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University of Florida Thesis Or Dissertation A SYSTEMATIC SCOPING REVIEW OF COMMUNICATION-BASED STUDIES ON CANCER PREVENTION AND DETECTION IN BANGLADESH By AANTAKI RAISA A THESIS PRESENTED TO THE GRADUATE SCHOOL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN MASS COMMUNICATION UNIVERSITY OF FLORIDA 2019 © 2019 Aantaki Raisa To my mom, sister and mentor, whose unconditional love, support and guidance have brought me where I am today, including the completion of this thesis ACKNOWLEDGMENTS I would like to take this opportunity to thank Dr. Janice Krieger, my mentor, my advisor, who has taught me to be my best version, and inspired me to try relentlessly to excel. My gratitude is extended towards my thesis co-chair Dr. Carma Bylund, who has been my North Star, providing me directions in the very maze-like world of systematic reviews. I could not thank Dr. Frank Waddell enough, who took the time and effort to guide me through my thesis with his feedback, challenging insights and positivity. I would also like to take this opportunity to thank Mr. Reza Salim. I am forever in debt to him as he had introduced me to the world of translational science and to Dr. Krieger, where it all started for me. Finally, I would like to thank Taylor Thelander, a fellow master’s student, who came into my rescue to co-code within a short notice. I would also like to thank Dr. Alyssa Jaisle, who kept me accountable with my daily writing goals. Last but definitely not the least, I want to shout out to my STCC family, who has been a pillar of strength, support and love in my journey. 4 TABLE OF CONTENTS page ACKNOWLEDGMENTS .................................................................................................. 4 LIST OF TABLES ............................................................................................................ 8 LIST OF FIGURES .......................................................................................................... 9 LIST OF ABBREVIATIONS ........................................................................................... 10 ABSTRACT ................................................................................................................... 12 CHAPTER 1 INTRODUCTION .................................................................................................... 14 2 BACKGROUND AND NEED ................................................................................... 17 Country Overview ................................................................................................... 17 Healthcare Infrastructure in Bangladesh ................................................................. 18 Health Policy Infrastructure in Bangladesh ............................................................. 20 Burden of Cancer in Bangladesh ............................................................................ 21 Burden of Cancer Based on Cancer Types ...................................................... 21 Environmental and Other Systemic Factors Contributing to the Risk of Cancer........................................................................................................... 21 Resources Available to Reduce the Risk of Cancer ......................................... 23 Implementing Policies Based on Research ............................................................. 24 Knowledge-to-Action (KTA) Model ................................................................... 25 Cancer Communication .................................................................................... 27 Systematic Literature Reviews ................................................................................ 30 Theoretical Underpinnings ...................................................................................... 32 3 METHOD ................................................................................................................ 36 Eligibility Criteria ..................................................................................................... 36 Inclusion Criteria ............................................................................................... 37 Exclusion Criteria ............................................................................................. 38 Information Sources ................................................................................................ 38 Search Strategy ...................................................................................................... 39 Study Records ........................................................................................................ 39 Data Items .............................................................................................................. 40 Risk of Bias in Individual Studies ............................................................................ 40 Data Synthesis ........................................................................................................ 41 Meta-Bias ................................................................................................................ 42 4 RESULTS ............................................................................................................... 44 5 Articles .................................................................................................................... 44 Receiver .................................................................................................................. 46 Population ........................................................................................................ 47 Female-only participants ............................................................................ 47 Male and female participants combined ..................................................... 48 Other .......................................................................................................... 50 Breast Cancer .................................................................................................. 50 Knowledge ................................................................................................. 51 Misconceptions .......................................................................................... 52 Predictors of knowledge/awareness .......................................................... 52 Attitude ....................................................................................................... 53 Barriers to screening .................................................................................. 53 Risk factors ................................................................................................ 55 Cervical Cancer ................................................................................................ 55 Knowledge ................................................................................................. 56 Knowledge about symptoms ...................................................................... 57 Misconceptions .......................................................................................... 57 Attitude ....................................................................................................... 58 Perceived severity ...................................................................................... 59 Barriers to screening .................................................................................. 59 Risk factors ................................................................................................ 60 Tobacco Control ............................................................................................... 60 Knowledge ................................................................................................. 61 Attitude and perceived severity of tobacco consumption ........................... 62 Barriers to and predictors of cessation ....................................................... 62 Risk factors ................................................................................................ 63 Sender .................................................................................................................... 63 Trust in Sender ................................................................................................. 64 Source/Channel of Information ......................................................................... 64 Breast cancer studies ................................................................................ 65 Cervical cancer studies .............................................................................. 65 Tobacco control studies ............................................................................. 66 Message ................................................................................................................. 67 Other Cancers ........................................................................................................ 71 Lung Cancer ..................................................................................................... 71 Oral Cancer ...................................................................................................... 71 Testicular Cancer ............................................................................................. 72 5 DISCUSSION ......................................................................................................... 87 Audience Analysis .................................................................................................
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