Why don't some women return for cervical smears? A hermeneutic phenomenological investigation.
To enhance understanding of how having a cervical smear can lead some women not to keep up-to-date with this test, a hermeneutic (interpretative) phenomenological study was undertaken. Participants were six purposively selected New Zealand women -- predominantly Māori -- at least 6 months overdue for a follow-up cervical screen in the previous 6 years. Each woman gave an in-depth interview. Transcribed and analyzed via a general inductive approach, the interviews suggested that the smears can violate women's positive aloneness with their bodies, and magnify aloneness as a negative state. Overdueness for the test avoids these effects. To minimize such effects, primary health care needs to acknowledge and address these issues, for example by providing an opportunity to connect the aloneness to trusted others.
Buetow
Stephen
S
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand. s.buetow@auckland.ac.nz
Janes
Ron
R
Steed
Robin
R
Ihimaera
Louise
L
Elley
C Raina
CR
D000328:Adult; D001294:Attitude to Health; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008875:Middle Aged; D009520:New Zealand; D030361:Papillomavirus Infections / Q000175:diagnosis; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012938:Social Perception; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis; D014626:Vaginal Smears / Q000523:psychology*; D016387:Women's Health