Lee Fang-Hsin, Wang Hsiu-Hung, Yang Yung-Mei, Tsai Hsiu-Min, Huang Joh-Jong
Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.
College of Nursing, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Road, San-Ming District, Kaohsiung, 80708, Taiwan.
J Cancer Educ. 2017 Sep;32(3):622-628. doi: 10.1007/s13187-016-1012-7.
This paper aims to conduct and evaluate an educational intervention on preventing cervical cancer among married immigrant women of Vietnamese origin. The study design was a quasi-experimental method with two groups. In total, 260 married immigrant women of Vietnamese origin with national health insurance at least 30 years of age were recruited from November 2013 to January 2015 in southern Taiwan. The effects of the educational intervention, including cervical cancer and Papanicolaou test knowledge, attitudes towards cervical cancer, fatalism, barriers to receiving Papanicolaou tests, intention for receiving Papanicolaou tests within the next year, and intention for receiving Papanicolaou tests within the next 3 years, were evaluated. Repeated measures analyses of variance showed significant interactions between the intervention group and time for cervical cancer knowledge, knowledge of Papanicolaou test, attitudes towards cervical cancer, and intention for receiving a Papanicolaou test within the next 3 years; in addition, 71.4 % reported being satisfied or very satisfied with the intervention. The results of this study can provide information for governments to make appropriate health policies for screening behavior of cervical cancer, increase healthcare professionals' competencies towards Vietnamese women, and increase Papanicolaou test screening rates to decrease cervical cancer mortality. Effective interventions may require particular consideration of married immigrant women.
本文旨在开展并评估一项针对越南裔已婚移民妇女预防宫颈癌的教育干预措施。研究设计采用两组的准实验方法。2013年11月至2015年1月期间,在台湾南部招募了260名年龄至少30岁、拥有国民健康保险的越南裔已婚移民妇女。评估了教育干预的效果,包括宫颈癌和巴氏试验知识、对宫颈癌的态度、宿命论、接受巴氏试验的障碍、未来一年内接受巴氏试验的意愿以及未来三年内接受巴氏试验的意愿。重复测量方差分析显示,干预组与时间在宫颈癌知识、巴氏试验知识、对宫颈癌的态度以及未来三年内接受巴氏试验的意愿方面存在显著交互作用;此外,71.4%的人报告对干预措施感到满意或非常满意。本研究结果可为政府制定宫颈癌筛查行为的适当卫生政策、提高医疗保健专业人员对越南妇女的服务能力以及提高巴氏试验筛查率以降低宫颈癌死亡率提供信息。有效的干预措施可能需要特别考虑已婚移民妇女。