“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.
2008 (English)In: Health Expectations, Vol. 11, no 1, 26-34 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
2008. Vol. 11, no 1, 26-34 p.
cervical cancer screening • cervical smear • content analysis • interviews • non-attendance
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-12675DOI: 10.1111/j.1369-7625.2007.00478.xOAI: oai:DiVA.org:liu-12675DiVA: diva2:16831