Matching Items (5)
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- All Subjects: Gender
- All Subjects: Breast
- Creators: Wutich, Amber
Description
While women in higher income countries can expect to survive a diagnosis of breast cancer, women in lower- and middle-income countries such as Bangladesh have mortality rates near 50%, suggesting that there are significant barriers to care seeking for breast problems. Given limited literature on barriers to care among native, rural South Asian populations, this study thus sought to understand 1) the impacts of breast problems on women and their families, including the extent of abuse among women with breast problems, and 2) the barriers and facilitators of care for women with breast problems in rural Bangladesh.
Sixty-three study participants (43 women and 20 men) were interviewed about their experiences. Interviewers elicited barriers to care, facilitators of care, and questions about the attitudes and behaviors of family and community members were in structured interviews.
The study found that breast problems and their treatment put significant resource and emotional strains on the family. Furthermore, over a third of women in this study reported abuse of some kind, with emotional abuse, neglect, and abandonment being the most frequently reported.
The study reinforced barriers to care identified in the literature for South Asian populations, but only a quarter of participants reported stigma of any kind. Lack of knowledge about breast cancer and inability to pay for care were the most frequently reported barriers, followed by access to care and fear of treatment. Facilitators of care among women who received a biopsy point to the importance of support by the husband and husband’s family, as well as the ability to identify economic support for and knowledge about care.
This study contributes to the understanding of two overarching themes: structural violence and the value of women, as well as how these themes influence poor outcomes for women with breast cancer in rural Bangladesh. Suggestions for future studies and short and long-term interventions to address study findings are offered.
Sixty-three study participants (43 women and 20 men) were interviewed about their experiences. Interviewers elicited barriers to care, facilitators of care, and questions about the attitudes and behaviors of family and community members were in structured interviews.
The study found that breast problems and their treatment put significant resource and emotional strains on the family. Furthermore, over a third of women in this study reported abuse of some kind, with emotional abuse, neglect, and abandonment being the most frequently reported.
The study reinforced barriers to care identified in the literature for South Asian populations, but only a quarter of participants reported stigma of any kind. Lack of knowledge about breast cancer and inability to pay for care were the most frequently reported barriers, followed by access to care and fear of treatment. Facilitators of care among women who received a biopsy point to the importance of support by the husband and husband’s family, as well as the ability to identify economic support for and knowledge about care.
This study contributes to the understanding of two overarching themes: structural violence and the value of women, as well as how these themes influence poor outcomes for women with breast cancer in rural Bangladesh. Suggestions for future studies and short and long-term interventions to address study findings are offered.
ContributorsSteiness, Heather Lynn Story (Author) / Hruschka, Daniel J (Thesis advisor) / Wutich, Amber (Committee member) / Ginsburg, Ophira (Committee member) / Arizona State University (Publisher)
Created2016
Description
Climate change poses a threat to the emotional well-being and livelihood strategies of individuals in biophysically vulnerable communities. While the biophysical effects and possibilities of climate change are well-documented, understanding the emotional impacts on individuals in these communities is an avenue of research that requires more exploration. Using an ethnographic approach, this study analyzes the emotional responses of individuals, first in three biophysically vulnerable communities in the United States, and second, in island communities. Study sites in the United States include Mobile, Alabama; Kodiak, Alaska; and Phoenix, Arizona, each of which have different vulnerabilities to the effects of climate change. Internationally, we conducted research in Viti Levu, Fiji; Nicosia, Cyprus; Wellington, New Zealand; and London, England. Using the 2014 Global Ethnohydrology Study Protocol respondents were asked about their emotional responses to the current effects of climate change, the effects of climate change on livelihoods in their area, and the effects of climate change on the younger generation. Using cross-cultural data allows for a broader understanding of emotional distress and wellbeing in response to climate change in areas with similar expected climate change outcomes, although with different levels of biophysical vulnerability, as well as understanding emotional distress and wellbeing in areas with different expected climate change outcomes, and similar levels of biophysical vulnerability. Results from this research can be used to understand possible mental health outcomes, the possibilities for political activism, and how to create mitigation strategies that resonate with local community members.
ContributorsDu Bray, Margaret V (Author) / Wutich, Amber (Thesis advisor) / BurnSilver, Shauna (Thesis advisor) / Bolin, Bob (Committee member) / Arizona State University (Publisher)
Created2017
Description
The Science of Water Art project is a collaborative work that brings together professionals, community members, college students and children to think about the role that water plays in each of our lives. Using a sample of 4th grade classrooms in Maricopa County, over 3000 drawings of children's perception of water today and in the future were collected. The 9-11 year olds were asked to draw pictures of 1) how they saw water being used in their neighborhood today (T1), and 2) how they imagined water would be used in their neighborhood 100 years from now (T2). The artwork was collected and coded for nine different themes, including: vegetation, scarcity, pollution, commercial sources of water, existing technology, technology innovation, recreational use, domestic use, and natural sources of water. Statistically significant differences were found between boys and girls for vegetation, technology and domestic use themes. This project allows for a look into how climate change and water insecurity is viewed by younger generations and gives a voice to children so that they may share their outlooks on this vital resource.
ContributorsVins, Holly Elizabeth (Author) / Wutich, Amber (Thesis director) / Newland, Judy (Committee member) / Beresford, Melissa (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / School of Social Transformation (Contributor) / School of Human Evolution and Social Change (Contributor)
Created2013-05
Description
There is an enormous unmet need for services, education, and outreach to improve women’s breast health. Healthcare systems and insurance systems vary widely around the world, and this may play an important role in understanding variability in women’s breast health knowledge and behavior globally. The goal of this study is to determine how varying healthcare systems in three countries (Japan, Paraguay, US) affect a woman’s likelihood of seeing a physician in regard to their breasts. For example, Japan is a clear example of a region that provides universal health insurance to its citizens. The government takes responsibility in giving accessible and equitable healthcare to its entire population (Zhang & Oyama, 2016). On the other hand, a country such as Paraguay is composed of both public and private sectors. In order for citizens to gain insurance, one would have to either be formally employed or choose to pay out-of-pocket for hospital visits (“Paraguay”, 2017). A country such as the United States does not have universal health insurance. However, it does have a mix of public and private sectors, meaning there is little to no coverage for its citizens. To accommodate for this, the United States came up with the Affordable Care Act, which extends coverage to the uninsured. Although the United States might be a country that spends more on healthcare than any other nation, there are residents that still lack healthcare (De Lew, Greenberg & Kinchen, 1992). This study, then, compares women’s breast health knowledge and behavior in Japan, Paraguay, and the US. Other variables, which are also considered in this study, that might affect this include wealth level, education, having general awareness of breast cancer, having regular health checks, and having some breast education. Using statistical analysis of breast check rates of women in Japan, Paraguay, and the United States, this research found that women sampled in Asunción, Paraguay check their breasts more often than either women sampled from Scottsdale, U.S. or Osaka, Japan. It was also found that women sampled from Paraguay were more confident in detecting changes in their breast compared to women sampled from the Japan or the US. Finally, it was noted that women sampled from Japan were least likely to partake in seeing a doctor in concern of changes in their breasts compared to women sampled from the other two research locations. These findings have relevance for the implementation of advocacy and public education about breast health.
ContributorsKumar, Navneet Surjit (Co-author) / Kumar, Navneet (Co-author) / Wutich, Amber (Thesis director) / Brewis, Alexandra (Committee member) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
Hygiene stigma can exist in tandem to gender stigma which could mean the marginalization of certain groups due to stigmatized identities, specifically women. The marginalization of women is important because of the United Nations Sustainable Development Goal 5: Empowering women and girls and achieving equity. Figuring out how hygiene stigma specifically affects women in Fiji required researching the effects of hygiene stigma, gender inequity and indigenous Fijian societies could influence respondents’ answers. After researching these different topics, these questions were developed: does hygiene stigma and gendered stigma have an overlap? If so, are men more biased than women when it comes to objectifying women? Do indigenous Fijian societies possess an immunity to objectifying women since are considered to have Fijian women have more agency? The data was retrieved from the Global Ethnohydrology Study from 2015-16 in the Viti Levu, Fiji, which was specifically researching whether hygiene stigma is an effective method of helping people have better hygiene norms. A thematic analysis was then conducted, and the data was coded. Based on the results from 28 respondents we were able to conclude that there is gendered stigma within Fijian populations. We found that both men and women objectified women at similar rates and Fiji is not immune to hygiene stigma. The limitations to this analysis were there was no statistical analysis to find correlations hygiene stigma and gendered stigma. There was only one specific code that was being analyzed in this research project which limits the other types of stigma that may exist.
ContributorsKibuka Musoke, Paula Kulabako (Author) / Wutich, Amber (Thesis director) / Schuster, Roseanne (Committee member) / Brewis Slade, Alexandra (Committee member) / School of Molecular Sciences (Contributor) / School of Human Evolution & Social Change (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-05