Understanding knowledge, beliefs, values and barriers towards cervical cancer screening and self-sampling amongst migrant Muslim women in Southwest London: an in-depth qualitative interview study
Year: 2026
Type: article
Abstract: Intro: Novel screening methods are needed to increase access to cervical screening, and migrant Muslim women in the UK are particularly at risk of screening non-attendance. In anticipation of the introduction of high-risk human papillomavirus (hrHPV) self-sampling into the UK programme, this study explored views of migrant Muslim women in southwest London on understanding of cervical screening, barriers and motivators to engagement and acceptability of vaginal self-sampling. Methods: Qualitative in-depth semi-structured individual interviews were carried out via MS Teams video call of 18 Muslim migrant women, with purposive and snowball recruitment. Framework analysis was carried out using NVivo 14 and coding matrix developed using MS Excel. Results: Migrant Muslim women felt that self-sampling for hrHPV was likely acceptable and beneficial for some women in their community. Only 44% preferred self-sampling over healthcare worker (HCW)-taken samples because of concerns over technique and inadequate results. There was a lack of understanding of the screening programme, role of HPV and cultural taboo of sexual activity outside of marriage. These barriers may be mitigated by evidence-based information in their own language by a trusted HCW or community champion. Taking their own respiratory swabs during the COVID-19 pandemic made participants more open-minded to self-sampling. Conclusions: Low vaginal self-sampling is acceptable to migrant Muslim women; however, over half may still prefer HCW-taken samples. Key strategies for overcoming barriers to self-sampling are prioritising linguistically appropriate materials, partnership with community leaders, flexible access points to screening and confidential modes of result delivery.
Source: BMJ Public Health
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
Awards: DTP Bid Led by London Sch of Hygiene and Trop Medicine, G2955234232, G4752925560, G5345297344, Migrant worker health equity: transforming health interventions for migrant workers, G5773372283, G6254374944, Engaging migrants in UK primary care to improve vaccine delivery, Institutional Strategic Support Fund, Institutional Strategic Support Fund, Tackling the Repercussions of UK-based Stigma towards Tuberculosis (TRUST): a participatory study to co-design a stigma reduction intervention, G9000232541
OpenAlex ID: W7119623128