Enhancing Participation in Population Based Cancer Screening: Culturally Sensitive Approaches for Underserved Women

INTRODUCTION: Participation in free nationwide population-based breast and cervical cancer screening in the Netherlands has declined, especially among underserved women in low socioeconomic neighborhoods in The Hague. AIM: This study aims to identify the social networks, needs, and barriers of these women regarding informed screening decisions. METHOD: A qualitative study with interviews, focus groups, and field observations. RESULTS: Social networks-including family, community centers, religious institutions, and key community figures-were central to reach underserved women. Women expressed a need for clear, accessible information in their native language and from trusted sources. Barriers included language difficulties, lack of knowledge, limited digital skills, cultural and religious beliefs, fear, and distrust in health care. DISCUSSION: Findings suggest that providing culturally sensitive information and engaging social networks are essential for supporting informed decisions and reducing health disparities. Effective strategies should focus on trust-building, communication, and community involvement. Future research should evaluate these strategies.