CONCERNS over contracting and spreading COVID-19 led to significant delays in lung, breast, and colorectal cancer screenings among Asian American women during the pandemic, according to researchers based in the USA. These findings have highlighted the urgent need to address psychological and medical barriers to cancer screening.
The research team identified that fears surrounding COVID-19 infection were a primary factor contributing to missed screenings. The study also explored the role of perceived discrimination, though it found no significant link between discrimination and screening delays. However, the researchers noted that discrimination might exacerbate fears and indirectly reduce access to timely cancer care.
Cancer remains the leading cause of death among the Asian population in the USA, which has grown by 72% over the last two decades. Asian American women, often considered low-risk for adverse cancer outcomes, have been shown to experience greater exposure to environmental carcinogens and lower cancer screening rates compared to other groups.
The study included 166 Asian American women eligible for cancer screenings. It involved a two-phase approach: a survey assessing delays, COVID-19 concerns, and discrimination, followed by focus group discussions. Researchers found that 40% of participants reported screening delays. Concerns about contracting COVID-19 (adjusted odds ratio [OR], 2.57; p = 0.038) and spreading it to family or friends (adjusted OR, 5.78; p = 0.011) were significant factors.
The focus groups revealed that first-generation Asian American women faced compounded barriers, including fear of infection and discrimination, which affected their sense of safety.
To mitigate these delays, the authors recommend creating a sense of “psychological safety” around cancer screenings. They advocate for radiology practices to collaborate with other specialties and public health initiatives, promoting early detection and inclusivity.
“Efforts must prioritise fostering medical and psychological safety to ensure timely access to life-saving screenings,” the team concluded.
Reference
Vo CD et al. Impact of perceived discrimination and pandemic attitudes on cancer screening behaviors among Asian American women: a sequential explanatory mixed-methods study. J Am Coll Radiol. 2024;DOI:10.1016/j.jacr.2024.11.032.
