Division of Nursing, KK Women's and Children's Hospital, Singapore.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
J Adv Nurs. 2018 Nov;74(11):2533-2543. doi: 10.1111/jan.13769. Epub 2018 Aug 1.
To understand factors that influence women's decisions to go for Pap smears.
Globally, cervical cancer is the fourth most common cancer among women. In Singapore, cervical cancer is on the rise and has been found to be the eighth highest cause of death among women. Research has shown that regular screening for cervical cancer with Pap smear reduces cervical cancer-related mortality. However, Pap smear awareness is still limited and its uptake in Singapore is highly opportunistic, requiring the need for a deeper understanding of the factors that influence Pap smear uptake among women in Singapore.
A descriptive cross-sectional study design was used.
Convenience sampling was used to recruit 350 participants (postnatal women of at least 21 years old) from a local maternity hospital. Data were collected using validated questionnaires. Logistic regression was used to analyse the data.
Demographic factors, such as age, ethnicity and religion, as well as women's beliefs about the effectiveness of Pap smear in detecting cervical cancer, the desire to discover health problems early and considering Pap smear to be painful, were found to be factors significantly influencing Pap smear uptake. Healthcare professionals need to be mindful of these factors to address women's needs to encourage women to go for Pap smears.
Various factors were found to influence Pap smear uptake. Future interventions can take these factors into account for increasing Pap smear awareness.
了解影响女性接受巴氏涂片检查决策的因素。
在全球范围内，宫颈癌是女性中第四常见的癌症。在新加坡，宫颈癌的发病率呈上升趋势，是女性第八大死因。研究表明，定期进行巴氏涂片筛查宫颈癌可以降低宫颈癌相关死亡率。然而，对宫颈癌的认识仍然有限，在新加坡，巴氏涂片检查的采用率非常偶然，这需要更深入地了解影响新加坡女性接受巴氏涂片检查的因素。
采用描述性横断面研究设计。
采用便利抽样法，从当地一家产科医院招募了 350 名参与者（21 岁以上的产后妇女）。使用经过验证的问卷收集数据。采用逻辑回归分析数据。
人口统计学因素，如年龄、种族和宗教，以及女性对巴氏涂片检查在检测宫颈癌方面的有效性、早期发现健康问题的愿望以及认为巴氏涂片检查疼痛的信念，被发现是影响巴氏涂片检查接受度的重要因素。医疗保健专业人员需要注意这些因素，以满足女性的需求，鼓励她们进行巴氏涂片检查。
发现各种因素会影响巴氏涂片检查的接受度。未来的干预措施可以考虑这些因素来提高巴氏涂片检查的认识。
