Avoiding piecemeal research on participation in cervical cancer screening: the advantages of a social identity framework

Tribe, Candice; Webb, Janine

doi:10.1111/j.1369-7625.2012.00779.x

Cited by 4 publications

(4 citation statements)

References 109 publications

(177 reference statements)

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“…For example, Bowen and colleagues (2003) found that increased social identity positively predicted interest in breast cancer screening. Also, social identity and social relationships with physicians, family, or friends, as well as belongingness, are important in improving cervical cancer screening rates (Tribe and Webb 2014). Social identity also influences clinical outcomes for members of at-risk groups.…”

Section: Social Identity and Healthmentioning

confidence: 99%

“…Emerging theoretical and empirical work suggests social identity may be an important tool for developing psychosocial explanations of geographical health inequalities (Haslam et al 2009;Tribe and Webb 2014). The direct and indirect effects of social identity on health can be elicited through a contextual approach that bridges unequal social structures (e.g., financial resources, health care access) and individual experiences (Bolam, Murphy, and Gleeson 2006).…”

Section: Social Identity and Healthmentioning

confidence: 99%

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The Conceptualization of Self-Identity among Residents of Appalachia Ohio

Krok-Schoen¹,

Palmer-Wackerly²,

Dailey³

et al. 2015

Journal of Appalachian Studies

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Section: Social Identity and Healthmentioning

confidence: 99%

Section: Social Identity and Healthmentioning

confidence: 99%

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

Krok-Schoen¹,

Palmer-Wackerly²,

Dailey³

et al. 2015

Journal of Appalachian Studies

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“…The goal of the second is to ensure there are not systematic differences between who is screened and who is not. The usual response in the literature to both of these goals is to promote higher screening uptake, whether in the population as a whole for the purpose of reaching targets or in specific groups who have been identified as underscreened for the purpose of reducing disparity [ 9 , 21 – 23 ]. In the cervical screening literature, reducing disparity is often referred to in terms of increasing equity or something like it [ 9 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

An empirical study of the ‘underscreened’ in organised cervical screening: experts focus on increasing opportunity as a way of reducing differences in screening rates

Williams

Carter

2016

BMC Med Ethics

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BackgroundCervical cancer disproportionately burdens disadvantaged women. Organised cervical screening aims to make cancer prevention available to all women in a population, yet screening uptake and cancer incidence and mortality are strongly correlated with socioeconomic status (SES). Reaching underscreened populations is a stated priority in many screening programs, usually with an emphasis on something like ‘equity’. Equity is a poorly defined and understood concept. We aimed to explain experts’ perspectives on how cervical screening programs might justifiably respond to ‘the underscreened’.MethodsThis paper reports on a grounded theory study of cervical screening experts involved in program organisation. Participants were 23 experts from several countries and a range of backgrounds: gynecology; epidemiology; public health; pathology; general practice; policy making. Data were gathered via semi-structured interview and concepts developed through transcript coding and memo writing.ResultsMost experts expressed an intuitive commitment to reducing systematic differences in screening participation or cancer outcomes. They took three different implicit positions, however, on what made organised programs justifiable with respect to underscreened populations. These were: 1) accepting that population screening is likely to miss certain disenfranchised groups for practical and cultural reasons, and focusing on maximising mainstream reach; 2) identifying and removing barriers to screening; and 3) providing parallel tailored screening services that attended to different cultural needs. Positions tended to fall along country of practice lines.ConclusionsExperts emphasised the provision of opportunity for underscreened populations to take up screening. A focus on opportunity appeared to rely on tacit premises not supported by evidence: that provision of meaningful opportunity leads to increased uptake, and that increased uptake of an initial screening test by disadvantaged populations would decrease cervical cancer incidence and mortality. There was little attention to anything other than the point of testing, or the difficulties disadvantaged women can have in accessing follow up care. The different approaches to ‘improving equity’ taken by participants are differently justified, and differently justifiable, but none attend directly to the broader conditions of disadvantage.Electronic supplementary materialThe online version of this article (doi:10.1186/s12910-016-0143-z) contains supplementary material, which is available to authorized users.

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“…Social identity, or a sense of belonging to a place is relevant to health, as it is known to be associated with health outcomes, such as intention to perform breast screening and progression of disease, such as HIV . Moreover, research among older adults found that collective self‐esteem (an individual's self‐evaluation as a member of social groups) is a protective factor against chronic conditions .…”

mentioning

confidence: 99%

Correlates of Rural, Appalachian, and Community Identity in the CITIES Cohort

Paskett

Young

Bernardo

et al. 2019

The Journal of Rural Health

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Purpose:To determine correlates of rural, Appalachian, and community identity among a cohort of participants in the Community Initiative Towards Improving Equity and Health Status (CITIES) project. Methods: Mixed linear and logistic regression effects models were utilized to determine correlates of 3 outcomes: 1) community identity, 2) rural identity, and 3) Appalachian identity among participants in the Ohio CITIES project. Findings: Distinct demographic characteristics were found to be associated with each of the outcomes. For community identity, while no differences were found for rural or urban participants, those who were single or never married (P < .0001) as well as those who graduated from college (P = .0005) reported significantly lower community identity scores than married individuals with less than a college education. Those who resided in an Appalachian county reported higher community identity scores (P = .0009) than non-Appalachian residents. For rural identity, those who did not identify as Christian (P = .018) as well as those who identified as Democrat (P = .027) reported significantly lower rural identity scores than others. Lastly, for Appalachian identity, county-level percentage of families in poverty (P = .06), as well as gender (P = .05), were associated with self-reported Appalachian identity, but these effects were only marginally significant. Conclusions: Although community, rural, and Appalachian identity may be viewed as similar due to their measure of attachment to a place, results from this study suggest that there are distinct individual and area-level correlates associated with community, rural, and Appalachian identity.

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Avoiding piecemeal research on participation in cervical cancer screening: the advantages of a social identity framework

Cited by 4 publications

References 109 publications

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

The Conceptualization of Self-Identity among Residents of Appalachia Ohio

An empirical study of the ‘underscreened’ in organised cervical screening: experts focus on increasing opportunity as a way of reducing differences in screening rates

Correlates of Rural, Appalachian, and Community Identity in the CITIES Cohort

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