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On Women's Ambivalence about Mammography Screening: Support in the Decision-Making Process a Potential Role for Health Care Social Workers?

Ritenius Manjer, Åsa LU ; Zackrisson, Sophia LU and Melin Emilsson, Ulla LU (2016) In British Journal of Social Work 46(2). p.480-497
Abstract
The aim of this article is to reach a deeper understanding of women's decision-making process regarding non-attendance at mammography screenings. The article also discusses the health care social workers' role in providing support to women during this decision. Eighteen qualitative semi-structured interviews were conducted with women who had abstained from mammography screening in Malmö, Sweden. Thematic analyses were used as a method and The Rational Choice Theory, The Health Belief Model and the notion of Cross-Pressure were used as a theoretical framework. A prominent feature was that the relationship between the women's decision to abstain and the normative perception that mammography is an important examination led to ambivalent... (More)
The aim of this article is to reach a deeper understanding of women's decision-making process regarding non-attendance at mammography screenings. The article also discusses the health care social workers' role in providing support to women during this decision. Eighteen qualitative semi-structured interviews were conducted with women who had abstained from mammography screening in Malmö, Sweden. Thematic analyses were used as a method and The Rational Choice Theory, The Health Belief Model and the notion of Cross-Pressure were used as a theoretical framework. A prominent feature was that the relationship between the women's decision to abstain and the normative perception that mammography is an important examination led to ambivalent thoughts. It can be seen as an adjustment to the structure to be invited and a cross-pressure between performed and expected actions. Moreover, the decision to abstain from mammography screening was preceded by thoughts about the right choice, specifically in relation to what would happen to these women if they got breast cancer. Women who abstain need to think about their decision to a larger extent than women who attend the screening and we argue that they should be offered support by health care social workers in the invitation letter to mammography screening. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
qualitative methods, decision making, women, health, social work and health
in
British Journal of Social Work
volume
46
issue
2
pages
18 pages
publisher
Oxford University Press
external identifiers
  • scopus:84974712361
  • wos:000373182600012
ISSN
0045-3102
DOI
10.1093/bjsw/bcu078
language
English
LU publication?
yes
id
22a6b9d3-bfe6-4856-a283-30239242cf52 (old id 4864850)
date added to LUP
2014-12-19 15:05:04
date last changed
2017-08-06 03:27:47
@article{22a6b9d3-bfe6-4856-a283-30239242cf52,
  abstract     = {The aim of this article is to reach a deeper understanding of women's decision-making process regarding non-attendance at mammography screenings. The article also discusses the health care social workers' role in providing support to women during this decision. Eighteen qualitative semi-structured interviews were conducted with women who had abstained from mammography screening in Malmö, Sweden. Thematic analyses were used as a method and The Rational Choice Theory, The Health Belief Model and the notion of Cross-Pressure were used as a theoretical framework. A prominent feature was that the relationship between the women's decision to abstain and the normative perception that mammography is an important examination led to ambivalent thoughts. It can be seen as an adjustment to the structure to be invited and a cross-pressure between performed and expected actions. Moreover, the decision to abstain from mammography screening was preceded by thoughts about the right choice, specifically in relation to what would happen to these women if they got breast cancer. Women who abstain need to think about their decision to a larger extent than women who attend the screening and we argue that they should be offered support by health care social workers in the invitation letter to mammography screening.},
  author       = {Ritenius Manjer, Åsa and Zackrisson, Sophia and Melin Emilsson, Ulla},
  issn         = {0045-3102},
  keyword      = {qualitative methods,decision making,women,health,social work and health},
  language     = {eng},
  number       = {2},
  pages        = {480--497},
  publisher    = {Oxford University Press},
  series       = {British Journal of Social Work},
  title        = {On Women's Ambivalence about Mammography Screening: Support in the Decision-Making Process a Potential Role for Health Care Social Workers?},
  url          = {http://dx.doi.org/10.1093/bjsw/bcu078},
  volume       = {46},
  year         = {2016},
}