Worry and Bother: Factors in Rural Women’s Health Decision Making

McCulloch, B. Jan; Jackson, Melanie; Lassig, S.

doi:10.1080/08952841.2014.934645

Cited by 2 publications

(1 citation statement)

References 19 publications

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“…25 Studies into rural culture have revealed distinctions relevant to health and embodiment, including the reliance on independence and religion, a focus on capacity to work and not burdening others, a fear of stigma and disclosure, and a distrust in health care. [26][27][28][29][30] Therefore, rurality may materially and socially shape individuals' health care experiences, behaviors, and social treatment.…”

Section: Weight Stigmamentioning

confidence: 99%

Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income

Watson¹,

Hughes²,

Robinson³

et al. 2021

Journal of Patient-Centered Research and Reviews

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Weight stigma has become widespread within health care and disproportionately affects women, who are under greater appearance-based scrutiny than men. It is also well established that ruralbased individuals with low incomes suffer greater health disparities compared with urban, higher-income counterparts, yet studies examining recommendations for nonstigmatizing health care among higherweight women from low-income rural settings are lacking. This study examined the experiences and recommendations of higher-weight, low-income, rural women, with the aim of improving health care for similar populations. MethodsIn-depth, semi-structured interviews were conducted in a rural region of the Midwestern United States to explore participants' recommendations for redressing stigma within health care. All participants (n=25) self-identified as higher-weight, low-income, rural women. ResultsAll participants experienced or were aware of weight stigma within health care. Themes identified from responses were understanding patients and their situations, offering options and supplemental information, communicating effectively, taking time, and having a positive attitude. Patient recommendations focused on correcting physician biases, rapport-building, and providing holistic care. ConclusionsThe findings suggest that weight stigma is prevalent within health care provided to low-income women in rural U.S. Midwest and that there are specific communication and training approaches that may reduce the prevalence of weight stigma in health care.

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Section: Weight Stigmamentioning

confidence: 99%

Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income

Watson¹,

Hughes²,

Robinson³

et al. 2021

Journal of Patient-Centered Research and Reviews

View full text Add to dashboard Cite

show abstract

Influence of Cancer Worry on Four Cancer Related Health Protective Behaviors among a Nationally Representative Sample: Implications for Health Promotion Efforts

et al. 2017

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The aims of this study were to assess what sociodemographic characteristics are associated with cancer worry and what the influence of cancer worry is on four cancer-related protective health behaviors. Data from the Health Information National Trends Survey (HINTS) (4th cycle of the 4th iteration) were used. Multiple regression models were used for all analyses. Behaviors analyzed were as follows: physical activity, diets, smoking, and routine medical screening. Demographics controls included participant age, income, body mass index (BMI), race/ethnicity, and education. N = 2630, Older participants (OR = .99, p < .001), participants with higher BMI (OR = 1.01, p = .017), females (OR = 1.39, p < .001), and highly educated participants were more likely to worry about cancer. Cancer worry was not a significant predictor of exercise, healthy eating, or cancer screening behaviors. However, participants who worried about cancer were more likely to be current smokers (RRR = 1.20, p < .001) compared to participants who never smoked. Although, worry is only an emotional influence on health behavior and may be short-lived, the influence of worry on health-related decision making is likely to be lasting even when the emotions are no longer present.

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Worry and Bother: Factors in Rural Women’s Health Decision Making

Cited by 2 publications

References 19 publications

Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income

Patient Recommendations for Providers to Avoid Stigmatizing Weight in Rural-Based Women With Low Income

Influence of Cancer Worry on Four Cancer Related Health Protective Behaviors among a Nationally Representative Sample: Implications for Health Promotion Efforts

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