O'Connor Mairead, Murphy Judith, Martin Cara, O'Leary John, Sharp Linda
National Cancer Registry, Building 6800, Cork Airport Business Park, Kinsale Road, Cork and
National Cancer Registry, Building 6800, Cork Airport Business Park, Kinsale Road, Cork and.
Fam Pract. 2014 Aug;31(4):475-82. doi: 10.1093/fampra/cmu029. Epub 2014 Jun 12.
Participation in organized cervical cancer screening has declined recently. While research has focussed on barriers to screening participation, less attention has been paid to what motivates women to attend. Moreover, little is known about health care provider/practitioner-level barriers and facilitators to participation. Better understanding of these issues could help inform strategies to improve participation.
To explore the role of GPs in influencing women's cervical screening behaviours and investigate other motivators for women to attend for a cervical smear.
Ten focus groups were conducted in Ireland, shortly before the launch of a national cervical screening programme. Discussions were audio-recorded, transcribed verbatim and transcripts were analysed thematically.
GPs greatly influence women's screening behaviours and can have a positive or negative impact on women's participation in screening. Four major subthemes emerged in relation to this: the attitude of the GP; prompting by the GP; trust in the GP and women's relationships with their GP. Two main motivators to screening participation were identified: personal reasons/benefits (e.g. potential of smears to be life-saving); and practical issues/convenience. Women's also expressed desires for what they would like to see incorporated in the national screening programme (e.g. an 'out-of-hours' service).
GPs can impact positively and negatively on women's cervical screening participation. Providing on-going support to GPs around their cervical screening practices is essential to maximize screening attendance. Targeted information materials that focus on the personal reasons and benefits of having smear tests could help stimulate women to participate.
近期参与有组织的宫颈癌筛查的人数有所下降。虽然研究主要集中在筛查参与的障碍上，但对于促使女性参与筛查的因素关注较少。此外，对于医疗保健提供者/从业者层面的参与障碍和促进因素了解甚少。更好地理解这些问题有助于制定提高参与率的策略。
探讨全科医生在影响女性宫颈癌筛查行为方面的作用，并调查女性进行宫颈涂片检查的其他动机。
在爱尔兰全国宫颈癌筛查计划启动前不久，开展了10个焦点小组讨论。讨论内容进行了录音，逐字转录，对转录文本进行了主题分析。
全科医生对女性的筛查行为有很大影响，可能对女性参与筛查产生积极或消极影响。与此相关出现了四个主要子主题：全科医生的态度；全科医生的提醒；对全科医生的信任以及女性与全科医生的关系。确定了两个参与筛查的主要动机：个人原因/益处（例如涂片检查可能挽救生命）；以及实际问题/便利性。女性还表达了她们希望在国家筛查计划中纳入的内容（例如“非工作时间”服务）。
全科医生对女性宫颈癌筛查参与可能产生积极和消极影响。围绕其宫颈癌筛查实践为全科医生提供持续支持对于最大限度提高筛查参与率至关重要。侧重于进行涂片检查的个人原因和益处的针对性宣传材料可能有助于促使女性参与。
