  Data: 10.1080/16549716.2026.2657081
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  Data: 42003703
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42003703
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      – Type: doi
        Value: 10.1080/16549716.2026.2657081
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 2657081
    Subjects:
      – SubjectFull: Breast Neoplasms diagnosis
        Type: general
      – SubjectFull: Breast Neoplasms ethnology
        Type: general
      – SubjectFull: Colorectal Neoplasms diagnosis
        Type: general
      – SubjectFull: Colorectal Neoplasms ethnology
        Type: general
      – SubjectFull: Uterine Cervical Neoplasms diagnosis
        Type: general
      – SubjectFull: Uterine Cervical Neoplasms ethnology
        Type: general
      – SubjectFull: Aged
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Arctic Regions
        Type: general
      – SubjectFull: Canada
        Type: general
      – SubjectFull: Health Services Accessibility
        Type: general
      – SubjectFull: Interviews as Topic
        Type: general
      – SubjectFull: Northwest Territories
        Type: general
      – SubjectFull: Qualitative Research
        Type: general
      – SubjectFull: Indigenous Canadians
        Type: general
      – SubjectFull: Early Detection of Cancer statistics & numerical data
        Type: general
      – SubjectFull: Health Services, Indigenous statistics & numerical data
        Type: general
      – SubjectFull: Patient Acceptance of Health Care
        Type: general
    Titles:
      – TitleFull: Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.
        Type: main
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            – D: 01
              M: 12
              Text: 2026 Dec
              Type: published
              Y: 2026
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