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. 2022 Sep;31(9):1435-1447.
doi: 10.1002/pon.5997. Epub 2022 Jul 12.

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

Federica Vallone  1   2 , Daniela Lemmo  1 , Maria Luisa Martino  1 , Anna Rosa Donizzetti  1 , Maria Francesca Freda  1 , Francesco Palumbo  3 , Elvira Lorenzo  4 , Angelo D'Argenzio  4 , Daniela Caso  1
Affiliations

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

Federica Vallone et al. Psychooncology. 2022 Sep.

Abstract

Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation.

Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted.

Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination.

Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence-based interventions and health-promotion campaigns worldwide. Research and practical implications are highlighted and discussed.

Keywords: breast cancer; cancer; cancer screening; cervical cancer; colorectal cancer; oncology; psycho-oncology; research; systematic review; trends.

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Conflict of interest statement

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

Figures

FIGURE 1
FIGURE 1
PRISMA diagram of study flow. Adapted from Page et al., 2021
FIGURE 2
FIGURE 2
Factors influencing screening participation and operating at the individual, relational and healthcare system levels: Recommendations and Implications
See this image and copyright information in PMC

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