{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T05:30:56Z","timestamp":1793079056759,"version":"4.5.0"},"reference-count":55,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Approximately 13,000 women in the United States are diagnosed with cervical cancer and approximately 4000 women die from it annually. Although there has been an overall decline in mortality rates for cervical cancer, the mortality rates for women in rural areas are 42% higher than for urban areas. Given rural cervical cancer disparities, it is important to identify how to improve this population\u2019s cancer care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>By applying intersectionality theory, we explored the unique healthcare experiences of rural women diagnosed with cervical cancer. The goal of this study was to examine (1) how rural cervical cancer survivors describe their cancer care needs and barriers and (2) rural cervical cancer survivors\u2019 perspectives on optimal cancer care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Utilizing an exploratory qualitative study design, we conducted approximately 60-minute semi-structured individual interviews with ten cisgender women diagnosed with cervical cancer residing in five different rural areas of the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were analyzed utilizing reflective thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data revealed six themes: (1) \u201cNo treatment options around here\u201d; (2) \u201cDon\u2019t dismiss us\u201d; (3) \u201cCertain things aren\u2019t talked about\u201d; (4) \u201cBeing more trauma-informed\u201d; (5) \u201cYou really need to stick up for yourself\u201d; and (6) \u201cThey cared about my well-being outside of just being a patient.\u201d Taken as a whole, these themes demonstrate the ways that rurality, gender, and cancer type intersected to impact the type and quality of care received by rural cervical cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>As with many cancer survivors, rural cervical cancer survivors value care that respects their bodily autonomy and treats survivors holistically. Trauma-informed survivor-provider interactions are critical for improving outcomes for rural cervical cancer survivors whose location may limit their choices in providers and how they access care. Providers can address intersectional barriers to enhance shared decision-making, survivor self-advocacy, and affirming cancer care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261478351","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T18:13:00Z","timestamp":1786731180000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cDon\u2019t settle\u201d: Rural cervical cancer survivors\u2019 navigation of cancer care from an intersectional framework"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9775-7725","authenticated-orcid":false,"given":"Trisha L.","family":"Raque","sequence":"first","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Pointer","sequence":"additional","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maggie","family":"Creegan","sequence":"additional","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Moody","sequence":"additional","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Boyd","sequence":"additional","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Grieco","sequence":"additional","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orphea","family":"Wright","sequence":"additional","affiliation":[{"name":"University of Denver"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"What is cervical cancer?","author":"American Cancer Society","year":"2023","unstructured":"American Cancer Society. 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