College of Public Health Sciences Chulalongkorn University, Bangkok, 10330, Thailand.
Surat Thani Hospital, Surat Thani, 84000, Thailand.
BMC Public Health. 2024 Jul 6;24(1):1803. doi: 10.1186/s12889-024-19287-y.
Cervical cancer is a significant global health concern and is the third most common cancer in women. Owing to their religious beliefs, Muslim women in Thailand are less likely to be screened for cervical cancer.
This study aimed to explore how a Health Belief Model (HBM) (HBM = Health Belief Model)-Based Edutainment Program affects the knowledge, perception, and uptake of cervical cancer screening among Muslim women in Thailand.
A quasi-experimental study was conducted in two rural districts of Southern Thailand with 83 Muslim women (intervention = 42, control = 41). The assessment was conducted through face-to-face interviews at baseline, post-intervention, and at 3-month follow-up. The intervention included four sessions involving video clips, folk songs, and short films. Data analysis was performed using repeated-measures ANOVA (ANOVA = Analysis of Variance) at a significance level of 0.05.
There were significant differences in the mean score of knowledge and perception between the intervention and control groups post-intervention and at 3-month follow-up (p < 0.001). The mean scores of knowledge and perception in the intervention group significantly increased post-intervention and at 3-month follow-up (p < 0.001). The uptake of cervical cancer screening tests in the intervention group was approximately twice as high as that in the control group (90.47% vs. 51.21%).
The findings revealed that the Edutainment Program could improve the knowledge, perception, and uptake of cervical cancer screening among Muslim women in Thailand. In future studies, the intervention suggests testing different population groups to improve access to primary care for everyone.
宫颈癌是一个重大的全球健康问题,也是女性中第三常见的癌症。由于宗教信仰,泰国穆斯林女性接受宫颈癌筛查的可能性较低。
本研究旨在探讨基于健康信念模型(HBM)的娱乐教育计划如何影响泰国穆斯林女性对宫颈癌筛查的知识、认知和接受程度。
在泰国南部的两个农村地区进行了一项准实验研究,共有 83 名穆斯林女性参与(干预组=42 人,对照组=41 人)。评估通过面对面访谈在基线、干预后和 3 个月随访时进行。干预包括四个环节,包括视频剪辑、民歌和短片。数据分析采用重复测量方差分析(ANOVA),显著性水平为 0.05。
干预后和 3 个月随访时,干预组和对照组在知识和认知的平均得分上存在显著差异(p<0.001)。干预组的知识和认知平均得分在干预后和 3 个月随访时显著增加(p<0.001)。干预组接受宫颈癌筛查测试的比例约为对照组的两倍(90.47%比 51.21%)。
研究结果表明,娱乐教育计划可以提高泰国穆斯林女性对宫颈癌筛查的知识、认知和接受程度。在未来的研究中,建议对不同的人群进行干预,以改善所有人获得初级保健的机会。