{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T08:05:32Z","timestamp":1788681932751,"version":"build-2803163510"},"reference-count":32,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Canadian Institutes of Health Research (CIHR) Frederick Banting"},{"name":"Charles Best Doctoral Award"},{"name":"CIHR Applied Public Health Chair"},{"name":"Peter Gilgan Centre for Women\u2019s Cancers in partnership with the Canadian Cancer Society"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Regular cervical screening can largely prevent the development of cervical cancer and innovative methods are needed to better engage people in screening. In Ontario, Canada, South Asian women have some of the lowest rates of screening in the province. In this study, we used concept mapping to engage two stakeholder groups\u2014South Asian service users and service providers\u2014to identify and prioritize points of intervention to encourage the uptake of cervical screening. After participants brainstormed a master list of statements, 45 participants rated the statements based off \u2018importance\u2019 and \u2018ease to address\u2019 in relation to encouraging cervical screening. A bivariate plot (X-Y graph) that shows the average rating values for each statement across the two rating variables (a \u2018go-zone\u2019 display) was produced to display priorities for implementation. Statements that were considered high priority to address reflected issues around education and awareness including understanding and communication related to cervical screening and preventative care, as well as the need for trusted sources of information. Statements that were considered high priority but challenging to implement were centered around fear, stigma, discomfort, family and personal priorities. This study highlighted that stigma, norms and social relations that impact the uptake of screening must be addressed in order for education and awareness raising to be effective and to move people from conviction around screening to action.<\/jats:p>","DOI":"10.3390\/curroncol31070301","type":"journal-article","created":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T16:55:36Z","timestamp":1721321736000},"page":"4038-4051","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Important and Feasible Actions to Address Cervical Screening Participation amongst South Asian Women in Ontario: A Concept Mapping Study with Service Users and Service Providers"],"prefix":"10.3390","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0401-2539","authenticated-orcid":false,"given":"Kimberly","family":"Devotta","sequence":"first","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T3M7, Canada"},{"name":"Women\u2019s College Hospital, Toronto, ON M5S1B2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"O\u2019Campo","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T3M7, Canada"},{"name":"St. Michael\u2019s Hospital, Unity Health Toronto, Toronto, ON M5B1W8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1501-335X","authenticated-orcid":false,"given":"Jacqueline","family":"Bender","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T3M7, Canada"},{"name":"University Health Network, Toronto, ON M5G2C4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7322-0894","authenticated-orcid":false,"given":"Aisha K.","family":"Lofters","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T3M7, Canada"},{"name":"Women\u2019s College Hospital, Toronto, ON M5S1B2, Canada"},{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, ON M5G1V7, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"key":"ref_1","unstructured":"Ontario Health Cancer Care Ontario (2023, December 01). The Ontario Cancer Screening Performance Report 2020. Available online: https:\/\/www.cancercareontario.ca\/sites\/ccocancercare\/files\/assets\/Ontario Cancer ScreeningReport2020.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e228855","DOI":"10.1001\/jamanetworkopen.2022.8855","article-title":"Delivery of Cancer Care in Ontario, Canada, During the First Year of the COVID-19 Pandemic","volume":"5","author":"Walker","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_3","unstructured":"World Health Organization (2021, April 08). Global Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240014107."},{"key":"ref_4","unstructured":"Canadian Partnership Against Cancer (2021, April 08). Action Plan for the Elimination of Cervical Cancer in Canada 2020\u20132030. Available online: https:\/\/www.partnershipagainstcancer.ca\/topics\/eliminationcervical-cancer-action-plan\/."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S1701-2163(16)35242-2","article-title":"Cervical screening: A guideline for clinical practice in Ontario","volume":"34","author":"Murphy","year":"2012","journal-title":"J. Obstet. Gynaecol. Can."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Vahabi, M., and Lofters, A. (2016). Muslim immigrant women\u2019s views on cervical cancer screening and HPV self sampling in Ontario, Canada. BMC Public Health, 16.","DOI":"10.1186\/s12889-016-3564-1"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.ypmed.2010.09.014","article-title":"Cervical cancer screening among urban immigrants by region of origin: A population-based cohort study","volume":"51","author":"Lofters","year":"2010","journal-title":"Prev. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1002\/cam4.358","article-title":"Primary care physician characteristics associated with cancer screening: A retrospective cohort study in Ontario, Canada","volume":"4","author":"Lofters","year":"2015","journal-title":"Cancer Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"102524","DOI":"10.1016\/j.pmedr.2023.102524","article-title":"Predictors of non-adherence to cervical cancer screening among immigrant women in Ontario, Canada","volume":"36","author":"Benjamin","year":"2023","journal-title":"Prev. Med. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.ypmed.2018.06.013","article-title":"Segmenting women eligible for cervical cancer screening using demographic, behavioural and attitudinal characteristics","volume":"114","author":"Lofters","year":"2018","journal-title":"Prev. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e020892","DOI":"10.1136\/bmjopen-2017-020892","article-title":"A systematic review of barriers and enablers to South Asian women\u2019s attendance for asymptomatic screening of breast and cervical cancers in emigrant countries","volume":"8","author":"Saini","year":"2018","journal-title":"BMJ Open"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1300\/J013v33n03_03","article-title":"Cervical cancer screening in ethnocultural groups: Case studies in women-centered care","volume":"33","author":"Bottorff","year":"2001","journal-title":"Women Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1111\/j.0737-1209.2004.21504.x","article-title":"A Pap test screening clinic in a South Asian community of Vancouver, British Columbia: Challenges to maintaining utilization","volume":"21","author":"Grewal","year":"2004","journal-title":"Public Health Nurs."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Hulme, J., Moravac, C., Ahmad, F., Cleverly, S., Lofters, A., Ginsburg, O., and Dunn, S. (2016). \u201cI want to save my life\u201d: Conceptions of cervical and breast cancer screening among urban immigrant women of South Asian and Chinese origin. BMC Public Health., 16.","DOI":"10.1186\/s12889-016-3709-2"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e13556","DOI":"10.1111\/ecc.13556","article-title":"Influential barriers perceived by South Asians in Hong Kong to undergoing cervical cancer screening","volume":"31","author":"Chan","year":"2022","journal-title":"Eur. J. Cancer Care"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00002820-200006000-00003","article-title":"Knowledge, barriers, and motivators related to cervical cancer screening among Korean-American women. A focus group approach","volume":"23","author":"Lee","year":"2000","journal-title":"Cancer Nurs."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1111\/hsc.12208","article-title":"Cancer screening behaviours among South Asian immigrants in the UK, US and Canada: A scoping study","volume":"24","author":"Crawford","year":"2016","journal-title":"Health Soc. Care Community"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Devotta, K., Vahabi, M., Prakash, V., and Lofters, A. (2023). Reach and effectiveness of an HPV self-sampling intervention for cervical screening amongst under- or never-screened women in Toronto, Ontario Canada. BMC Womens Health, 23.","DOI":"10.1186\/s12905-023-02174-w"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"6786","DOI":"10.3390\/curroncol30070497","article-title":"Implementation of a Cervical Cancer Screening Intervention for Under- or Never-Screened Women in Ontario, Canada: Understanding the Acceptability of HPV Self-Sampling","volume":"30","author":"Devotta","year":"2023","journal-title":"Curr. Oncol."},{"key":"ref_20","first-page":"8","article-title":"Young women and cervical cancer screening: What barriers persist?","volume":"43","author":"Black","year":"2011","journal-title":"Can. J. Nurs. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1111\/j.1365-2354.2011.01254.x","article-title":"Exploring women\u2019s knowledge, experiences and perceptions of cervical cancer screening in an area of social deprivation","volume":"20","author":"Logan","year":"2011","journal-title":"Eur. J. Cancer Care"},{"key":"ref_22","first-page":"17455057221096240","article-title":"Cervical screening uptake: A cross-sectional study of self-reported screening attitudes, behaviours and barriers to participation among South Asian immigrant women living in Australia","volume":"18","author":"Alam","year":"2022","journal-title":"Womens Health"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Alam, Z., Deol, H., Dean, J.A., and Janda, M. (2022). Reasons behind Low Cervical Screening Uptake among South Asian Immigrant Women: A Qualitative Exploration. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19031527"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.puhe.2019.08.015","article-title":"The impact of community-based multimedia intervention on the new and repeated cervical cancer screening participation among South Asian women","volume":"178","author":"Chan","year":"2020","journal-title":"Public Health"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Kane, M., and Trochim, W.M. (2007). Concept Mapping for Planning and Evaluation, Sage.","DOI":"10.4135\/9781412983730"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Kane, M., and Trochim, W.M. (2009). Concept Mapping for Applied Social Research. The SAGE Handbook of Applied Social Research Methods, SAGE Publications, Inc.. Available online: https:\/\/www.doi.org\/10.4135\/9781483348858.","DOI":"10.4135\/9781483348858.n14"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s12939-021-01410-9","article-title":"Experiences of everyday racism in Toronto\u2019s health care system: A concept mapping study","volume":"20","author":"Mahabir","year":"2021","journal-title":"Int. J. Equity Health"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Kane, M., and Rosas, S. (2018). Conversations about Group Concept Mapping: Applications, Examples, and Enhancements, Sage Publications.","DOI":"10.4135\/9781506329161"},{"key":"ref_29","unstructured":"Devotta, K., O\u2019Campo, P., Bender, J., and Lofters, A. (2024). Perceptions of cervical screening uptake amongst South Asian women: A concept mapping study. Soc. Sci. Med. Health Syst., under review."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1177\/08404704231179911","article-title":"The potential benefits of \u201ccommunity champions\u201d in the healthcare system","volume":"36","author":"Lofters","year":"2023","journal-title":"Healthc. Manag. Forum"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.amepre.2021.01.031","article-title":"A Community Health Worker-Led Multicomponent Program to Promote Cervical Cancer Screening in South Asian Women: A Cluster RCT","volume":"61","author":"Wong","year":"2021","journal-title":"Am. J. Prev. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"E1250","DOI":"10.1503\/cmaj.230237","article-title":"Preventive Praxis Initiative in Canada Preventive care recommendations to promote health equity","volume":"195","author":"Persaud","year":"2023","journal-title":"CMAJ Can. Med. Assoc. J. = J. L\u2019association Medicale Can."}],"container-title":["Current Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1718-7729\/31\/7\/301\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:18:06Z","timestamp":1760109486000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1718-7729\/31\/7\/301"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,17]]},"references-count":32,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["curroncol31070301"],"URL":"https:\/\/doi.org\/10.3390\/curroncol31070301","relation":{},"ISSN":["1718-7729"],"issn-type":[{"value":"1718-7729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,17]]}}}