{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T23:08:14Z","timestamp":1781910494848,"version":"3.54.5"},"reference-count":52,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T00:00:00Z","timestamp":1620259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01 CA 120606"],"award-info":[{"award-number":["R01 CA 120606"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Women who receive an abnormal Pap result may experience negative psychological factors. The purpose of this study is to assess the baseline occurrence of negative psychological factors and evaluate the relationships between psychological factors and demographic characteristics among Appalachian women who received abnormal Pap results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a secondary analysis of data collected from Appalachia Kentucky women (N = 521) ages\u00a0\u226518 enrolled in an intervention. Data included\u00a0sociodemographics, Beck depression and anxiety inventories, fatalism, and personal control measures. Multiple variable logistic regression was used\u00a0to investigate the association between demographics and psychological factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Participants were predominantly White (96.2%), with mean age 28.93 \u00b1 11.03 years, and the majority (77%) had yearly income below $20,000. Depression was reported by 34.6% (n = 173); 10% (n = 50) experienced moderate or severe anxiety; 20.6% (n = 107) had fatalistic beliefs; and 55.1% (n = 289) believed they lacked personal control over cancer. Women with lower income had higher occurrence of depression (<jats:italic>P<\/jats:italic> = .003). Women with moderate to severe anxiety were significantly older than those with low to moderate depression (34.44 vs 28.34, <jats:italic>P<\/jats:italic> &lt; .001).\u00a0Controlling for other variables, as age increased, the odds of fatalistic beliefs increased, OR (95%) = 1.042 (1.022, 1.062). When education level increased, the odds of fatalistic beliefs decreased, OR (95%) = 0.873 (0.800, 0.952).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Given the high occurrence of depression, anxiety, and fatalistic beliefs among this population, health care providers should assess for underlying mental health diagnoses and psychological distress during each patient encounter and provide recommendations to address them.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12585","type":"journal-article","created":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T21:44:11Z","timestamp":1620337451000},"page":"382-390","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Psychological factors among Appalachian women with abnormal Pap results"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8764-6589","authenticated-orcid":false,"given":"Adebola","family":"Adegboyega","sequence":"first","affiliation":[{"name":"University of Kentucky College of Nursing  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Dignan","sequence":"additional","affiliation":[{"name":"Prevention Research Center University of Kentucky College of Medicine  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuying","family":"Sha","sequence":"additional","affiliation":[{"name":"School of Nursing University of Louisville  Louisville Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chigozie","family":"Nkwonta","sequence":"additional","affiliation":[{"name":"Arnold School of Public Health University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lovoria B.","family":"Williams","sequence":"additional","affiliation":[{"name":"University of Kentucky College of Nursing  Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"U.S. Preventive Services Task Force.Cervical Cancer Screening.2018. 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