Tiraki Zeliha, Yılmaz Medine
Clinical Nurse, Ege University Hospital, İzmir, Turkey.
Faculty of Health Sciences, Department of Public Health Nursing, Izmir Katip Celebi University, Cigli, Izmir, Turkey.
J Cancer Educ. 2018 Dec;33(6):1270-1278. doi: 10.1007/s13187-017-1242-3.
The purpose of this descriptive and relational study is to investigate the relationship between cervical cancer knowledge and self-efficacy and health literacy levels of married women aged 18-65 years. The study sample consisted of 400 married women (18-65 years old) who presented to a family health center. Independent variables were sociodemographic characteristics; dependent variables were cancer knowledge, self-efficacy, and health literacy level. Of the participants, 67% had a Pap smear. The participants' median knowledge score was 13 (min-max = 1-21). As the age increased, so did the knowledge score (p = 0.001). The secondary school graduates had the lowest knowledge level (p = 0.009). The participants' self-efficacy level was moderate (83.18 ± 7.70). As the educational status increased, so did their self-efficacy. Of the participants, 55.2% had a health literacy level of 7th-8th grade. The health literacy level was lower among the literate, primary school graduate, and advanced-age participants (p = 0.000). Increases in the self-efficacy and health literacy levels of the participants positively affected their knowledge status. The participants' cervical cancer and Pap smear screening knowledge levels increased as their self-efficacy levels increased. The literate or primary school graduate participants had the self-efficacy and health literacy levels.
这项描述性和相关性研究的目的是调查18至65岁已婚女性的宫颈癌知识、自我效能感和健康素养水平之间的关系。研究样本包括400名到家庭健康中心就诊的已婚女性（年龄在18至65岁之间）。自变量为社会人口学特征；因变量为癌症知识、自我效能感和健康素养水平。在参与者中，67%进行过巴氏涂片检查。参与者的知识得分中位数为13分（最小值 - 最大值 = 1 - 21）。随着年龄的增长，知识得分也随之增加（p = 0.001）。中学毕业生的知识水平最低（p = 0.009）。参与者的自我效能感水平中等（83.18 ± 7.70）。随着教育程度的提高，他们的自我效能感也增强。在参与者中，55.2%的健康素养水平为七年级至八年级。识字者、小学毕业生和高龄参与者的健康素养水平较低（p = 0.000）。参与者自我效能感和健康素养水平的提高对其知识状况产生了积极影响。随着自我效能感水平的提高，参与者的宫颈癌和巴氏涂片筛查知识水平也有所提高。识字或小学毕业的参与者具有自我效能感和健康素养水平。
