IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v63y2006i3p776-787.html
   My bibliography  Save this article

Providers' constructions of the role of women in cervical cancer screening in Bulgaria and Romania

Author

Listed:
  • Todorova, Irina L.G.
  • Baban, Adriana
  • Balabanova, Dina
  • Panayotova, Yulia
  • Bradley, Janet

Abstract

The social and institutional context of health-care reform in Eastern Europe has important implications for cervical cancer screening and prevention. The incidence and mortality from cervical cancer in Bulgaria and Romania have risen, which is in sharp contrast to the steady decline in most other countries in Europe during the last 2 decades. To analyze these dynamics we conducted a multi-component study of health systems and psychosocial aspects of cervical cancer screening in Bulgaria and Romania. Following the disappearance of organized preventive programs, the initiative for cervical cancer screening has shifted to providers and clients and depends on the way they perceive their responsibility and interpret their own and each other's roles in prevention. We focus on how providers construct women and their role in prevention of cervical cancer through their accounts. The analysis identified several discourses and themes in providers' constructions of women's responsibility for prevention of disease. These include responsible women as 'intelligent' and 'cultured'; non-attenders as 'irresponsible' and 'negligent'; women as needing monitoring and sanctioning; and women as 'victims' of health-care reform. We discuss the implications for health-care reform and health promotion.

Suggested Citation

  • Todorova, Irina L.G. & Baban, Adriana & Balabanova, Dina & Panayotova, Yulia & Bradley, Janet, 2006. "Providers' constructions of the role of women in cervical cancer screening in Bulgaria and Romania," Social Science & Medicine, Elsevier, vol. 63(3), pages 776-787, August.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:3:p:776-787
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(06)00060-8
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Balabanova, Dina & McKee, Martin, 2004. "Reforming health care financing in Bulgaria: the population perspective," Social Science & Medicine, Elsevier, vol. 58(4), pages 753-765, February.
    2. Sarkadi, Anna & Widmark, Catarina & Törnberg, Sven & Tishelman, Carol, 2004. "The 'hows', 'whos', and 'whens' of screening: gynaecologists' perspectives on cervical cancer screening in urban Sweden," Social Science & Medicine, Elsevier, vol. 58(6), pages 1097-1108, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Raluca Dania Todor & Gabriel Bratucu & Marius Alexandru Moga & Adina Nicoleta Candrea & Luigi Geo Marceanu & Costin Vlad Anastasiu, 2021. "Challenges in the Prevention of Cervical Cancer in Romania," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    2. Stephen Hinchliffe & Mark A. Jackson & Katrina Wyatt & Anne E. Barlow & Manuela Barreto & Linda Clare & Michael H. Depledge & Robin Durie & Lora E. Fleming & Nick Groom & Karyn Morrissey & Laura Salis, 2018. "Healthy publics: enabling cultures and environments for health," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    3. Andreassen, Trude & Weiderpass, Elisabete & Nicula, Florian & Suteu, Ofelia & Itu, Andreea & Bumbu, Minodora & Tincu, Aida & Ursin, Giske & Moen, Kåre, 2017. "Controversies about cervical cancer screening: A qualitative study of Roma women's (non)participation in cervical cancer screening in Romania," Social Science & Medicine, Elsevier, vol. 183(C), pages 48-55.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mohammed Khaled Al-Hanawi & Omar Alsharqi & Saja Almazrou & Kirit Vaidya, 2018. "Healthcare Finance in the Kingdom of Saudi Arabia: A Qualitative Study of Householders’ Attitudes," Applied Health Economics and Health Policy, Springer, vol. 16(1), pages 55-64, February.
    2. Mohammed Khaled Al-Hanawi & Kirit Vaidya & Omar Alsharqi & Obinna Onwujekwe, 2018. "Investigating the Willingness to Pay for a Contributory National Health Insurance Scheme in Saudi Arabia: A Cross-sectional Stated Preference Approach," Applied Health Economics and Health Policy, Springer, vol. 16(2), pages 259-271, April.
    3. Parfitt, Barbara Ann & Cornish, Flora, 2007. "Implementing Family Health Nursing in Tajikistan: From policy to practice in primary health care reform," Social Science & Medicine, Elsevier, vol. 65(8), pages 1720-1729, October.
    4. Chung-Ping Loh & Katrin Nihalani & Oliver Schnusenberg, 2012. "Measuring attitude toward social health insurance," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(6), pages 707-722, December.
    5. Atanasova, Elka & Pavlova, Milena & Velickovski, Robert & Nikov, Bogomil & Moutafova, Emanuela & Groot, Wim, 2011. "What have 10 years of health insurance reforms brought about in Bulgaria? Re-appraising the Health Insurance Act of 1998," Health Policy, Elsevier, vol. 102(2), pages 263-269.
    6. Gaspar, Mark & Rosenes, Ron & Burchell, Ann N. & Grennan, Troy & Salit, Irving & Grace, Daniel, 2020. "Diagnosing uncertainty: The challenges of implementing medical screening programs for minority sub-populations in Canada," Social Science & Medicine, Elsevier, vol. 244(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:63:y:2006:i:3:p:776-787. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.