Background The use of breast cancer screening mammogram is proven to be beneficial for the early detection and prevention of breast cancer. Despite the free availability of this service in Australia, it has not been fully used by many migrants and refugee women.
Objective To explore the perception and perceived barriers of Bhutanese refugee women to the access and use of breast-screening service.
Methods We used qualitative methods with an in-depth interview and Interpretative Phenomenological Analysis (IPA).
Results Our findings suggest that there is a low level of screening services use among Bhutanese refugee women. From the interpretative phenomenological analysis of the interview data, four main themes were apparent as barriers to accessing breast cancer screening: lack of knowledge about the importance of the screening; lack of motivational factors; problem-triggered health seeking behaviour due to strong cultural factors; and communication difficulties due to poor literacy and limited English language proficiency — all have contributed to low-level use of breast-screening mammograms.
Conclusion Older Bhutanese refugee women resettled in Australia did not seek preventive screening without symptoms or their doctor’s advice. Women in this study followed their doctor’s lead. Recommendations for screening and follow-up from their doctor were followed, and lack of advice from them was interpreted by the women that no action was required.