School of Social Work, University of Alabama, Tuscaloosa, AL.
Department of Health Sciences, University of Alabama, Tuscaloosa, AL.
Asian Pac J Cancer Prev. 2021 Mar 1;22(3):903-908. doi: 10.31557/APJCP.2021.22.3.903.
Cervical cancer is the second leading cause of cancer death among Vietnamese females. By detecting precancerous cells, Pap test screening plays a critical role in the fight against cervical cancer. The present study aims to investigate health-related factors associated with receipt of Pap test among Vietnamese females living in rural Vietnam, particularly examining the correlation between awareness level of the Pap test and the receiving of Pap test.
Anderson's Behavioral Model of Health Services Use was utilized as the present study's theoretical framework. A self-administrated questionnaire was completed among 193 females residing in Quantri City, Vietnam.
Only 15.5% (N=30) of participants in our sample have had a Pap test. Pap test awareness (OR = 18.38, p <.001) was a strong predictor of Pap test receipt. Participants who had heard about Pap test were 18.38 times more likely to take a Pap test compared to those who had no prior knowledge. Besides the awareness, variables including employment (OR = .18, p <.05), and health insurance coverage (OR = 10.75, p <.05) were significantly associated with Pap test uptake.
Findings from the present study suggests interventions should be provided through public health efforts to enhance awareness of Pap test by aiming at increasing primary prevention of cervical cancer, especially among Vietnamese women living in rural areas, in order to reduce cancer health disparities.
宫颈癌是越南女性癌症死亡的第二大主要原因。巴氏涂片检查通过检测癌前细胞，在对抗宫颈癌方面发挥着关键作用。本研究旨在调查与越南农村女性接受巴氏涂片检查相关的健康相关因素，特别是检查巴氏涂片检查意识水平与接受巴氏涂片检查之间的相关性。
本研究采用安德森健康服务利用行为模型作为理论框架。在越南 Quantri 市，193 名女性完成了一份自我管理的问卷。
我们样本中只有 15.5%（N=30）的参与者接受了巴氏涂片检查。巴氏涂片检查意识（OR=18.38，p<.001）是接受巴氏涂片检查的强有力预测因素。与没有事先了解的人相比，听说过巴氏涂片检查的参与者进行巴氏涂片检查的可能性高 18.38 倍。除了意识，包括就业（OR=.18，p<.05）和医疗保险覆盖（OR=10.75，p<.05）在内的变量与巴氏涂片检查的使用显著相关。
本研究的结果表明，应通过公共卫生努力提供干预措施，通过提高对巴氏涂片检查的认识，加强对宫颈癌的一级预防，特别是针对居住在农村地区的越南妇女，以减少癌症健康差距。
