"Rural Cervical Cancer Survivors’ Experiences of Gender Roles: An Appli" by Olivia K. Pointer

Date of Award

Summer 8-24-2024

Document Type

Dissertation

Degree Name

Ph.D.

Organizational Unit

Morgridge College of Education, Counseling Psychology

First Advisor

Trisha L. Raque

Second Advisor

Lisa Brownstone

Third Advisor

Nicole Nicotera

Copyright Statement / License for Reuse

All Rights Reserved
All Rights Reserved.

Keywords

Cervical cancer, Gender role, Oncology, Psychosocial oncology, Rural, Social constructionism

Abstract

Rural cervical cancer survivors, or individuals with a form of cancer that originated in the cervix of the reproductive system, may be uniquely impacted by socially constructed gender roles. The present study utilized the term “females” to describe those who self-identify as having a cervix, which may include cisgender, transgender, intersex, and non-binary gender identities. Rural females have been indicated to hold salience in traditional gender expectations as partners, mothers, community members, and more, which may add survivorship complexity for cervical cancer survivors within this population by to attempting to fulfill gender roles to the pre-cancer level. Moreover, rural cervical cancer survivors have limited access to specialty healthcare services and endure higher mortality rates compared to urban females. Utilizing a social constructionist lens, this dissertation qualitatively examined the gender role experiences of 10 rural cervical cancer survivors in active treatment ranging from 27 to 51 years of age. Participants completed a demographic questionnaire and semi-structured individual interview addressing (a) salient gender roles; (b) how gender roles are interpersonally and intrapersonally affected by cervical cancer; (c) how survivors cope with gender role demands; (d) how survivors are affected by social messaging of gender roles; and (e) how survivors’ gender role experiences may be addressed with oncology providers. The Consensual Qualitative Research methodology elicited seven domains, comprising Interpersonal Impact, Identity Impact, Emotional Impact, Physiological Impact, Coping, Navigating the Medical System, and Systemic Social Messaging. Results contribute to the psycho-oncology field by empirically describing the gender role experiences of a highly understudied gynecologic oncology population, and recommending culturally responsive clinical points of entry to address rural cervical cancer survivors’ gender role needs in treatment.

Copyright Date

8-2024

Publication Statement

Copyright is held by the author. User is responsible for all copyright compliance.

Rights Holder

Olivia K. Pointer

Provenance

Received from Author

File Format

application/pdf

Language

English (eng)

Extent

247 pgs

File Size

1.4 MB



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