ABSTRACT

Aims

To identify and synthesise peer-reviewed, published literature reporting perceived barriers and facilitators associated with cervical cancer screening attendance in EU member states with organised population-based screening programmes.

Methods

Quantitative and qualitative studies reporting perceived barriers/facilitators to attendance for cervical cancer screening were searched for in databases Embase, HMIC, Medline and PsycInfo. Data were extracted and deductively coded to the Theoretical Domains Framework domains and inductive thematic analysis within domains was employed to identify specific barriers or facilitators to attendance for cervical cancer screening.

Results

38 studies were included for data extraction. Five theoretical domains [‘Emotion’ (89% of the included studies), ‘Social influences’ (79%), ‘Knowledge’ (76%), ‘Environmental Context and Resources’ (74%) and ‘Beliefs about Consequences’ (68%)] were identified as key domains influencing cervical cancer screening attendance.

Conclusion

Five theoretical domains were identified as prominent influences on cervical cancer screening attendance in EU member states with organised population-based screening programmes. Further research is needed to identify the relative importance of different influences for different sub-populations and to identify the influences that are most appropriate and feasible to address in future interventions.

中文翻译：

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欧盟成员国参加宫颈癌筛查的障碍和促进因素：使用理论领域框架的系统回顾和综合

摘要

目标

识别和综合经同行评审的已发表文献，这些文献报告了欧盟成员国与有组织的基于人群的筛查计划相关的宫颈癌筛查参与的障碍和促进因素。

方法

在 Embase、HMIC、Medline 和 PsycInfo 数据库中搜索了定量和定性研究报告了参加宫颈癌筛查的感知障碍/促进因素。数据被提取并演绎编码到理论领域框架领域，并采用领域内的归纳主题分析来确定参加宫颈癌筛查的特定障碍或促进因素。

结果

38 项研究被纳入数据提取。五个理论领域[“情感”（纳入研究的 89%）、“社会影响”（79%）、“知识”（76%）、“环境背景和资源”（74%）和“关于后果的信念”（ 68%)] 被确定为影响宫颈癌筛查出勤率的关键领域。

结论

五个理论领域被确定为对有组织的基于人群的筛查计划的欧盟成员国的宫颈癌筛查出勤率的显着影响。需要进一步研究以确定不同影响对不同亚群的相对重要性，并确定在未来干预中最合适和最可行的影响。