Cervical cancer: a qualitative study on subjectivity, family, gender and health services

Pelcastre-Villafuerte, Tirado-Gómez, Mohar-Betancourt Alejandro, López-Cervantes, López-Cervantes Malaquías

Description

In 2002, cervical cancer was one of the leading causes of death in Mexico. Quantitative techniques allowed for the identification of socioeconomic, behavioral and biological characteristics that are part of its etiology. However such characteristics, are inadequate to explain sufficiently the role that emotions, family networks and socially-constructed categories such as gender play in the demand and utilization of health services for cervical cancer diagnosis and treatment and neither the timely undertaking of preventive actions, such as getting a PAP smear or seeking adequate and continuons treatment. Methods A qualitative study was carried out to analyze the role of different social and cultural factors in the timely detection of cervical cancer. As part of a multi-level, multi-method research effort, this particular study was based on individual interviews with women diagnosed with cervical cancer (identified as the "cases"), their female friends and relatives (identified as the "controls") and the cases' husbands. Results The results showed that both: denial and fear are two important components that regulate the behavior of both the women and their partners. Women with a small support network may have limited opportunities for taking action in favor of their own health and wellbeing. Conclusion Women tend not to worry about their health, in general and neither about cervical cancer in particular, as a consequence of their conceptualizations regarding their body and feminine identify – both of which are socially determined. Furthermore, it is necessary to improve the quality of information provided in health services.

Informations

• Publié par: biomed
• Publié le: 01 janvier 2007
• Nombre de lectures: 0
• Langue: English

Extrait

Reproductive Health

BioMedCentral

Open Access Research Cervical cancer: a qualitative study on subjectivity, family, gender and health services 1 2 Blanca E PelcastreVillafuerte , Laura L TiradoGómez* , 3 4 Alejandro MoharBetancourt and Malaquías LópezCervantes

1 Address: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Secretaría de Salud, México, Av, Universidad 655, 2 Santa María Ahuacatitlán, C.P. 62508, Cuernavaca, Morelos, México, Departamento de Epidemiología, Instituto Nacional de Cancerología de 3 México, Av. San Fernando No. 22; 2°, Piso de investigación, Col. Sección XVI., Del Tlalpan, C.P. 01480, México, D.F., México, Dirección General, Instituto Nacional de Cancerología de México, Av. San Fernando No. 22; 3er, Piso de edificio de quimioterapia, Col. Sección XVI., Del Tlalpan, 4 C.P. 01480, México, D.F., México and Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad Universitaria, Edificio B 3er. Piso, Del Coyoacan C.P. 04510, México, D.F., México Email: Blanca E PelcastreVillafuerte  [e-mail]; Laura L TiradoGómez*  [e-mail]; Alejandro MoharBetancourt  [e-mail]; Malaquías LópezCervantes  [e-mail] * Corresponding author

Published: 1 March 2007 Received: 20 July 2006 Accepted: 1 March 2007 Reproductive Health2007,4:2 doi:10.1186/1742-4755-4-2 This article is available from: http://www.reproductive-health-journal.com/content/4/1/2 © 2007 Villafuerte et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract Background:In 2002, cervical cancer was one of the leading causes of death in Mexico. Quantitative techniques allowed for the identification of socioeconomic, behavioral and biological characteristics that are part of its etiology. However such characteristics, are inadequate to explain sufficiently the role that emotions, family networks and socially-constructed categories such as gender play in the demand and utilization of health services for cervical cancer diagnosis and treatment and neither the timely undertaking of preventive actions, such as getting a PAP smear or seeking adequate and continuons treatment. Methods:A qualitative study was carried out to analyze the role of different social and cultural factors in the timely detection of cervical cancer. As part of a multi-level, multi-method research effort, this particular study was based on individual interviews with women diagnosed with cervical cancer (identified as the "cases"), their female friends and relatives (identified as the "controls") and the cases' husbands.

Results:The results showed that both: denial and fear are two important components that regulate the behavior of both the women and their partners. Women with a small support network may have limited opportunities for taking action in favor of their own health and wellbeing.

Conclusion:Women tend not to worry about their health, in general and neither about cervical cancer in particular, as a consequence of their conceptualizations regarding their body and feminine identify – both of which are socially determined. Furthermore, it is necessary to improve the quality of information provided in health services.

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