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Open Access "Inside and Outside": Sikh Women's Perspectives on Cervical Cancer Screening « À l'intérieur et à l'extérieur » : perspectives de femmes sikhes en matière de dépistage du cancer du col de l'utérus

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Abstract:

Cervical cancer can be detected at an early stage through regular screening. The literature suggests that cervical cancer in immigrant women, a growing population in Canada, is less likely to be detected early than it is in the general population, as immigrant women tend not to take advantage of screening. Culturally appropriate screening services for immigrant women are few. A qualitative descriptive study was conducted with female members of an urban Sikh community in Canada to explore perspectives on cervical cancer screening. Indepth interviews (13) and focus groups (3) were carried out to uncover challenges to cervical cancer screening. The researchers identified a prevailing theme of "inside/outside" whereby the women felt confined to their community, finding it difficult to move "outside" into Canadian society in order to participate in screening. Lack of knowledge about the importance of prevention, influence of family and community, and health-provider issues affected the women's access to screening. The results will be helpful for nurses planning and delivering screening services to Sikh women.

French
Des tests de dépistage effectués régulièrement permettent de détecter le cancer du col de l'utérus à un stade précoce. La documentation suggère que le taux de dépistage de ce type de cancer chez les femmes immigrantes, une population croissante au Canada, est inférieur à celui recensé chez la population générale, puisque les immigrantes sont moins nombreuses à subir le test. Il existe peu de services de dépistage culturellement sensibles à l'intention des immigrantes. Une étude qualitative descriptive a été réalisée auprès des femmes appartenant à la communauté sikhe urbaine vivant au Canada, afin d'explorer leurs perspectives sur le dépistage de cette maladie. Des entrevues approfondies (13) et des groupes de discussion (3) ont été menés en vue de cerner les défis inhérents au dépistage de ce type de cancer. Les chercheuses ont identifié un thème prédominant, celui du concept « d'intérieur et d'extérieur ». Selon cette notion, les femmes se sentent emprisonnées dans leur communauté et éprouvent de la difficulté à aller « à l'extérieur », dans la société canadienne, pour bénéficier d'un test de dépistage. Le manque de connaissances concernant l'importance de la prévention, l'influence de la famille et de la communauté, et les problématiques liées aux professionnels soignants influent sur leur accès au dépistage. Les résultats aideront le personnel infirmier à mieux planifier et dispenser des services de dépistage auprès des femmes sikhes.

Keywords: CANCER SCREENING; CERVICAL CANCER SCREENING; SOUTH ASIAN; WOMEN'S HEALTH

Document Type: Research Article

Publication date: 2007-03-01

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