SOCIAL REPRESENTATIONS TOWARDS SELF-CARE FOR BREAST CANCER PREVENTION
DOI:
https://doi.org/10.17533/udea.iee.2822Keywords:
Nursing research, social representation, breast cancer, self-care, prevention.Abstract
Objective: to understand the social representations of breast cancer in a group of women of Medellin, Colombia, 2007 -2008, and their influence in prevention and self-care practices.
Methodology: qualitative study carried out with 19 semi-structured interviews to adult women who have not had breast cancer using the sampling criterion of maximum variation. The analysis is based on grounded theory.
Results and discussion: the representations are predominantly aesthetic. The knowledge about self-care practices is vague; scarce information and education are perceived on those issues. Self-examination, mammography and clinical examination are not done, or are done without due frequency. This coincides with other studies. In relation to the possibility of suffering breast cancer, some of them consider their confusion and scarce preparation to deal with it. Women need higher autonomy for self-care and the right to define their health and to impose limits on it. People are responsible for their life styles, regardless non controllable factors. The self-care allows that life goes on and is our contribution to our own existence.
Conclusions: in addition to the social representation of breasts as object of attraction, the interviewees have a negative representation of breast cancer. These representations neither foster breast cancer prevention nor contribute to self-care practices. We are puzzled by the fact that had never suffered cancer would describe vividly their concerns about its effects. We think that this is related to a construction of femininity that deserves to be revised.
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(1) Radice D, Redaelli A. Breast cancer management: quality of life and cost considerations. Pharmacoeconomics. 2003;21(6):383-396.
(2) Organización Mundial de la Salud. Programas Nacionales de Control del Cáncer: Políticas y pautas para la gestión [internet]. Ginebra: OMS; 2005 [acceso el 7 de agosto de 2005]. Disponible en: http://www.paho.org/Spanish/AD/DPC/NC/pcc-NCCP.pdf.
(3) Ministerio de la Protección Social. Política Nacional de Salud Sexual y Reproductiva. Bogotá. Ministerio de Protección Social; 2003. p. 11.
(4) Angus J, Miller K, Pulfer T, McKeever P. Studying delays in breast cancer diagnosis and treatment: critical realism as a New Foundation for Inquiry. Oncol Nurs Forum. 2006;33(4):62-70.
(5) Kaplan CP, Haas JS, Perez EJ, Gregorich SE, Somkin C, Des Jarlais G, et al. Breast cancer risk reduction options: awareness, discussion, and use among women from four ethnic groups. Cancer Epidemiol Biomarkers Prev. 2006;15(1):162-166.
(6) Ministerio de Salud. III estudio nacional de salud bucal y II estudio nacional de factores de riesgo de enfermedades crónicas- ENFERC II. Bogotá: Ministerio de Salud; 1999. p. 31.
(7) Shaheen M, Galal O, Drew C. Practices for early detection of breast cancer among Muslim women in Southern California. Am Coll Epidemiol. 2005;15(8):630–665.
(8) Nekhlyudov L, W Suzanne. Fletcher is it time to stop teaching breast self-examination? Can Med Assoc J. 2001;164(13):1837-46
(9) Arulkumaran S, Timothy R.B, Johnson M.D. Contemporary issues in women’s health. Int J Gynaecol Obstet. 2003;80(1):5-7.
(10) Larkin M. Breast self examination does more harm than good says task force. Lancet. 2001; 357(9274):2109.
(11) Semiglazov V, Moiseenko V, Bavli I, Migmanova N, Seleznev I. Work experience of the WHO International Reference Center in assessing the effectiveness of self-examination for the early diagnosis of breast cancer (results of 2 years’ research). Vopr Onkol. 1988;34(8):969-74.
(12) Jalvandi S, Montazeri A, Flarirchi I, Kazcrnnejad A. Beliefs and behaviours of Iranian teachers toward early detection of breast cancer and breast self-examination. J Public Health. 2002;116:245-249.
(13) Lima R, Ferreira M. The social representation of the woman about the cancer: implications for the nursing care. Online Braz J Nurs. 2003;2(2).
(14) Anagnostopoulos F, Spanea E. Assessing illness representations of breast cancer A comparison of patients with healthy and benign controls. J Psychosom Res. 2005;58(4):327-334.
(15) Wiesner C, Vejarano M, Caicedo J, Tovar S, Cendales R. La citología de cuello uterino en Soacha, Colombia: representaciones sociales, barreras y motivaciones. Rev Salud Pública. 2006;8(3):185-196.
(16) Medina A. Representaciones del Cáncer en Estudiantes de Medicina. Rev Salud Pública. 2007;9(3):369-378.
(17) Strauss A, Corbin J. Bases de la investigación cualitativa: técnicas y procedimientos para desarrollar la teoría fundamentada. Medellín: Universidad de Antioquia; 2002. p.13-14.
(18) Taylor S, Bogdan R. Introducción a los métodos cualitativos de investigación. Barcelona: Paidós Ibérica; 1992. p. 343.
(19) Draucker C, Martsolf D, Ross R, Rusk Thomas B. Theoretical sampling and category development in grounded theory.Qual Health Res. 2007;17(8);1137-1148.
(20) Johnson B, Christensen L. Educational research: quantitative, qualitative, and mixed approaches. Thousand Oaks: SAGE; 2007. p. 277.
(21) Miles M, Huberman A. Qualitative data analysis: an expanded sourcebook. Thousand Oaks: SAGE; 1994. p. 291.
(22) Dirección Seccional de Salud de Antioquia. Dirección de pro-gramas y proyectos. Mujeres y Salud: un estudio cualitativo. Medellín; Gobernación de Antioqua; 1995. p. 88.
(23) Schiller P, Levin J. Is self-care a social movement?. Soc Sci Med. 1983;17(18):1343-52
(24) Shildrick M. Vital signs: feminist reconfigurations of the biological body. Edinburgh: Edinburgh University Press; 1998. p. 4-6.
(25) Clarke A, Olesen V. Revisioning women, health and healing. New York: Routledge; 1999. p. 3-4,14-17.
(26) Kickbusch I. A feminist view on self care in health. World Health Forum. 1981;2(2):196-7.
(27) Bendelow G, Carpenter M, Vautier C, Williams S. Gender, health, and healing: the public private divide. New York: Routledge; 2002. p.79.
(28) Withrorn A. Helping ourselves. En: Conrad P. The sociology of health and illness: critical perspectives. New York: Worth Publisher; 2001. p. 450-459.
(29) Pearson C. Self help clinic celebrates 25 years. Washigton: National Women’s Health Network; 2005.
(30) Daykin N, NaidooJ. Feminist critiques of health promotion. En: Bunton R, Nettleton S, Bur R. The sociology of health promotion analyses of consumption, lifestyle, and risk. New York: Routledge; 1995.
(31) Soto N, Vasco C. Representaciones sociales y discapacidad. Hologramática. 2008;8(1):3-22.
(32) Lima A. Representações sociais sobre o câncer de mama feminina, sua etiologia e seu tratamento [internet]. Rio de Janeiro: Pontifícia Universidade Católica do Rio de Janeiro; 2005 [acceso 2007 octubre 19] Disponible en: http://www.maxwell.lambda.ele.pucrio.br/Busca_etds.php?strSecao=resultado&nrSeq=6059@1
(33) Cannone P, Dany L, Dudoit E, Duffaud F, Salas S, Favre R. A study of the social representations in chemotherapy: a way to analyse the relations between patients and oncologist. Bull Cancer. 2004;91(3):279-84.
(34) Cagnin E, Liston N, Dupas G. Children’s social representation of cancer. Rev Esc Enferm USP. 2004;38(1):51-60.
(35) Parales C. Representaciones sociales del comer saludablemente: un estudio empírico en Colombia. Universitas Psychol. 2006;5(3):613-626.
(36) Candreva A, Paladino C. Cuidado de la salud: el anclaje social de su construcción estudio cualitativo. Universitas Psychol. 2005;4(1):55-62.
(37) Chávez R, Arcaya M, Garcia G, Surca T, Infante M. Rescatando el autocuidado de la salud durante el embarazo, el parto y el recién nacido: representaciones sociales de mujeres de una comunidad nativa en Perú. Enferm. 2007;16(4):680-687.
(38) Uribe T. El autocuidado y su papel en la promoción de la salud. Invest Educ Enferm. 1999;18(2):109-118.
(39) Ibáñez R. Representación social de la diabetes en diabéticos que muestran adherencia al tratamiento y en diabéticos que muestran poca adherencia. México: Benemérita Universidad Autónoma de Puebla; 2007.
(40) Álvarez L, Acevedo A, Durán AP. Representaciones sociales de la salud y de la enfermedad en pacientes hospitalizados de Bucaramanga y Floridablanca, Colombia. Univ Méd. 2008;49(3):328-343.
(41) Illich I. Nemesis medica. New York: Pantheon Books; 1976. p. 265.
(42) Steiger N, Lipson J. Self care- nursing theory & practice. Maryland: Prentice Hall Publishing; 1985.
(43) Colliere MF. Promover la vida. Madrid: MacGraw-Hill; 1993. p. 5
(44) Marriner T, Alligood R. Orem: teoría del deficit de autocuidado. En: Marriner T. Modelos y teorías en enfermería. Madrid: Hancourt; 1999. p. 177.
(45) Wiesner C. Determinantes psicológicos, clínicos y sociales del diagnóstico temprano del cáncer de mama. Rev. Col. Cancerol.2007;11(1):13-22.
(46) Borrayo E, Guarnaccia C. A differences in Mexican-born and U.S.-born women of Mexican descent regarding factors related to breast cancer screening behaviors. Health Care Women Int. 2000; 21(7);599-613.
(47) Keinan-Bokera L, Baron-Epela O, Garty N, Gree M. Family history of breast cancer and compliance with mammography in Israel: findings of survey 2003–2004. Int J Canc Prev. 2007;16:43–49.
(48) Hay J, McCaul K, Magnan R. Does worry about breast cancer predict screening behaviors? A meta-analysis of the prospective evidence. Prev Med. 2006;42(6):401-408.
(49) Lostao L, Joiner T, Pettit J, Chorot P, Sandín B. Health beliefs and illness attitudes as predictors of breast cancer screening attendance. Eur J Public Health. 2001;1:274-279.
(50) Oliver M, Sánchez M, Suárez E, Vélez H, Arroyo Y. Breast cancer health promotion model for older Puerto Rican women: results of a pilot programme. Health Promot Int 2002;17:3-11.
(51) Nahcivan N, Secginli S. Health beliefs related to breast self-examination in a sample of Turkish women. Oncol Nurs Forum. 2007;34(2):425-432.
(52) Park Tanjasiri S, Kagawa M, Foo M, Chao M, Linayao I, Nguyen J, et al. Designing culturally and linguistically appropriate health interventions: the “life is precious” Hmong breast cancer study. Health Educ Behav. 2007;34;140–153.
(53) Herranz J, De la Torre A, Bueno MJ, Manos D, Mateos N. Body image in relation to self-esteem in a sample of Spanish women with early-stage breast cancer. Psicooncología. 2005;2(1):103-116.
(54) Brédart A, Petit J. Partial mastectomy: a balance between oncology and aesthetics?. Lancet Oncol. 2005;6(3):130.
(55) Raven L, Dean B. Breast cancer and body image off our backs [internet]. New York: Bnet; 1994 [acceso 17 febrero 2007]. Disponible en: http://findarticles.com/p/articles/mi_qa3693/is_199411/ai_n8725003.
(56) Petersen A, Lupton D. The new public health: Health and self in the age of risk.. London: Sage Publications; 1996. p. 1-26
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