I think I would say 'It's not uncommon'.
I respect everyone's right to handle their own health as they wish (transmissable diseases apart!) but I think that personal contact from a trained nurse with time to discuss concerns, and offer support would help more people have screening.
As a Health Visitor I spent many hours talking about vaccination and screening with people who were doubtful and / or anxious. I always said that I supported any decision they made, and their right to change their mind. I would not be 'pushy' but I would address their concerns.
Sadly, as we have seen during this pandemic, that kind of support is not seen as a priority.
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