Cervical Cancer Worry and Screening Among Appalachian Women

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• 作者：Kimberly M. Kelly (1)
  Nancy Schoenberg (2)
  Tomorrow D. Wilson (3)
  Elvonna Atkins (1)
  Stephanie Dickinson (4)
  Electra Paskett (5)
  
  1. Department of Pharmaceutical Systems and Policy ; School of Pharmacy ; Mary Babb Randolph Cancer Center ; Robert C. Byrd Health Sciences Center ; West Virginia University ; PO Box 9510 ; Morgantown ; WV ; 26506 ; USA
  2. Behavioral Science ; School of Medicine ; University of Kentucky ; 125 Medical Behavioral Science Building ; Lexington ; KY ; 40506 ; USA
  3. Department of Biobehavioral Health ; Department of Public Health Sciences ; College of Health and Human Development ; College of Medicine ; The Pennsylvania State University ; 114 Biobehavioral Health Building ; University Park ; PA ; 16802 ; USA
  4. Department of Statistics ; Indiana Statistical Consulting Center ; College of Arts and Sciences ; Indiana University ; 1100 East 7th Street ; Room 200 ; Bloomington ; IN ; 47405 ; USA
  5. College of Public Health ; Comprehensive Cancer Center and College of Medicine ; Ohio State University ; Suite 525 ; 1590 N High Street ; Columbus ; OH ; 43210 ; USA
  
• 关键词：Cervical cancer ; Cancer screening ; Appalachia ; Psychosocial impact
• 刊名：The Journal of Primary Prevention
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：36
• 期：2
• 页码：79-92
• 全文大小：317 KB
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Psychology
  Community and Environmental Psychology
  
• 出版者：Springer Netherlands
• ISSN：1573-6547

文摘

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.