Women's perspectives on illness when being screened for cervical cancer
BACKGROUND: In Greenland, the incidence of cervical cancer caused by human papillomavirus (HPV) is 25 per 100,000 women; 2.5 times the Danish rate. In Greenland, the disease is most frequent among women aged 30-40. Systematic screening can identify women with cervical cell changes, which if untreate...
Published in: | International Journal of Circumpolar Health |
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2013
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Online Access: | https://portal.findresearcher.sdu.dk/da/publications/9a42303c-d1a4-4a86-8ac5-b881c5a91506 https://doi.org/10.3402/ijch.v72i0.21089 |
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ftsydanskunivpub:oai:sdu.dk:publications/9a42303c-d1a4-4a86-8ac5-b881c5a91506 2023-05-15T15:55:26+02:00 Women's perspectives on illness when being screened for cervical cancer Hounsgaard, Lise Augustussen, Mikaela Møller, Helle Bradley, Stephen K Møller, Suzanne 2013-08-14 https://portal.findresearcher.sdu.dk/da/publications/9a42303c-d1a4-4a86-8ac5-b881c5a91506 https://doi.org/10.3402/ijch.v72i0.21089 eng eng info:eu-repo/semantics/openAccess Hounsgaard , L , Augustussen , M , Møller , H , Bradley , S K & Møller , S 2013 , ' Women's perspectives on illness when being screened for cervical cancer ' , International Journal of Circumpolar Health , vol. 72 , no. 1 , 21089 . https://doi.org/10.3402/ijch.v72i0.21089 Adult Attitude to Health Early Detection of Cancer Female Focus Groups Greenland Health Knowledge Attitudes Practice Humans Interviews as Topic Middle Aged Papillomavirus Infections Patient Acceptance of Health Care Uterine Cervical Neoplasms Public health programming HPV Interview Screening Perceptions of health and disease Nursing Cervical cancer article 2013 ftsydanskunivpub https://doi.org/10.3402/ijch.v72i0.21089 2022-08-14T09:20:27Z BACKGROUND: In Greenland, the incidence of cervical cancer caused by human papillomavirus (HPV) is 25 per 100,000 women; 2.5 times the Danish rate. In Greenland, the disease is most frequent among women aged 30-40. Systematic screening can identify women with cervical cell changes, which if untreated may cause cervical cancer. In 2007, less than 40% of eligible women in Greenland participated in screening. OBJECTIVE: To examine Greenlandic women's perception of disease, their understanding of the connection between HPV and cervical cancer, and the knowledge that they deem necessary to decide whether to participate in cervical cancer screening. STUDY DESIGN: The methods used to perform this research were 2 focus-group interviews with 5 Danish-speaking women and 2 individual interviews with Greenlandic-speaking women. The analysis involved a phenomenological-hermeneutic approach with 3 levels of analysis: naive reading, structural analysis and critical interpretation. RESULTS: These revealed that women were unprepared for screening results showing cervical cell changes, since they had no symptoms. When diagnosed, participants believed that they had early-stage cancer, leading to feelings of vulnerability and an increased need to care for themselves. Later on, an understanding of HPV as the basis for diagnosis and the realization that disease might not be accompanied by symptoms developed. The outcome for participants was a life experience, which they used to encourage others to participate in screening and to suggest ways that information about screening and HPV might reach a wider Greenlandic population. CONCLUSION: Women living through the process of cervical disease, treatment and follow-up develop knowledge about HPV, cervical cell changes, cervical disease and their connection, which, if used to inform cervical screening programmes, will improve the quality of information about HPV, cervical cancer and screening participation. This includes that verbal and written information given at the point of screening ... Article in Journal/Newspaper Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health University of Southern Denmark Research Portal Greenland International Journal of Circumpolar Health 72 1 21089 |
institution |
Open Polar |
collection |
University of Southern Denmark Research Portal |
op_collection_id |
ftsydanskunivpub |
language |
English |
topic |
Adult Attitude to Health Early Detection of Cancer Female Focus Groups Greenland Health Knowledge Attitudes Practice Humans Interviews as Topic Middle Aged Papillomavirus Infections Patient Acceptance of Health Care Uterine Cervical Neoplasms Public health programming HPV Interview Screening Perceptions of health and disease Nursing Cervical cancer |
spellingShingle |
Adult Attitude to Health Early Detection of Cancer Female Focus Groups Greenland Health Knowledge Attitudes Practice Humans Interviews as Topic Middle Aged Papillomavirus Infections Patient Acceptance of Health Care Uterine Cervical Neoplasms Public health programming HPV Interview Screening Perceptions of health and disease Nursing Cervical cancer Hounsgaard, Lise Augustussen, Mikaela Møller, Helle Bradley, Stephen K Møller, Suzanne Women's perspectives on illness when being screened for cervical cancer |
topic_facet |
Adult Attitude to Health Early Detection of Cancer Female Focus Groups Greenland Health Knowledge Attitudes Practice Humans Interviews as Topic Middle Aged Papillomavirus Infections Patient Acceptance of Health Care Uterine Cervical Neoplasms Public health programming HPV Interview Screening Perceptions of health and disease Nursing Cervical cancer |
description |
BACKGROUND: In Greenland, the incidence of cervical cancer caused by human papillomavirus (HPV) is 25 per 100,000 women; 2.5 times the Danish rate. In Greenland, the disease is most frequent among women aged 30-40. Systematic screening can identify women with cervical cell changes, which if untreated may cause cervical cancer. In 2007, less than 40% of eligible women in Greenland participated in screening. OBJECTIVE: To examine Greenlandic women's perception of disease, their understanding of the connection between HPV and cervical cancer, and the knowledge that they deem necessary to decide whether to participate in cervical cancer screening. STUDY DESIGN: The methods used to perform this research were 2 focus-group interviews with 5 Danish-speaking women and 2 individual interviews with Greenlandic-speaking women. The analysis involved a phenomenological-hermeneutic approach with 3 levels of analysis: naive reading, structural analysis and critical interpretation. RESULTS: These revealed that women were unprepared for screening results showing cervical cell changes, since they had no symptoms. When diagnosed, participants believed that they had early-stage cancer, leading to feelings of vulnerability and an increased need to care for themselves. Later on, an understanding of HPV as the basis for diagnosis and the realization that disease might not be accompanied by symptoms developed. The outcome for participants was a life experience, which they used to encourage others to participate in screening and to suggest ways that information about screening and HPV might reach a wider Greenlandic population. CONCLUSION: Women living through the process of cervical disease, treatment and follow-up develop knowledge about HPV, cervical cell changes, cervical disease and their connection, which, if used to inform cervical screening programmes, will improve the quality of information about HPV, cervical cancer and screening participation. This includes that verbal and written information given at the point of screening ... |
format |
Article in Journal/Newspaper |
author |
Hounsgaard, Lise Augustussen, Mikaela Møller, Helle Bradley, Stephen K Møller, Suzanne |
author_facet |
Hounsgaard, Lise Augustussen, Mikaela Møller, Helle Bradley, Stephen K Møller, Suzanne |
author_sort |
Hounsgaard, Lise |
title |
Women's perspectives on illness when being screened for cervical cancer |
title_short |
Women's perspectives on illness when being screened for cervical cancer |
title_full |
Women's perspectives on illness when being screened for cervical cancer |
title_fullStr |
Women's perspectives on illness when being screened for cervical cancer |
title_full_unstemmed |
Women's perspectives on illness when being screened for cervical cancer |
title_sort |
women's perspectives on illness when being screened for cervical cancer |
publishDate |
2013 |
url |
https://portal.findresearcher.sdu.dk/da/publications/9a42303c-d1a4-4a86-8ac5-b881c5a91506 https://doi.org/10.3402/ijch.v72i0.21089 |
geographic |
Greenland |
geographic_facet |
Greenland |
genre |
Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health |
genre_facet |
Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health |
op_source |
Hounsgaard , L , Augustussen , M , Møller , H , Bradley , S K & Møller , S 2013 , ' Women's perspectives on illness when being screened for cervical cancer ' , International Journal of Circumpolar Health , vol. 72 , no. 1 , 21089 . https://doi.org/10.3402/ijch.v72i0.21089 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.3402/ijch.v72i0.21089 |
container_title |
International Journal of Circumpolar Health |
container_volume |
72 |
container_issue |
1 |
container_start_page |
21089 |
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1766390936934285312 |