Cervical cancer worry and screening among appalachian women
| Autor: | Kimberly M. Kelly, Nancy E. Schoenberg, Elvonna Atkins, Stephanie L. Dickinson, Tomorrow D. Wilson, Electra D. Paskett |
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| Rok vydání: | 2014 |
| Předmět: |
Gerontology
Adult medicine.medical_specialty media_common.quotation_subject Medically Underserved Area Uterine Cervical Neoplasms Rural Health Medical Records Article Young Adult Cancer screening medicine Humans Young adult Early Detection of Cancer Qualitative Research media_common Cervical cancer Appalachian Region Insurance Health Marital Status business.industry fungi Religion and Medicine Public Health Environmental and Occupational Health Cancer Middle Aged medicine.disease Health Surveys Distress Health psychology Socioeconomic Factors Evaluation Studies as Topic Physical therapy Marital status Regression Analysis Female Worry business |
| Zdroj: | The journal of primary prevention. 36(2) |
| ISSN: | 1573-6547 |
| Popis: | Although many have sought to understand cervical cancer screening (CCS) behavior, little research has examined worry about cervical cancer and its relationship to CCS, particularly in the underserved, predominantly rural Appalachian region. Our mixed method investigation aimed to obtain a more complete and theoretically-informed understanding of the role of cancer worry in CCS among Appalachian women, using the Self-Regulation Model (SRM). Our quantitative analysis indicated that the perception of being at higher risk of cervical cancer and having greater distress about cancer were both associated with greater worry about cancer. In our qualitative analysis, we found that, consistent with the SRM, negative affect had a largely concrete-experiential component, with many women having first-hand experience of the physical consequences of cervical cancer. Based on the results of this manuscript, we describe a number of approaches to lessen the fear associated with CCS. Intervention in this elevated risk community is merited and may focus on decreasing feelings of worry about cervical cancer and increasing communication of objective risk and need for screening. From a policy perspective, increasing the quantity and quality of care may also improve CCS rates and decrease the burden of cancer in Appalachia. |
| Databáze: | OpenAIRE |
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