Kim Hae Won
The Research Institute of Nursing Science, College of Nursing, Seoul National University, Taehakro 103, Jongro-Gu, Seoul, 110-799, South Korea.
BMC Public Health. 2016 May 3;16:370. doi: 10.1186/s12889-016-3037-6.
Mothers have a primary role in the prevention of cervical cancer in Korea. This study aimed to determine the awareness and health beliefs of mothers about preventing cervical cancer in their daughters, their intention to recommend the Pap test to their daughters, and the factors influencing this intention.
A cross-sectional survey design was employed, and the study enrolled mothers (n = 1,581) of pubescent girls aged 13 to 18 years who were living nationwide in Korea. The six health-beliefs variables related to preventing cervical cancer in their daughters, awareness of the importance of cervical cancer prevention methods, and the intention to recommend the Pap test to daughters were investigated. The impacts of these health beliefs of the mothers and the sociodemographic factors influencing their intention to recommend the Pap test to their daughters were assessed using multiple logistic regression analysis.
Almost one-quarter (23.7 %) of the mothers had talked about the Pap test, 69.2 % were intending to recommend the Pap test to their daughters, and 38.5 % considered that the Pap test could be necessary if their daughters became sexually active. The significant health beliefs influencing the intention to recommend the Pap test were the perceived barriers [odds ratio (OR) = 1.47, 95 % confidence interval (95 % CI) = 1.03-2.11] and benefits (OR = 2.25, 95 % CI = 1.55-3.25). The significant sociodemographic factors of mothers were their education (OR = 1.52, 95 % CI = 1.08-2.13), their experience of talking about the Pap test with their daughters (OR = 2.11, 95 % CI = 1.23-3.64), their regularity of undergoing the Pap test themselves (OR = 1.98, 95 % CI = 1.30-3.03), and their age when they first underwent the Pap test (OR = 1.60, 95 % CI = 1.43-0.82).
The mothers perceived HPV vaccination as the most important of the five methods for preventing cervical cancer in their daughters. Mothers perceived the importance of their daughters undergoing the Pap test regardless of the presence of HPV vaccination, and most of the mothers had an intention of recommending the Pap test to their daughters. Strategies for increasing the intention of mothers to recommend the Pap test to their adolescent daughters could be promoted by increasing their perceptions of the benefits while reducing their perceptions of barriers toward their daughters undergoing the Pap test, and by empowering active communication about the Pap test between mothers and daughters.
在韩国，母亲在预防宫颈癌方面起着主要作用。本研究旨在确定母亲们对于预防女儿宫颈癌的认知和健康信念、向女儿推荐巴氏试验的意愿以及影响该意愿的因素。
采用横断面调查设计，研究纳入了韩国全国范围内13至18岁青春期女孩的母亲（n = 1581名）。调查了与预防女儿宫颈癌相关的六个健康信念变量、对宫颈癌预防方法重要性的认知以及向女儿推荐巴氏试验的意愿。使用多元逻辑回归分析评估母亲的这些健康信念以及影响其向女儿推荐巴氏试验意愿的社会人口学因素的影响。
近四分之一（23.7%）的母亲谈论过巴氏试验，69.2%的母亲打算向女儿推荐巴氏试验，38.5%的母亲认为如果女儿开始有性行为，巴氏试验可能是必要的。影响推荐巴氏试验意愿的显著健康信念是感知到的障碍[比值比（OR）= 1.47，95%置信区间（95%CI）= 1.03 - 2.11]和益处（OR = 2.25，95%CI = 1.55 - 3.25）。母亲的显著社会人口学因素包括她们的教育程度（OR = 1.52，95%CI = 1.08 - 2.13）、与女儿谈论巴氏试验的经历（OR = 2.11，95%CI = 1.23 - 3.64）、自己进行巴氏试验的规律性（OR = 1.98，95%CI = 1.30 - 3.03）以及首次进行巴氏试验时的年龄（OR = 1.60，95%CI = 1.43 - 0.82）。
母亲们认为人乳头瘤病毒（HPV）疫苗接种是预防女儿宫颈癌的五种方法中最重要的。母亲们认识到无论是否接种HPV疫苗，女儿进行巴氏试验都很重要，并且大多数母亲打算向女儿推荐巴氏试验。可以通过增强母亲对益处的认知、减少她们对女儿进行巴氏试验的障碍的认知以及促进母亲与女儿之间关于巴氏试验的积极沟通，来推动提高母亲向青春期女儿推荐巴氏试验的意愿的策略。
