{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:40:58Z","timestamp":1787064058180,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Over 70% of cervical cancers are detected in women not currently screening. Queensland Health wanted to better understand the drivers of screening to inform our planning and capitalise on self\u2010collection as an option to reach under\u2010screened women. In 2020 Queensland Health commissioned qualitative research to explore barriers and enablers to cervical screening with never\u2010screened and under\u2010screened women in Queensland (with under\u2010screeners defined as having last screened more than 4\u2009years ago and being more than 2\u2009years overdue). Additionally, the research explored the acceptability of self\u2010collection amongst this cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed methods qualitative approach of online focus groups and in\u2010depth interviews was employed. Online focus groups were conducted with under\u2010screeners. In\u2010depth telephone interviews were conducted with never\u2010screeners due to the anticipated personal nature of their reasons for not screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 51 Queensland women aged 30 to 50\u2009years participated in the research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Queensland women cited several negative experiences and aspects of the current program, as well as barriers in their social and personal lives that limited screening intention and behaviour. Barriers and enablers to cervical screening identified in this research have been classified into four categories: structural, knowledge and attitudinal, social, and personal. The research identified more factors associated with nonparticipation than participation. However, the research did uncover a range of potential enablers to encourage screening, some of which related to the program design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>So What?<\/jats:title>\n                    <jats:p>The concept of self\u2010collection was broadly well accepted by research participants, particularly by never\u2010screeners. Recommendations resulting from this research include communications, systems, and eligibility changes, particularly regarding the availability and benefits of self\u2010collection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpja.708","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T22:25:58Z","timestamp":1677277558000},"page":"943-952","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perceptions and implications for cervical screening and self\u2010collection: A qualitative exploration of never and under\u2010screened Queensland women"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9360-8098","authenticated-orcid":false,"given":"Jennie","family":"Haarsager","sequence":"first","affiliation":[{"name":"Queensland Health Cancer Screening Branch  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Legerton","sequence":"additional","affiliation":[{"name":"Queensland Health Cancer Screening Branch  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"DeBats","sequence":"additional","affiliation":[{"name":"Queensland Health Cancer Screening Branch  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn","family":"Austin","sequence":"additional","affiliation":[{"name":"Queensland Health Cancer Screening Branch  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Vardon","sequence":"additional","affiliation":[{"name":"Queensland Health Cancer Screening Branch  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp2921914"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja16.00289"},{"key":"e_1_2_10_4_1","volume-title":"Analysis of cancer outcomes and screening behaviour for national cancer screening programs in Australia","year":"2018"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.280"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4823"},{"issue":"33","key":"e_1_2_10_7_1","first-page":"272","article-title":"Barriers and facilitators to participation in breast, bowel and cervical cancer screening in rural Victoria: a qualitative study","volume":"1","author":"Azar D","year":"2021","journal-title":"Health Promot J Austr"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-019-0564-9"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/10105395211006600"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e31815d8d88"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.11.019"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-021-01264-x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106314"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3747\/co.25.3916"},{"key":"e_1_2_10_15_1","volume-title":"Waiting to be included\u2014breast and cervical cancer screening, where are the women with disabilities? 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