Diversity-sensitive promotion of informed decision-making in the utilization of colorectal cancer screening (DiDaMi)

Migrants make less frequent use of colorectal cancer screening than the majority population. From a public health perspective, this does not represent a deficit as long as utilization or non-utilization is based on an informed decision. However, studies on cervical cancer and breast cancer screening indicate that migrants face barriers within the healthcare system that may hinder informed decision-making.

The DiDaMi project derives practical recommendations for promoting informed decision-making with regard to participation in colorectal cancer screening among migrants.

For this purpose, existing barriers, facilitators and support strategies related to colorectal cancer screening among migrants in Germany will be identified through a scoping review. In addition, a document analysis of social media data will be conducted to gain initial insights into the perceptions of migrants and to capture their experiences with colorectal cancer screening, their expectations of healthcare services and existing reservations.

Based on this, qualitative interviews with migrants of Turkish and Afghan origin and an online survey of GPs and gastroenterologists will be conducted in order to identify strategies and measures to promote informed decision-making regarding participation in colorectal cancer screening.