“We’re the very bottom, so it’s going to be hard for you to ‘catch any fish’ around here…” understanding vulnerable Greenlanders’ perspectives on cancer and barriers to screening in Denmark– A qualitative study

• Published in: International Journal for Equity in Health
• Main Authors: Camilla Rahr Tatari, Berit Andersen, Pia Kirkegaard
• Format: Article in Journal/Newspaper
• Language: English
• Published: BMC 2024
• Subjects: Mass screening; Early detection of cancer; Participation; Non-participation; Healthcare disparities; Vulnerable populations; Public aspects of medicine; RA1-1270; greenlander*
• Online Access: https://doi.org/10.1186/s12939-024-02094-7; https://doaj.org/article/5db51692093e4e5b8224143f5c5e2887

Abstract Background Cancer is a major global health concern. Unfortunately, Indigenous populations such as Greenlanders living in Denmark, face significant disparities in cancer risk, incidence, diagnosis, care quality, and outcomes. In Denmark, vulnerable Greenlanders face challenges accessing cancer screening. The aim of this study was to explore their perceptions of cancer, barriers to participation in cancer screening, and potential for developing a tailored intervention. Methods This qualitative study was based on participant observations and qualitative interviews. The sample comprised 46 participants from four distinct drop-in centres. Of these, 28 were vulnerable Greenlanders (19 women and 9 men), 9 were staff members (6 women and 3 men), and 6 were relatives (4 women and 2 men). The data were analysed through inductive content analysis. Results Vulnerable Greenlanders in Denmark believed they were responsible for their own health and were generally satisfied with the healthcare system. However, they found it challenging to manage their own health and many depended on support from others. Fear of cancer and death shaped their attitudes towards screening. Conclusion For vulnerable Greenlanders in Denmark participation in cancer screening programmes was positively viewed for most but could be challenging. Different intervention ideas raised by the vulnerable Greenlanders, relatives and staff members could guide the development of strategies to increase participation rates.