{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:40:23Z","timestamp":1792366823965,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100018898","name":"Shepherd Foundation","doi-asserted-by":"publisher","award":["SFID: 2023\u20102024"],"award-info":[{"award-number":["SFID: 2023\u20102024"]}],"id":[{"id":"10.13039\/501100018898","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Participation in breast cancer screening among culturally diverse women in Australia remains below national targets. Healthcare providers, particularly general practitioners (GPs), play a pivotal role in bridging communication and knowledge gaps and in advocacy, especially for under\u2010screened South Asian (Pakistani and Indian) women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore communication and health education strategies used by healthcare providers to encourage breast cancer screening among culturally diverse South Asian women living in Victoria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study involving semi\u2010structured interviews with 15 GPs and non\u2010primary healthcare providers in Victoria, Australia. Participants were recruited using purposive and snowball sampling methods, drawing from primary care, specialist networks and peer\u2010to\u2010peer referrals. Reflexive thematic analysis was applied to identify communication strategies and system\u2010level insights.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three major themes were identified: (1) encouraging health engagement; (2) communication strategies; (3) cultural sensitivity of healthcare providers. Trust\u2010building strategies were important in encouraging health engagement and reducing resistance to screening and misconceptions. Participants reported low levels of health literacy, including limited awareness of BreastScreen Victoria's free service. While interpreters aided communication, they also posed challenges in maintaining efficient consultations. Healthcare providers promoted patient\u2010centred, visual resources to support screening discussions. Cultural sensitivity was emphasised through the use of culturally competent tools and healthcare providers' ongoing cultural training. Existing screening informational resources were considered insufficient to address the cultural preferences of screening South Asian women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Strengthening breast cancer screening for culturally diverse women relies on building trust through culturally competent healthcare providers who can support their patients' engagement with screening through empowering communication, tailored tools and shared decision\u2010making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>So What<\/jats:title>\n                    <jats:p>Healthcare providers are key enablers of breast cancer screening participation among South Asian women. Investing in culturally competent communication, tailored resources and workforce training could substantially improve screening engagement among South Asian women who remain under\u2010screened despite access to free screening services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpja.70251","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:34:26Z","timestamp":1790649266000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Providers' Strategies to Improve Breast Cancer Screening Among South Asian Women in Victoria"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0485-8683","authenticated-orcid":false,"given":"Farwa","family":"Rizvi","sequence":"first","affiliation":[{"name":"Faculty of Health Deakin University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6619-8484","authenticated-orcid":false,"given":"Victoria","family":"White","sequence":"additional","affiliation":[{"name":"Faculty of Health Deakin University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6616-3839","authenticated-orcid":false,"given":"Patricia M.","family":"Livingston","sequence":"additional","affiliation":[{"name":"Faculty of Health Institute for Health Transformation, Deakin University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8296-4668","authenticated-orcid":false,"given":"Kylee","family":"Bellingham","sequence":"additional","affiliation":[{"name":"Department of Medicine, Palliative Nexus University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-0322","authenticated-orcid":false,"given":"Sue\u2010Anne","family":"McLachlan","sequence":"additional","affiliation":[{"name":"Oncology and Cancer Services St Vincent's Hospital, University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3312-0645","authenticated-orcid":false,"given":"Jennifer","family":"Philip","sequence":"additional","affiliation":[{"name":"Palliative Medicine, University of Melbourne and St Vincent's Hospital Melbourne, Peter MacCallum Cancer Centre, the Royal Melbourne Hospital, Victorian Comprehensive Cancer Centre (VCCC Alliance)  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6155-5"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.70817"},{"key":"e_1_2_13_5_1","unstructured":"BSA \u201cBreastScreen Australia Monitoring Report 2023 \u201d2023 https:\/\/www.aihw.gov.au\/reports\/cancer\u2010screening\/breastscreen\u2010australia\u2010monitoring\u2010report\u20102023\/data."},{"key":"e_1_2_13_6_1","unstructured":"AIHW \u201cBreastScreen Australia Monitoring Report 2025 \u201d2025 https:\/\/www.aihw.gov.au\/reports\/cancer\u2010screening\/breastscreen\u2010australia\u2010monitoring\u2010report\u20102025\/contents\/summary."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70183"},{"issue":"6","key":"e_1_2_13_8_1","first-page":"1619","article-title":"Culture, Attitude and Knowledge About Breast Cancer and Preventive Measures: A Qualitative Study of South Asian Breast Cancer Patients in the UK","volume":"12","author":"Karbani G.","year":"2011","journal-title":"Asian Pacific Journal of Cancer Prevention"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY26080"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-021-00737-w"},{"issue":"7","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-020892","article-title":"A Systematic Review of Barriers and Enablers to South Asian Women's Attendance for Asymptomatic Screening of Breast and Cervical Cancers in Emigrant Countries","volume":"8","author":"Cuevas R. 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