Institute of Sport and Physical Activity Research, University of Bedfordshire, Bedford, UK.
School of Psychology, University of Buckingham, Buckingham, UK.
J Behav Health Serv Res. 2023 Jul;50(3):381-399. doi: 10.1007/s11414-022-09819-y. Epub 2022 Oct 7.
This study sought to understand how cervical cancer screening (CCS) awareness, sexual connotations and body image influenced the likelihood of CCS uptake in women yet to attend. Eleven females, aged 23-24, yet to attend CCS, were purposefully sampled. Interview transcripts were analysed using interpretative phenomenological analysis, generating three superordinate themes: (1) building screening expectations, (2) confronting sexual connotations and (3) growing pains. Findings demonstrated how a lack of awareness of CCS and the sexual connotations implicit in CCS acted as a barrier to attendance, exacerbated by negative body image comparisons between oneself and online or social media-based images. The perceived sexual connotations of CCS, and the resulting embarrassment, bolsters the case for self-screening, removing the need to attend clinic screening appointments. Reconceptualising screening using a theoretical model of the relationship between body image disturbances and body-focused screening behaviours among women, could lead to the development of pro-screening social media interventions.
本研究旨在了解宫颈癌筛查（CCS）意识、性内涵和身体意象如何影响尚未接受 CCS 的女性接受 CCS 的可能性。我们特意选取了 11 名年龄在 23-24 岁之间、尚未接受 CCS 的女性。采用解释性现象学分析对访谈记录进行分析，生成了三个上位主题：（1）建立筛查期望，（2）面对性内涵，（3）成长的烦恼。研究结果表明，对 CCS 的认识不足以及 CCS 中隐含的性内涵是阻碍女性参加 CCS 的因素，再加上自己与在线或社交媒体为基础的形象之间的负面身体意象比较，情况更加恶化。对 CCS 的感知性内涵以及由此产生的尴尬，支持了自我筛查的理由，从而无需参加诊所筛查预约。通过对女性身体意象障碍与以身体为焦点的筛查行为之间关系的理论模型重新概念化筛查，可以开发出促进筛查的社交媒体干预措施。
