Erfahrungen, Herausforderungen und Wünsche bei der Nutzung der Darmkrebsvorsorge – eine qualitative Untersuchung von Menschen mit türkischer und afghanischer Migrationsgeschichte

Objective: The aim of the present study was to examine the challenges and needs of people with a Turkish and Afghan migration history when using colorectal cancer screening. Methods: Semi-structured interviews were conducted with 18 people with a Turkish and Afghan migration history aged between 42 and 75 years. The participants were selected based on various socio-demographic characteristics to ensure a heterogeneous sample. The interviews were conducted in German and, if necessary, in Turkish or Dari, transcribed and analyzed using qualitative content analysis according to Kuckartz and structured according to Bronfenbrenner's socio-ecological model. Results: Lack of knowledge, inadequate medical education, cultural and religious beliefs, language barriers and low risk perception were the main barriers to participation in colorectal cancer screening. Women and people with a low educational status were less informed about screening options and were less likely to utilize them. The respondents reported mostly positive experiences with previous screenings but would like to see more comprehensive and culturally sensitive information. Conclusions: Diversity-sensitive educational measures, nationwide dissemination of information, multilingual information and targeted information events are necessary to promote informed decision-making about participation in colorectal cancer screening among people with Turkish and Afghan migration history. General practitioners, as key information providers and confidants, play a crucial role in this context. Further research is needed to develop specific strategies to improve colorectal cancer screening.