33 Determinants of (non)attendance at the Dutch CSPs Ability factors In the cervical CSP forgetting to make an appointment was the main reason for nonattendance.29 The language barrier and low health literacy were other important determinants of non-attendance of the CRC CSP among non-native Dutch.42 Barriers Non-attenders at both the cervical and the CRC CSP experienced more affective disadvantages: they were more insecure, more afraid, had more serious concerns regarding the test and outcome, and anticipated more feelings of shame. Other identified barriers were time-related or were related to being unable to attend the CSP, for example due to other illnesses.29,44,45,46 Concerning breast cancers, a study in 2011 stated that despite the absence of financial barriers for participation, SES inequalities in attendance rates existed.34 2
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