Cervical Cancer and the Mother-Daughter Relationship

宫颈癌与母女关系

• 批准号: 7057715
• 负责人: MAGHBOEBA MOSAVEL
• 金额: $ 7.73万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7057715
• 关键词: Africa; African; adolescence (12-20); behavioral /social science research tag; cancer prevention; cervical /vaginal smear; cervix neoplasms; clinical research; female; focus groups; health behavior; human subject; interview; mother child interaction; motivation; neoplasm /cancer diagnosis; women' s health

DESCRIPTION (provided by applicant): Cervical cancer is a largely preventable disease when women receive regular pap smears. Estimates suggest that the introduction of pap smears to populations naive to screening reduces cervical cancer rates by 60-90% within three years of implementation. However, many women do not obtain screening because they know little about cervical cancer, fear the prospect of having a pap smear, or remain fatalistic about their health. Cervical cancer remains a major global problem. In South Africa, where we propose to conduct this study, cervical cancer is currently the second most common female cancer. The risk of developing cervical cancer for black South African women is 1 in 29. This extraordinarily high risk has been attributed, among other factors, to a lack of educational efforts aimed at informing women about cervical cancer and motivating them to utilize existing screening resources. In an effort to explore innovative and culturally appropriate strategies to promote screening, we have developed two specific aims: 1) explore the cervical cancer-related knowledge and behaviors of mothers and 2) explore the mother-daughter relationship and its potential for daughter-initiated cervical cancer prevention. This study plans to meet the first object through conducting focus groups with mothers. The second objective will be met by conducting semi-structured interviews to explore in-depth the dimensions of the mother-daughter relationship and the norms associated with advice giving and receiving, particularly health advice. Each of these aims will contribute formative data to better understand the potential of using daughters as advocates to promote cervical cancer screening with their mothers. Effective and innovative methods are needed to help promote screening for cervical cancer. The mother-daughter relationship offers unexplored opportunities for health promotion research and in particular for emphasizing the importance of pap smears. Finally, the mother-daughter relationship has implications for effecting inter-generational prevention behavior for cervical cancer.

描述（由申请人提供）： 当女性定期接受子宫颈抹片检查时，宫颈癌在很大程度上是可以预防的疾病。据估计，在未接受过筛查的人群中引入子宫颈抹片检查可在三年内将宫颈癌发病率降低 60-90%。然而，许多女性没有接受筛查，因为她们对宫颈癌知之甚少，担心接受子宫颈抹片检查，或者对自己的健康抱有宿命论。宫颈癌仍然是一个主要的全球问题。在我们计划开展这项研究的南非，宫颈癌目前是第二大常见女性癌症。南非黑人女性患宫颈癌的风险为二十九分之一。除其他因素外，这种极高的风险归因于缺乏旨在让女性了解宫颈癌并激励她们利用现有筛查资源的教育工作。为了探索创新和文化上适当的策略来促进筛查，我们制定了两个具体目标：1）探索母亲与宫颈癌相关的知识和行为；2）探索母女关系及其对女儿发起筛查的潜力。宫颈癌的预防。本研究计划通过与母亲进行焦点小组讨论来实现第一个目标。第二个目标将通过进行半结构化访谈来实现，以深入探讨母女关系的维度以及与提供和接受建议（特别是健康建议）相关的规范。这些目标中的每一个都将提供形成性数据，以更好地了解利用女儿作为倡导者与母亲一起促进宫颈癌筛查的潜力。需要有效和创新的方法来帮助促进宫颈癌筛查。母女关系为健康促进研究提供了前所未有的机会，特别是强调子宫颈抹片检查的重要性。最后，母女关系对影响子宫颈癌的代际预防行为具有影响。