{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:13:27Z","timestamp":1788416007304,"version":"build-2803163510"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Breast cancer is one of the most common cancers that affects women globally. Of central concern are Black women in the United Kingdom who are disproportionately affected, present late and suffer higher mortality due to poor early screening uptake. Informed by an interpretative phenomenological analytical lens, this study makes an original and significant contribution to address the gap by working with 15 Black women from the north of England to co-produce an art-based media campaign intervention designed to encourage early breast cancer screening uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u202f10 participants took part in a focus group discussion, while\n                      <jats:italic>N<\/jats:italic>\n                      \u202f=\u202f5 took part in individual interviews. Data were analyzed using interpretative phenomenological analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>The following main themes emerged: (i) Uncertainty underpinned by poor awareness, (ii) Fear of the unknown, (iii) From fear to action: Empowerment-focused breast screening communication, (iv) Animated content, (v) Embedding awareness in women\u2019s everyday digital spaces, and (vi) Empowerment through coproduction, inclusive voice and agency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study has important policy implications, including the need for co-designed interventions to foster uptake, and it also recommends testing the co-produced intervention to determine its feasibility, effectiveness, and cost-effectiveness in encouraging early screening uptake among this marginalized population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1875785","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:22:29Z","timestamp":1788412949000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A co-production study of an art-based media campaign intervention to encourage early breast cancer screening uptake among Black women in England"],"prefix":"10.3389","volume":"14","author":[{"given":"Tarela Juliet","family":"Ike","sequence":"first","affiliation":[{"name":"Division of Psychology and Mental Health, University of Manchester","place":["Manchester, United Kingdom"]},{"name":"School of Social Sciences, Humanities, and Law, Teesside University","place":["Middlesbrough, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dung Ezekiel","family":"Jidong","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health, University of Manchester","place":["Manchester, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mieyebi Lawrence","family":"Ike","sequence":"additional","affiliation":[{"name":"Western Governors University","place":["Millcreek, UT, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelyn Ebi","family":"Ayobi","sequence":"additional","affiliation":[{"name":"Manchester Global Foundation","place":["Manchester, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peremi Richmond","family":"Ike","sequence":"additional","affiliation":[{"name":"Beryl Foundation","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwakorede Florence","family":"Adebowale","sequence":"additional","affiliation":[{"name":"Moonrise 24 Hrs Recruitment","place":["Stockton-on-Tees, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Rooks","sequence":"additional","affiliation":[{"name":"Manchester Global Foundation","place":["Manchester, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nusrat","family":"Husain","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health, University of Manchester","place":["Manchester, United Kingdom"]},{"name":"Mersey Care NHS Foundation Trust","place":["Prescot, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"ref1","year":"2025"},{"key":"ref2","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"109585","DOI":"10.1016\/j.ejso.2025.109585","article-title":"Ethnicity and breast cancer incidence in over 329,500 women in England in 2011\u20132019","volume":"52","author":"Gathani","year":"2025","journal-title":"Eur J Surg Oncol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1425","DOI":"10.62567\/micjo.v3i1.2094","article-title":"Factors influencing women\u2019s knowledge of breast cancer: literature review","volume":"3","author":"Budi","year":"2026","journal-title":"Multidiscipl. Indonesian Center J."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1177\/13558196231155824","article-title":"The role of knowledge, primary care and community engagement to improve breast-screening access for Pakistani women in the United Kingdom: a secondary analysis of a qualitative study","volume":"28","author":"Khattak","year":"2023","journal-title":"J Health Serv Res Policy"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"101401","DOI":"10.7759\/cureus.101401","article-title":"Facilitators and barriers to seeking early diagnosis and treatment for breast cancer among patients attending a tertiary care hospital","volume":"18","author":"Singh","year":"2026","journal-title":"Cureus"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1002\/pon.6123","article-title":"Barriers to colonoscopy in UK colorectal cancer screening programmes: qualitative interviews with ethnic minority groups","volume":"32","author":"Kerrison","year":"2023","journal-title":"Psycho-Oncology"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e70093","DOI":"10.1002\/pon.70093","article-title":"A systematic review of barriers to breast cancer screening, and of interventions designed to increase participation, among women of Black African and Black Caribbean descent in the UK","volume":"34","author":"Aliu","year":"2025","journal-title":"Psycho-Oncology"},{"key":"ref9","year":"2019"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"103992","DOI":"10.1016\/j.clon.2025.103992","article-title":"Disparity in cancer screening among Black and other ethnic minority groups in the UK","volume":"50","author":"Iyizoba-Ebozue","year":"2026","journal-title":"Clin Oncol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1002\/pon.5596","article-title":"Perceptions of cancer as a death sentence: tracking trends in public perceptions from 2008 to 2017","volume":"30","author":"Moser","year":"2021","journal-title":"Psycho-Oncology"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1016\/j.puhe.2020.10.013","article-title":"What can be done to encourage women from Black, Asian and minority ethnic backgrounds to attend breast screening? A qualitative synthesis of barriers and facilitators","volume":"190","author":"Baird","year":"2021","journal-title":"Public Health"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e70092","DOI":"10.1002\/pon.70092","article-title":"Applying the intersectionality lens to understand minority ethnic women\u2019s experiences of the breast cancer care pathway in England: a qualitative interview study","volume":"34","author":"Estupi\u00f1\u00e1n Fdez de Mesa","year":"2025","journal-title":"Psychooncology"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1474","DOI":"10.1038\/bjc.2011.406","article-title":"Breast cancer awareness and barriers to symptomatic presentation among women from different ethnic groups in east London","volume":"105","author":"Forbes","year":"2011","journal-title":"Br J Cancer"},{"key":"ref15","author":"Barba","year":"2025"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"10732748241293976","DOI":"10.1177\/10732748241293976","article-title":"Health inequalities in breast cancer in England: a pragmatic review to inform national institute for care and excellence (NICE) recommendations","volume":"31","author":"Slade","year":"2024","journal-title":"Cancer Control"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1177\/10443894251329448","article-title":"African and Caribbean women experiences of gender-based violence and help-seeking from the police in England and Wales: a qualitative study","volume":"107","author":"Ike","year":"2025","journal-title":"Fam Soc"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"193","DOI":"10.4135\/9781526405555.n12","volume-title":"The Sage Handbook of Qualitative Research in Psychology","author":"Eatough","year":"2017"},{"key":"ref19","volume-title":"Social Research Methods","author":"Bryman","year":"2016"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.4324\/9781003335016","volume-title":"Social Constructionism","author":"Burr","year":"2024"},{"key":"ref21","year":"2026"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1186\/s12913-023-09410-x","article-title":"Barriers to breast and cervical cancer screening uptake among Black, Asian, and minority ethnic women in the United Kingdom: evidence from a mixed-methods systematic review","volume":"23","author":"Bolarinwa","year":"2023","journal-title":"BMC Health Serv Res"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"16013","DOI":"10.3389\/bjbs.2026.16013","article-title":"Breast cancer disparities in African and African-ancestry populations: genetics, epigenetics, structural barriers and technology-enabled solutions","volume":"83","author":"Eze","year":"2026","journal-title":"Br J Biomed Sci"},{"key":"ref24","first-page":"1","article-title":"Black women\u2019s decisions about participating in breast cancer screening in the UK: a qualitative study: clinical study","author":"Aliu","year":"2026","journal-title":"Br J Cancer"},{"key":"ref25","first-page":"1","volume-title":"Handbook of Concepts in Health, Health Behavior and Environmental Health","author":"Dsouza","year":"2024"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1853334","DOI":"10.3389\/fpubh.2026.1853334","article-title":"Co-producing a media campaign intervention to encourage Nigeria women\u2019s engagement in early presentation to breast cancer screening: a qualitative study","volume":"14","author":"Ike","year":"2026","journal-title":"Front Public Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"14","DOI":"10.55646\/jaren.galenos.2026.04710","article-title":"The role of self-efficacy, supportive systems, and motivation in breast cancer prevention behaviours: a cross-sectional study","volume":"12","author":"Bulut","year":"2026","journal-title":"J Acad Res Nurs"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"336","DOI":"10.22312\/sdusbed.1637384","article-title":"From awareness to action: the power of knowledge and media influence in shaping women\u2019s breast self-examination behaviors and influencing factors","volume":"16","author":"Bulut","year":"2025","journal-title":"Suleyman Demirel Univ Saglik Bilim Derg"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e0005969","DOI":"10.1371\/journal.pgph.0005969","article-title":"Depression and cancer outcomes in resource-limited settings: a cross-sectional analysis of treatment uptake and survival among metastatic breast cancer patients in Lagos, Nigeria","volume":"6","author":"Wisniewski","year":"2026","journal-title":"PLoS Glob Public Health"},{"key":"ref30","year":"2023"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1007\/s13187-020-01706-4","article-title":"Closing the gap: participatory formative evaluation to reduce cancer screening disparities among patients with limited English proficiency","volume":"36","author":"Ridgeway","year":"2021","journal-title":"J Cancer Educ"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1111\/hex.13709","article-title":"Nothing about us without us: a co-production strategy for communities, researchers and stakeholders to identify ways of improving health and reducing inequalities","volume":"26","author":"Albert","year":"2023","journal-title":"Health Expect"},{"key":"ref33","year":"2025"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1875785\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:22:30Z","timestamp":1788412950000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1875785\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":33,"alternative-id":["10.3389\/fpubh.2026.1875785"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1875785","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]},"article-number":"1875785"}}