Subject positions in screening mammography and implications for informed choice.
Screening mammography has potential benefits as well as harms, but these are not always communicated to women. We therefore explored how women discuss screening mammography, the subject positions made available in their discourse, and the implications of these for informed choice. Design: We conduct...
| Publicado en: | Psychology & Health Vol. 36; no. 4; pp. 478 - 496 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149380999&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149380999 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08870446 7WK jtl: Psychology & Health issn: 08870446 maglogo: N pubinfo: dt: Apr2021 vid: 36 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 149380999 145545344 149380999 149380999 10.1080/08870446.2020.1766043 149380999 ppf: 478 ppct: 18 formats: fmt: @attributes: type: P tig: atl: Subject positions in screening mammography and implications for informed choice. aug: au: Seaman, Kristen Dzidic, Peta L. Castell, Emily Saunders, Christobel Breen, Lauren J. affil: School of Psychology, Curtin University, Perth, Western Australia, Australia sug: subj: Decision Making Mammography Methods Cancer Screening Psychosocial Factors Consent Health Psychology Human Female Semi-Structured Interview Adult Middle Age Aged Discourse Analysis Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female ab: Screening mammography has potential benefits as well as harms, but these are not always communicated to women. We therefore explored how women discuss screening mammography, the subject positions made available in their discourse, and the implications of these for informed choice. Design: We conducted 16 individual interviews with women aged 44-72 years who were attenders (n = 11) and non-attenders (n = 5) of screening, and analysed transcripts through Foucauldian Discourse Analysis. Main Outcome Measures: A semi-structured interview guide, informed by literature and researcher expertise, was used to collect data. Results: The women constructed screening mammography as either helpful or potentially harmful. We identified three subject positions—The Responsible Woman (who attends screening), The Irresponsible Woman (who does not attend screening), and the Judicious Woman (who engages in alternate breast health practices). Conclusion: These subject positions have the potential to limit women's choices, constrain shared decision-making with health professionals, and restrict women's engagement in risk-reducing behaviours. An expanded range of options ultimately offers an alternate future in which women's autonomy to control their own bodies is better supported. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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