title: Rational choice(s)? Rethinking decision-making on breast cancer risk and screening mammography.
abstract: Women who refrain from undergoing breast cancer screening are believed to be uninformed about risks and usually labeled as irrational. Our purpose in writing this paper is to challenge the traditional notion of rational behaviour, illustrating with qualitative data that people's rationality is influenced by their socio-cultural and political identities. We explore three major themes: (1) cultural explanations regarding intention to use screening mammography (2) (dis)trust in science and expert opinion, and (3) self-responsibility and self-surveillance in caring for one's body. Understanding that women rely on different risk discourses to make decisions about their health should aide researchers, health professionals, and the community in better understanding alternative ways of conceptualizing people's health-related behaviours when they do not coincide with health authorities recommendations.
authors: Toronto District Health Council, Faculty of Nursing, University of Toronto, 41412 Yonge Street, Suite 2001, Toronto, Ontario, Canada M2P 2A8. mvahabi@tdhc.org
authors: Mandana
authors: M
authors: Vahabi
authors: Denise
authors: D
authors: Gastaldo
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000209:etiology; D002755:Choice Behavior; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008128:Logic; D008327:Mammography / Q000523:psychology* / Q000706:statistics & numerical data; D008403:Mass Screening / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D009042:Motivation; D015404:Nursing Methodology Research; D009864:Ontario; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology* / Q000706:statistics & numerical data; D036301:Qualitative Research; D018570:Risk Assessment; D012648:Self Care / Q000523:psychology; D012649:Self Concept; D011795:Surveys and Questionnaires; D035502:Trust; D014930:Women / Q000193:education / Q000523:psychology*