Knowledge, attitude, practice, and self-efficacy of women regarding cervical cancer screening
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
ObjectiveIran has a low incidence of cervical cancer (CC). The country is introducing an organized screening system, includinghuman papillomavirus screening. Studies show a high dropout rate among eligible women in continuing testing. MethodsThis descriptive-analytic study was part of the first phase of a clinical trial conducted on a random sample of 400women aged 18–49 in Andimeshk City, Khuzestan Province, in 2020. The data collection tool consisted of a man-madequestionnaire that included domains of demographic characteristics, knowledge, attitude, practice, and self-efficacyin the Pap smear test. The data were analyzed with Stata-16 using linear and logistic regression models. ResultsThe mean knowledge, attitude, and self-efficacy scores were 6.80±2.33, 34.99±4.32, and 28.67±7.34, respectively. Inthe multiple models, every unit increase in the knowledge or attitude scores raised the mean self-efficacy score by 1.04and 0.48, respectively (P<0.001). Every unit increase in the knowledge and self-efficacy scores increased the chance ofperforming Pap smear 1.61 and 1.41 times, respectively (P<0.001). ConclusionGiven the association of women’s knowledge and self-efficacy with practice in performing the Pap smear, it seemsthat an effective program promoting women’s health behavior regarding CC screening would include appliededucation to raise community awareness and improve women’s attitudes, self-efficacy, and practice.
Abstract
ObjectiveIran has a low incidence of cervical cancer (CC). The country is introducing an organized screening system, includinghuman papillomavirus screening. Studies show a high dropout rate among eligible women in continuing testing. MethodsThis descriptive-analytic study was part of the first phase of a clinical trial conducted on a random sample of 400women aged 18–49 in Andimeshk City, Khuzestan Province, in 2020. The data collection tool consisted of a man-madequestionnaire that included domains of demographic characteristics, knowledge, attitude, practice, and self-efficacyin the Pap smear test. The data were analyzed with Stata-16 using linear and logistic regression models. ResultsThe mean knowledge, attitude, and self-efficacy scores were 6.80±2.33, 34.99±4.32, and 28.67±7.34, respectively. Inthe multiple models, every unit increase in the knowledge or attitude scores raised the mean self-efficacy score by 1.04and 0.48, respectively (P<0.001). Every unit increase in the knowledge and self-efficacy scores increased the chance ofperforming Pap smear 1.61 and 1.41 times, respectively (P<0.001). ConclusionGiven the association of women’s knowledge and self-efficacy with practice in performing the Pap smear, it seemsthat an effective program promoting women’s health behavior regarding CC screening would include appliededucation to raise community awareness and improve women’s attitudes, self-efficacy, and practice.
참고문헌 (31)
- "Human papillomavirus (HPV)and cervical cancer" (2019)[URL]
- Khorasanizadeh F, "Epidemiology of cervical cancer and human papilloma virus infection among Iranian women-analyses of national data and systematic review of the literature", Gynecol Oncol, 128, pp.277~281 (2013)
- Majidi A, "Priority setting for improvement of cervical cancer prevention in Iran", Int J Health Policy Manag, 5, pp.225~232 (2015)
- Bray F, "Global cancer statistics 2018 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries", CA Cancer J Clin, 68, pp.394~424 (2018)
- Farajzadegan Z, "Cervical cancer screening status in 35 to 60year-old women in Isfahan, Iran", Majallahi Danishkadahi Pizishkii Isfahan, 208, pp.1542~ (2012)
- Azizi F, "Epidemiology and control of common diseases in Iran" (2000), Eshtiagh Publications
- "Information centre on HPV and cervical cancer (HPV Information Centre): summary report on HPV and cervical cancer statistics in South Africa" (2013)[URL]
- 오영택, "Proposal for cervical cancer screening in the era of HPV vaccination", Obstetrics & Gynecology Science, 61(3), pp.298~308 (2018), 대한산부인과학회[DOI]
- Gupta R, "Cervical cancer screening in resource-constrained countries : current status and future directions", Asian Pac J Cancer Prev, 18, pp.1461~1467 (2017)
- Mohebi S, "The study of Pap smear conduction and its related factors based on health belief model in women referring to health care centers in Qom during 2014", J Educ Community Health, 2, pp.25~33 (2016)
- "Global Health Observatory data repository, cervical cancer screening response by country" (2020)[URL]
- "Islamic Republic of Iran on a fast-track to beating noncommunicable diseases" (2017)[URL]
- The Ministry of Health of Iran, "NCD PEN guideline, IRAPEN, guideline for midwives", The Ministry of Health of Iran, ~ (2016)
- The Ministry of Health and Medical Education of Iran DfPH, "Integrated package of Iran for essential needs for NCD, protocol for breast and cervical cancer screening", The Ministry of Health and Medical Education of Iran DfPH, ~ (2016)
- Kosha AS, "A set of essential interventions non-communicable diseases in the primary health care system of Iran, IraPEN" (2017), Mojasameh Publisher
- Khezeli M, "Knowledge, attitude and practice of female employees of health network in Guilan-Gharb county about cervical cancer and Pap smear", Prev Care Nurs Midwifery J, 1, pp.43~50 (2012)
- Rezaie Chamani S, "attitudes and practice about Pap smear among women reffering to a public hospital", J Family Reprod Health, 6, pp.177~182 (2012)
- Ijezie AE, "Knowledge of cervical cancer and the uptake of the Papanicolaou smear test among public secondary school teachers in Akwa Ibom State, Nigeria", Niger Med J, 60, pp.245~251 (2019)
- Bossard K, "The impact of perceived barriers on self-efficacy for HPV preventive behavior", Asian Pac J Cancer Prev, 19, pp.983~988 (2018)
- Miri MR, "Cognitive predictors of cervical cancer screening’s stages of change among sample of Iranian women health volunteers: a path analysis", PLoS One, 13, pp.e0193638~ (2018)
- Ahmed NU, "Knowledge of cervical cancer and adherence to Pap smear screening test among female university students in a multiethnic institution, USA", J Natl Med Assoc, 112, pp.300~307 (2020)
- Fernández ME, "Development and validation of a cervical cancer screening self-efficacy scale for low-income Mexican American women", Cancer Epidemiol Biomarkers Prev, 18, pp.866~875 (2009)
- Ghaoomi M, "Awareness and practice of cervical cancer and Pap smear testing in a teaching hospital in Tehran", Tehran Univ Med J, 74, pp.183~189 (2016)
- Tilahun T, "Knowledge, attitude and practice of cervical cancer screening and associated factors amongst female students at Wollega University, western Ethiopia", BMC Res Notes, 12, pp.518~ (2019)
- Mings J, "Barriers to Pap smear among homeless women at albuquerque healthcare for the homeless", J Community Health, 44, pp.1185~1192 (2019)
- Hoque ME, "Cervical cancer screening among university students in South Africa: a theory based study", PLoS One, 9, pp.e111557~ (2014)
- Kim K, "Decisional balance and self-efficacy mediate the association among provider advice, health literacy and cervical cancer screening", Eur J Oncol Nurs, 32, pp.55~62 (2018)
- Tiraki Z, "Cervical cancer knowledge, selfefficacy, and health literacy levels of married women", J Cancer Educ, 33, pp.1270~1278 (2018)
- Morowati-sharifabad MA, "Predictors of Pap smear test based on protection motivation theory among women of shahreekord", J Tolooebehdasht, 17, pp.43~55 (2018)
- Heena H, "Knowledge, attitudes, and practices towards cervical cancer and screening amongst female healthcare professionals: a cross-sectional study", J Oncol, 2019, pp.5423130~ (2019)
- Hirani S, "Knowledge, awareness, and practices of cervical cancer, its risk factors, screening, and prevention among women in Karachi, Pakistan", Eur J Cancer Prev Forthcoming, 30, pp.97~102 (2021)