The Influence of Institutional Logics and Emotions on the Uptake of Cervical Cancer Screening: A Case Study From Xai-Xai, Mozambique.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2024-08-27 eCollection Date: 2024-01-01 DOI:10.1177/11786329231224619
Gefra Fulane, Maria Major, Cesaltina Lorenzoni, Khatia Munguambe
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Abstract

This study investigates the role of emotional attachment to competing institutional logics on women's uptake of cervical cancer screening in Mozambique. Through a qualitative study conducted in Xai-Xai, Southern Mozambique, we identify 2 concurrent logics in the context of screening: preservation logic, influenced by social-cultural norms, and the prevention logic, centered around screening. Women, affected by emotions such as shame, fear, and marital subordination, often become attached to the preservation logic, which influences their values and contradicts acceptance of screening. However, some women with marital autonomy may reflect on both logics and gradually detach themselves from the preservation norms and show their intention to adopt life-saving behavior by accepting screening. It is through their emotions that women show their attachment to and detachment from competing logics, reinforcing traditional norms on the one hand, or giving them the means to adopt preventive measures on the other. The study indicates that cultural expectations, shame and the desire to preserve intimacy tie women to the logic of preservation and have a negative impact on participation in cervical cancer screening. Consequently, to improve screening uptake in Mozambique, the authorities need to adapt screening to socio-cultural and emotional factors, empower women, and effectively engage communities.

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制度逻辑和情感对接受宫颈癌筛查的影响:莫桑比克 Xai-Xai 案例研究》。
本研究调查了莫桑比克妇女在接受宫颈癌筛查时对相互竞争的制度逻辑所产生的情感依恋。通过在莫桑比克南部赛赛(Xai-Xai)进行的一项定性研究,我们确定了筛查背景下的两种并存逻辑:受社会文化规范影响的保护逻辑和以筛查为中心的预防逻辑。妇女受到羞耻、恐惧和婚姻从属地位等情绪的影响,往往会依附于保护逻辑,这影响了她们的价值观,并与接受筛查相矛盾。然而,一些拥有婚姻自主权的妇女可能会对这两种逻辑进行反思,逐渐从保护规范中脱离出来,并通过接受筛查来表明自己采取挽救生命行为的意愿。妇女正是通过她们的情感表现出她们对相互竞争的逻辑的依恋和疏离,这些逻辑一方面强化了传统规范,另一方面也给了她们采取预防措施的手段。研究表明,文化期望、羞耻感和保持亲密关系的愿望将妇女束缚在保持亲密关系的逻辑中,对参与宫颈癌筛查产生了负面影响。因此,为了提高莫桑比克的筛查率,当局需要使筛查适应社会文化和情感因素,增强妇女的能力,并有效地让社区参与进来。
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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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