{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:57:04Z","timestamp":1790618224868,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100018270","name":"Health Service Executive","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018270","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Organized colorectal (CRC) screening programmes offer an opportunity to reduce the burden of the disease on\u00a0populations. CRC screening participation among women is substantially lower than breast or cervical cancer screening. Uptake is also lower in areas of greater deprivation which could exacerbate inequalities in CRC; however, few studies have\u00a0been\u00a0conducted with women resident in lower socio\u2010economic areas who were invited for screening but did not participate. The aim of this study was to explore women's decisions not to take part in Ireland's population\u2010based BowelScreen programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi\u2010structured interviews were conducted with women resident in lower socio\u2010economic areas, who had not participated in BowelScreen. Deductive thematic analysis, guided by the Theoretical Domains Framework (TDF: 14 domain version), using the framework approach was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen women from lower socio\u2010economic areas in Ireland who had not participated in BowelScreen were interviewed. Six TDF domains were identified as influencing non\u2010participation; (1)\n                      <jats:italic>Environmental Context and Resources<\/jats:italic>\n                      ; stressful life events and lack of healthcare professional recommendations, (2)\n                      <jats:italic>Memory, Attention and Decision Making<\/jats:italic>\n                      ; delayed decision making and deciding screening is not personally relevant, (3)\n                      <jats:italic>Knowledge<\/jats:italic>\n                      ; poor knowledge negating need for screening, (4)\n                      <jats:italic>Emotions<\/jats:italic>\n                      ; disgust, embarrassment and fear, (5)\n                      <jats:italic>Skills<\/jats:italic>\n                      ; low self\u2010efficacy and instruction complexity, and (6)\n                      <jats:italic>Social influence<\/jats:italic>\n                      ; did not encourage testing or was overridden by emotion and poor knowledge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Greater consideration should be given to the targeting of interventions towards specific determinants of non\u2010participation within subgroups of the population, in particular non\u2010participant women living within lower socio\u2010economic areas. Tackling environmental stressors, emotional factors, lack of healthcare professional support and the perception that feeling healthy equates with not needing screening could help improve CRC screening uptake among women living in low socioeconomic areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70600","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:01:52Z","timestamp":1790074912000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Qualitative Exploration of the Decision Not to Take Part in Colorectal Cancer Screening Among Women Living in Lower Socio\u2010Economic Areas"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8666-5449","authenticated-orcid":false,"given":"Nicholas","family":"Clarke","sequence":"first","affiliation":[{"name":"Converge: Centre for Chronic Disease and Population Health Research School of Population Health RCSI University of Medicine and Health  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3148-6416","authenticated-orcid":false,"given":"Lucy","family":"Hayden","sequence":"additional","affiliation":[{"name":"School of Psychology Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0418-5666","authenticated-orcid":false,"given":"Alan","family":"Smith","sequence":"additional","affiliation":[{"name":"Health Service Executive National Screening Service  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Sharp","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7971-0691","authenticated-orcid":false,"given":"Christian","family":"von Wagner","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1016-2882","authenticated-orcid":false,"given":"Therese","family":"Mooney","sequence":"additional","affiliation":[{"name":"Health Service Executive National Screening Service  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5558-1269","authenticated-orcid":false,"given":"Pamela","family":"Gallagher","sequence":"additional","affiliation":[{"name":"School of Psychology Dublin City University  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl\u20102022\u2010327736"},{"key":"e_1_2_13_3_1","unstructured":"J. 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