Department of Maternity and Childhood Nursing, Nursing college, Najran University, Saudi Arabia.
Department of Clinical Laboratory Sciences, Najran University Najran, Saudi Arabia.
Afr J Reprod Health. 2022 Jul;26(7s):61-73. doi: 10.29063/ajrh2022/v26i7s.7.
Exploring the women's intention of the core self-directed behaviors for cervical cancer prevention and their confident abilities for engagement is of utmost importance for targeted intervention development. This study investigates the Saudi women's intention and self-efficacy for Pap Smear Screening and HPV Vaccination in Najran city, KSA. It was a descriptive cross-sectional study incorporating a convenient sample of 1085 Saudi women through a social media-based four-part questionnaire: Basic Data and Reproductive Health History, Pap Smear Intention Scale, HPV vaccination intention scale, Self-Efficacy Scale for Pap smear testing, and HPV vaccination. The results indicated that 59.5% of the study participants had a low intention for Pap testing, while 62.5% of them had a high intention to receive the HPV vaccine, and the self-efficacy for both was high among 57.0% of them. Binary logistic regression showed higher odds for Pap testing intention among older women with enough family income and those with no history of Pap testing and higher gravidity and parity. Rural resident women and those having no family history of CC have Lower odds for HPV vaccination intention. Women of reproductive age and those with high gravidity and parity have higher odds. Self-efficacy has lower odds among divorced, rural resident women and those with no history of Pap testing or HPV vaccine; however, women with longer marriage duration and higher gravidity and parity had higher odds. Hence, there is an apparent high intention for HPV vaccination with a low intention for Pap testing among Saudi women in Najran despite having a higher self-efficacy. These necessitate establishing consolidated efforts for awareness-raising and advocacy programs to prevent CC.
探索女性预防宫颈癌的核心自我导向行为的意图及其参与的自信能力对于有针对性的干预措施的发展至关重要。本研究调查了沙特女性在Najran 市对巴氏涂片筛查和 HPV 疫苗接种的意图和自我效能。这是一项描述性的横断面研究，通过社交媒体对 1085 名沙特女性进行了方便抽样：基本数据和生殖健康史、巴氏涂片检查意图量表、HPV 疫苗接种意图量表、巴氏涂片检查自我效能量表和 HPV 疫苗接种自我效能量表。结果表明，59.5%的研究参与者对巴氏涂片检查的意图较低，而 62.5%的参与者有很高的意愿接种 HPV 疫苗，并且 57.0%的人对这两种疫苗的自我效能都很高。二项逻辑回归显示，年龄较大、家庭收入足够、无巴氏涂片检查史、生育次数和胎次较高的女性进行巴氏涂片检查的可能性更高。农村居民和没有宫颈癌家族史的女性接种 HPV 疫苗的可能性较低。处于生育年龄的女性和生育次数和胎次较高的女性的可能性更高。离婚、农村居民和没有巴氏涂片检查或 HPV 疫苗接种史的女性自我效能较低；然而，婚姻持续时间较长、生育次数和胎次较高的女性的可能性更高。因此，尽管沙特女性在 Najran 的 HPV 疫苗接种意愿较高，但巴氏涂片检查的意愿较低，自我效能较高。这需要为提高认识和宣传计划做出共同努力，以预防宫颈癌。
