02/12/2025
Public cancer screening services and participation: What meanings in users' narratives to promote engagement?
🔗 https://doi.org/10.1111/nhs.13146
Why do many people avoid or delay cancer screening—even when services are free and effective?
This study explores the deep emotional, sensory, and symbolic meanings that shape individuals’ decisions to participate (or not) in public cancer screening programs in Southern Italy.
Based on 101 in-depth interviews, analyzed with an innovative qualitative–quantitative approach (T-Lab), the authors uncovered:
Five narrative clusters
• Prevention as an emotional and sensory burden
• Managing hereditary risk and fear of death
• Internal personal demand for health
• Times, spaces, and contexts of prevention
• The concreteness and practicality of carrying out prevention
Two major meaning dimensions
• From fear of diagnosis → toward preventive measures
• From external healthcare systems → toward internal self-care
Why it matters
Low participation in cancer screening is not just about access—it’s about how people make meaning of prevention, their fears, their experiences in the health system, and their sense of responsibility toward themselves and their families.
The study highlights the importance of:
• Creating supportive spaces to discuss prevention
• Enhancing communication and relational skills in primary care teams
• Training healthcare professionals (doctors, nurses, psychologists) to foster intrinsic motivation and sustained engagement
This powerful research sheds light on how to design prevention programs that truly resonate with people’s lived experiences.
Despite the effectiveness of cancer screening (CS) in providing timely diagnoses and early treatments, the participation of citizens remains very low in particular in Southern Italy. This study aims ...