This paper reviews findings regarding the influence of cancer worry on cancer screening behaviors. The role of cancer worry in motivating cancer screening has been pursued for over 30 years. Recent concerns that high levels of cancer worry may impede the screening behavior of high-risk individuals have further prioritized this area of research. Despite heavy attention in the literature, there is currently no theoretical or empirical consensus concerning whether cancer worry motivates or inhibits cancer screening behaviors. We focus the review on four questions: (1) What is cancer worry? (2) To what extent are people worried about cancer? (3) What are the predominant theoretical approaches to understanding the role of cancer worry in cancer screening behaviors? (4) What is the empirical evidence for the role of cancer worry in cancer screening behaviors? We identify factors that have hampered theoretical and empirical advancement, including divergent definitions and measurement strategies for cancer worry, low to moderate levels of cancer worry even among those at high risk, and a reliance on cross-sectional research designs. The review clarifies the current state of this literature, and proposes future research strategies, including an expanded emphasis on cancer worry and cancer screening among men and diverse racial/ethnic groups.
This study was designed to explore Black adolescent girls' gender roles, racial identity, and self-esteem. These variables have not been examined together in a study of Black girls, yet studies of girls from other racial/cultural groups have demonstrated significant relationships. This type of exploration is important because Black girls do not experience the same declines in self-esteem as girls from other racial/cultural groups. Gender role orientation and racial identity have been put forth as possible explanations for Black girls' bolstered levels of selfesteem. Results indicated that Black girls with androgynous and masculine characteristics reported high levels of self-esteem. The results also indicated that Black girls with internally defined Black racial identity attitudes reported high levels of domain-specific self-esteem. In addition, androgyny was associated with high scores on internalization (Black racial identity).
Ample research documents the ubiquity of routines in street-level practice. Some individuallevel and organizational-level research has explored how to break street-level routines, but little has looked at the work group level. Our study observed teams of state child welfare workers over 2.5 years, documenting whether they discarded old routines and learned new ones. Results suggest that team characteristics such as clear direction and reflective behaviors had greater influence on team learning than individual characteristics such as stress level, tenure, and educational level. We suggest that group-level factors be included in future models of what enables the re-creation of street-level practice.Ample research suggests that street-level practice in public organizations tends to be routinized, inflexible, and difficult to change (Lipsky 1980;Maynard-Moody and Musheno 2003;Meyers, Glaser, and Mac Donald 1998;Riccucci 2005). Still, we do have some data on the factors that enable changes in practice, including individual-level variables like education and experience and organizational-level factors like incentive and reward systems (Jewell and Glaser 2006;Riccucci et al. 2004). However, little of this work has explored the workgroup level and its role in change and learning in street-level practice. This is curious because extensive literature in social psychology and organizational behavior has investigated how groups break old routines and learn new ones (e.g., Edmondson 1999;Gersick and Hackman 1990).This article draws on research in a child welfare agency that has been experimenting with using teams of social workers, rather than individual workers, to engage with families involved in the child protection system. We found that team characteristics, such as clear sense of direction and capacity for reflection, seem to enhance their members' ability toThe authors thank the editor and anonymous reviewers for their very helpful comments as well as the members of
The purpose of this investigation was to examine the extent to which racial identity attitudes mediate the relationship between gender role conflict and psychological symptoms in Men of Color. The mediating role of racial identity was tested in Study 1 with a sample of Black men and in Study 2 with a sample of Asian and Latino men. The results of Study 1 provided support for full mediation, whereas in Study 2 evidence was found for partial mediation. The combination of the studies' findings underscores the importance of considering the extent to which Men of Color identify with their own racial group when examining the relationship between gender role conflict and psychological symptoms.
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