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Health Expect. 2008 Mar;11(1):26-34. doi: 10.1111/j.1369-7625.2007.00478.x.

'I do not need to... I do not want to... I do not give it priority...'--why women choose not to attend cervical cancer screening.

Author information

1
School of Human Sciences, Kalmar University, Kalmar, Sweden. marie.oscarsson@hik.se

Abstract

OBJECTIVE:

To describe and interpret why women with no cervical smear taken during the previous 5 years choose not to attend a cervical cancer screening (CCS) programme.

BACKGROUND:

CCS programme is a service for early detection of cervical cancer. Today, some women choose not to attend the programme.

DESIGN:

Data were collected by tape-recorded interviews and analysed by qualitative inductive content analysis.

SETTING AND PARTICIPANTS:

Purposive sample of 14 women in southeast Sweden, who had chosen not to attend CCS during the previous 5 years.

FINDINGS:

The following themes were revealed: I do not need to..., I do not want to... and I do not give it priority.... The women had a positive attitude to CCS but as long as they felt healthy, they chose not to attend. A negative body image, low self-esteem, feelings of discomfort when confronted with the gynaecological examination and fear of the results also influenced their non-attendance. The women prioritized more important things in life and reported various degrees of lack of trust in health-care.

CONCLUSION:

Women's choice not to attend CCS were complex and influenced by present and earlier intra- and inter-personal circumstances. They had a positive attitude to CCS, but other things in life were more important. Health-care professionals have to facilitate a co-operative discussion with the women in order to contribute to a mutual understanding for the perspectives of the women and the professionals.

PMID:
18275400
PMCID:
PMC5060425
DOI:
10.1111/j.1369-7625.2007.00478.x
[Indexed for MEDLINE]
Free PMC Article

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