Lee Fang-Hsin, Wang Hsiu-Hung, Tsai Hsiu-Min, Lin Miao-Ling
a Department of Nursing , Chung Hwa University of Medical Technology , Tainan , Taiwan.
b College of Nursing , Kaohsiung Medical University , Kaohsiung , Taiwan.
Women Health. 2016;56(3):243-56. doi: 10.1080/03630242.2015.1088113. Epub 2015 Sep 11.
The purpose of this study was to explore the factors associated with Pap testing among married immigrant women of Vietnamese origin residing in Taiwan, including demographics, knowledge of cervical cancer, knowledge of Pap tests, fatalism, attitudes toward cervical cancer, and barriers to receiving Pap tests. A cross-sectional correlational design was used. Data were collected from July 2012 to January 2013. Participants were recruited through snowball sampling in two communities in Southern Taiwan. A total of 451 married immigrant women of Vietnamese origin aged 30 years and over were invited to participate in the study and 427 participated. Data analysis included descriptive statistics and multivariate logistic regression. Participants with no children were significantly less likely to have received a Pap test (odds ratio = 0.278, 95% confidence interval [CI] = 0.135-0.569); each additional point of knowledge about Pap tests increased the likelihood of having a Pap test by 19% (odds ratio = 1.190, 95% CI = 1.093-1.297), and each additional point in barriers to receiving Pap tests decreased the chances of having received a Pap test (odds ratio = 0.714, 95% CI = 0.637-0.800). The results can provide governments with a reference for developing policies for cervical cancer prevention among married immigrant Vietnamese women.
本研究旨在探讨居住在台湾的越南裔已婚移民妇女进行子宫颈抹片检查的相关因素,包括人口统计学特征、子宫颈癌知识、子宫颈抹片检查知识、宿命论、对子宫颈癌的态度以及接受子宫颈抹片检查的障碍。采用横断面相关设计。数据收集于2012年7月至2013年1月。通过滚雪球抽样在台湾南部的两个社区招募参与者。共邀请了451名30岁及以上的越南裔已婚移民妇女参与研究,427人参与。数据分析包括描述性统计和多变量逻辑回归。没有孩子的参与者接受子宫颈抹片检查的可能性显著降低(比值比=0.278,95%置信区间[CI]=0.135-0.569);关于子宫颈抹片检查的知识每增加一分,进行子宫颈抹片检查的可能性增加19%(比值比=1.190,95%CI=1.093-1.297),接受子宫颈抹片检查的障碍每增加一分,接受过子宫颈抹片检查的几率降低(比值比=0.714,95%CI=0.637-0.800)。研究结果可为政府制定针对越南裔已婚移民妇女预防子宫颈癌的政策提供参考。