Engaging high-risk groups in early lung cancer diagnosis: A qualitative study of symptom presentation and intervention preferences among the UK’s most deprived communities
BMJ Open May 30, 2019
McCutchan G, et al. - For the first time in this qualitative study, researchers examined the influences on early diagnosis of lung cancer, and intervention preferences aimed at high-risk groups living in the UK's most deprived areas. Thirty-seven interview candidates were recruited by seven primary care general medical practices in South Wales, England, and Scotland. Using Framework analysis, data were synthesized. Individual and area level deprivation indicators confirmed the high deprivation of interview participants. Investigators obtained evidence from the interviews and focus groups that individuals at high risk for lung cancer tend to be concerned about maintaining short-term health. This investigation was novel in engaging a high-risk population to gain a thorough understanding of broader contextual influences on the presentation of lung cancer symptoms. Perceived lack of entitlement to health services and complex lives facilitated the avoidance of symptoms of lung cancer being recognized and presented. Overall, the researchers concluded that community-based interventions are capable of empowering disadvantaged populations to seek medical assistance for lung symptoms.
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