All my relations : patient oriented research for reconciliation and empowerment of Indigenous womenâs experiences with cervical screening
department or school: Medicine, Faculty of
department or school: Obstetrics and Gynaecology, Department of
data provider: DSpace
degree campus: UBCV
creator: Giovannoni, Marina
issued: 2020-04-22T18:54:08Z
issued: 2020
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Cervical cancer is caused by high risk strains of the Human Papillomavirus (HPV), but is preventable through vaccination and screening. In British Columbia (BC), cervical cancer occurs predominantly in under screened women, and First Nations women have a 92% higher rate of invasive cervical cancer than non-First Nations women. The current standard of care in the province screening is via the Pap test; Indigenous women experience complex barriers to accessing Pap testing, which has contributed to the higher rates of cervical cancer. CervixCheck North (CCN) is a project in partnership with Carrier Sekani Family Services (CSFS) that offers under screened First Nations women in 11 Northern BC First Nations communities the option to self-collect a sample to be tested for the presence of cancer-causing HPV. This thesis explores the ability of patient oriented research, in combination with Indigenous methodologies to conduct ethical research in First Nations communities, and offers a qualitative review and suggested improvements to CCN. Data was collected from 6 communities using focus groups and a survey, and analyzed using thematic analysis and network analysis. Eleven themes were selected from the transcript data at four levels of impacts to cervical screening, individual, community, health system, and research level, and vetted by community members in an iterative process. Theme convergence was found to occur at the community level, surrounding knowledge acquisition as a source of empowerment. In order to maximize the positive impacts of HPV self-collected projects, holistic health approaches must be taken that involve health education community events. Recruitment of the most vulnerable women is facilitated by offering various options for women to screen, and by hiring champions for the project who are trusted members of the community. For researchers, using both patient oriented methodologies and Indigenous methodologies functions to bridge the divide between Western…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/74118
note: ALL MY RELATIONS: PATIENT ORIENTED RESEARCH FOR RECONCILIATION & EMPOWERMENT OF INDIGENOUS WOMENâS EXPERIENCES WITH CERVICAL SCREENING by MARINA GIOVANNONI B.Sc., The University of Alberta, 2018 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Reproductive and Developmental Sciences) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) April 2020 © Marina Giovannoni, 2020 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the thesis entitled: All My Relations: Patient Oriented Research for Reconciliation and Empowerment of Indigenous Womenâs Experiences with Cervical Screening Submitted by: Marina Giovannoni in partial fulfillment of the requirements for the degree of Master of Science in Reproductive and Developmental Sciences Examining Committee: Dr. Sheona Mitchell-Foster, Assistant Professor, Obstetrics and Gynaecology, UBC Supervisor Dr. Gina Ogilvie, Professor, School of Population and Public Health, UBC Supervisory Committee Members Dr. Jessie King, Sessional Instructor, First Nations Studies, UNBC Additional Examiner Additional Committee Members: Dr. Deborah Money, Executive Vice Dean, Obstetrics and Gynaecology, UBC Supervisory Committee Member Dr. Terri Aldred, Site Director â Indigenous, Family Medicine Residency, UBC Supervisory Committee Member iii Abstract Cervical cancer is caused by high risk strains of the Human Papillomavirus (HPV), but is preventable through vaccination and screening. In British Columbia (BC), cervical cancer occurs predominantly in under screened women, and First Nations women have a 92% higher rate of invasive cervical cancer than non-First Nations women. The current standard of care in the province screening is via the Pap test; Indigenous women experience complex barriers to accessing Pap testing, which has contributed to the higher rates of ce…
has type: Thesis/Dissertation
date issued: 2020-05
is shown at: 10.14288/1.0389922
language: eng
degree discipline: Reproductive and Developmental Sciences
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/74118