Okuhara Tsuyoshi, Okada Hiroko, Goto Eiko, Tsunezumi Aiko, Kagawa Yumi, Kiuchi Takahiro
Department of Health Communication, School of Public Health, The University of Tokyo, Tokyo, Japan.
Prev Med Rep. 2022 May 10;27:101818. doi: 10.1016/j.pmedr.2022.101818. eCollection 2022 Jun.
The introduction of an evolutionary perspective into public health research has received attention in recent years. We aimed to examine the effects of messages that target the fundamental human motive of kin care (i.e., childbirth and parenting) on cervical cancer screening recommendations, based on an evolutionary theoretical approach. A randomized controlled study was conducted in Japan. Female participants (n = 969) were randomly assigned either to a group that received an intervention message that targeted the fundamental motive of kin care (recommending cervical cancer screening for future childbearing), or that targeted the fundamental motive of disease avoidance, or a control message. Intention to obtain cervical cancer screening was assessed both before and after reading the messages. A one-way ANOVA with Tukey's or Games-Howell test was conducted. Each of the intervention message targeting the fundamental motive of kin care and of the message targeting disease avoidance significantly increased intention to obtain cervical cancer screening versus a control message (M = 0.76 vs. M = 0.17, < 0.001; M = 0.74 vs. M = 0.17, < 0.001, respectively). A message that targeted the fundamental motive of kin care was as effective as one targeting the fundamental motive of disease avoidance. Health professionals should add messages that target the fundamental motive of kin care to their repertoire to encourage cervical cancer screening among women who wish future childbirth and parenting (e.g., "Delayed detection of cervical cancer may prevent your future childbirth and parenting. So let's obtain cervical cancer screening regularly for your future childbirth and parenting.").
近年来，将进化视角引入公共卫生研究受到了关注。我们旨在基于进化理论方法，研究针对亲属关怀这一基本人类动机（即分娩和育儿）的信息对宫颈癌筛查建议的影响。在日本进行了一项随机对照研究。女性参与者（n = 969）被随机分配到一组，该组收到针对亲属关怀基本动机的干预信息（为未来生育推荐宫颈癌筛查），或针对疾病预防基本动机的信息，或一条对照信息。在阅读信息前后均评估获取宫颈癌筛查的意愿。进行了带有图基检验或Games - Howell检验的单因素方差分析。与对照信息相比，每条针对亲属关怀基本动机的干预信息以及针对疾病预防的信息均显著提高了获取宫颈癌筛查的意愿（分别为M = 0.76 vs. M = 0.17，P < 0.001；M = 0.74 vs. M = 0.17，P < 0.001）。一条针对亲属关怀基本动机的信息与一条针对疾病预防基本动机的信息效果相当。卫生专业人员应在其宣传内容中增加针对亲属关怀基本动机的信息，以鼓励希望未来生育和育儿的女性进行宫颈癌筛查（例如，“宫颈癌的延迟发现可能会妨碍你未来的生育和育儿。所以让我们为了你未来的生育和育儿定期进行宫颈癌筛查。”）
