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