{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T01:23:21Z","timestamp":1788917001397,"version":"build-2803163510"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Dutch ZonMW foundation","award":["2020-2021 SA 2021 file no. 05550402110023."],"award-info":[{"award-number":["2020-2021 SA 2021 file no. 05550402110023."]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Transcult Nurs"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Participation in free nationwide population-based breast and cervical cancer screening in the Netherlands has declined, especially among underserved women in low socioeconomic neighborhoods in The Hague.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aims to identify the social networks, needs, and barriers of these women regarding informed screening decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A qualitative study with interviews, focus groups, and field observations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Social networks\u2014including family, community centers, religious institutions, and key community figures\u2014were central to reach underserved women. Women expressed a need for clear, accessible information in their native language and from trusted sources. Barriers included language difficulties, lack of knowledge, limited digital skills, cultural and religious beliefs, fear, and distrust in health care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Findings suggest that providing culturally sensitive information and engaging social networks are essential for supporting informed decisions and reducing health disparities. Effective strategies should focus on trust-building, communication, and community involvement. Future research should evaluate these strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10436596261435968","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T10:08:42Z","timestamp":1776334122000},"page":"748-755","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Enhancing Participation in Population Based Cancer Screening: Culturally Sensitive Approaches for Underserved Women"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8625-7813","authenticated-orcid":false,"given":"Anita","family":"Ham","sequence":"first","affiliation":[{"name":"The Hague University of Applied Sciences, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeena","family":"Harakeh","sequence":"additional","affiliation":[{"name":"Netherlands Organization for Applied Scientific Research (TNO), Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samia","family":"Kasmi","sequence":"additional","affiliation":[{"name":"Mammarosa Foundation, The Hague, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniella","family":"Gidaly","sequence":"additional","affiliation":[{"name":"Mammarosa Foundation, The Hague, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"van Kesteren","sequence":"additional","affiliation":[{"name":"Netherlands Organization for Applied Scientific Research (TNO), Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Aarts M. 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