Understanding factors affecting participation rates and facilitators of compliance in breast screening program in the UK: A cross-sectional mixed methods study

West, Holly, Nwaiwu, Victor Chigbundu and Spencer, Sherril (2026) Understanding factors affecting participation rates and facilitators of compliance in breast screening program in the UK: A cross-sectional mixed methods study. Evidence Synthesis in Healthcare Connect, 1. ISSN 3105-0123 (In Press)

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Official URL: https://www.scifiniti.com/3105-0123/1/2026.0005

Abstract

Globally, breast cancer remains the most commonly diagnosed cancer among women, with evidence indicating that participation rates in the National Health Service (NHS) breast screening program continue to fall below the national target. This study investigates factors influencing participation rates and facilitators of compliance. A cross-sectional, mixed-methods study involved 73 eligible women aged 50–70 living in the UK. Results showed that most participants (97%) regularly attended screening appointments when invited. Four main factors influenced participation: positive screening experiences and regular attendance; awareness of the importance of early detection and family history; fear and anxiety; and accessibility and convenience. Facilitators of compliance included easy, flexible scheduling; convenient locations with parking spaces; a friendly, professional health screening team; a positive first-time experience; and health-related motivations. Reflecting the evolving landscape of the UK, the most notable issue is the lack of ethnic diversity among study participants. Future interventions should address this shift, moving away from generic invitations toward personalized, culturally tailored, data-driven approaches.

Item Type:	Article
Schools:	School of Health and Rehabilitation Sciences
Depositing User:	Bridget Roberts
Date Deposited:	24 Sep 2026 14:25
Last Modified:	24 Sep 2026 14:25
URI:	https://hsu.repository.guildhe.ac.uk/id/eprint/673

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