Barriers and facilitators to breast cancer screening among women in Côte d'Ivoire: A qualitative study.

Résumé

This study examines breast cancer screening behaviors among women in a working-class neighborhood of Bouaké, Côte d'Ivoire, within the context of economic insecurity and therapeutic pluralism, where biomedical, traditional, and religious care practices coexist. A qualitative interpretive approach was used, based on 23 semi-structured interviews with women aged 18 and above, selected through purposive sampling and analyzed thematically. The findings reveal uneven knowledge of screening, particularly among older and economically vulnerable women, due to limited media exposure and social isolation. Breast cancer is widely associated with mutilation and death, generating ambivalent responses ranging from avoidance to heightened vigilance among women. Screening practices are shaped by intersecting economic, institutional, and time constraints, alongside enabling factors such as social support, prenatal care interactions, and media- and school-based awareness. These findings highlight the need for context-sensitive prevention strategies that integrate local social dynamics and diverse therapeutic landscapes.