Document Detail


Decision making, beliefs, and attitudes toward hysterectomy: a focus group study with medically underserved women in Texas.
MedLine Citation:
PMID:  10714744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Variations in hysterectomy rates have been associated with assorted physician and patient characteristics, and the disproportionate rate of hysterectomies in African American women has been attributed to a higher prevalence of leiomyomas. The role of women's beliefs and attitudes toward hysterectomy and participation in decision making for medical treatment has not been explored as a source of variance. The purposes of this qualitative study were to explore these constructs in a triethnic sample of women to understand beliefs, attitudes, and decision-making preferences among underserved women; to facilitate development of a quantitative survey; and to inform development of interventions to assist women with such medical decisions. Twenty-three focus groups were conducted with 148 women from community sites and public health clinics. Thirteen self-identified lesbians participated in three groups. Analysis of audiotaped transcripts yielded four main themes: perceived outcomes of hysterectomy, perceived views of men/partners, opinions about healthcare providers, decision-making process. Across groups, the women expressed similar expectations from hysterectomy, differing only in the degree to which dimensions were emphasized. The women thought men perceived women with hysterectomy as less desirable for reasons unrelated to childbearing. Attitudes toward physicians were negative except among Hispanic women. All women expressed a strong desire to be involved in elective treatment decisions and would discuss their choice with important others. Implications for intervention development include enhancing women's skills and confidence to evaluate treatment options and to interact with physicians around treatment choices and creation of portable educational components for important others.
Authors:
J Y Groff; P D Mullen; T Byrd; A J Shelton; E Lees; J Goode
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of women's health & gender-based medicine     Volume:  9 Suppl 2     ISSN:  1524-6094     ISO Abbreviation:  J Womens Health Gend Based Med     Publication Date:  2000  
Date Detail:
Created Date:  2000-03-30     Completed Date:  2000-03-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100888719     Medline TA:  J Womens Health Gend Based Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S39-50     Citation Subset:  IM    
Affiliation:
The University of Texas-Houston Health Science Center Medical School, 77030, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / psychology*
Aged
Attitude to Health* / ethnology
Decision Making*
European Continental Ancestry Group / psychology*
Female
Focus Groups
Hispanic Americans / psychology*
Homosexuality, Female / psychology
Humans
Hysterectomy / psychology*
Male
Medically Underserved Area
Middle Aged
Poverty
Questionnaires
Texas
Women's Health
Grant Support
ID/Acronym/Agency:
U48/CCU609653-04 SIP25W//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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