{
  "abstract": "Background The Targeted Lung Health Check (TLHC) screening programme aims to detect lung cancer in its early stages, particularly in high-risk populations, using low-dose CT screening. However, uptake amongst Black, Asian, and Minority Ethnic (BAME) communities remains disproportionately low in comparison to their White counterparts. This study explores the reasons behind non-participation in the TLHC screening programme among individuals from BAME backgrounds.Methods A qualitative study was conducted in major English city using semi-structured telephone interviews with individuals from BAME communities who were eligible for TLHC screening but did not attend. Participants were identified using the TLHC/local GP practices’ databases. 300+ non-responders were contacted, and 12 interviews were conducted. Thematic analysis was used to identify key barriers and perceptions influencing participation in the programme.Results Several interrelated themes were identified. First, lack of awareness and understanding of the TLHC programme was widespread, where many participants were unfamiliar with its purpose or the fact that they were eligible/had received an invitation. Second, mistrust in healthcare systems – often rooted from previous negative experiences- undermined confidence in screening/using NHS services. Third, cultural and linguistic barriers which had meant limited access to information, with some participants expressing that materials were not culturally appropriate or available in their native languages. Fourth, fear and stigma around cancer, particularly lung cancer, which had led to avoidance and denial. Finally, practical constraints, such as work commitments, transport issues and caregiving responsibilities which had meant they were unable to attend the screening/clinics.Conclusion Non-attendance at TLHC amongst BAME groups is influenced by a complex range of informational, cultural, structural, and emotional factors. Tailored interventions, such as culturally sensitive outreach, multilingual communication, and community-based education, would be beneficial to improve awareness, trust and access in these groups. Addressing these barriers could enhance engagement and reduce health disparities in lung cancer outcomes.",
  "authors": [
    {
      "affiliations": [
        "University of Southampton, Southampton, UK"
      ],
      "name": "S Ramadore"
    },
    {
      "affiliations": [
        "University Hospitals Southampton, Southampton, UK"
      ],
      "name": "A Hegazi"
    },
    {
      "affiliations": [
        "University Hospitals Southampton, Southampton, UK"
      ],
      "name": "D Offen"
    }
  ],
  "title": "P127 Health inequities in preventive screening: a qualitative exploration of TLHC non-engagement in BAME communities",
  "uid": "ad26a9e4-1099-5755-aab1-9b31c9927867"
}