Elsaid Noha M A, Ismail Hend A H, Salim Almaza A, Kamal Doaa, Mohammed Heba S, Edris Fawaz E, Ibrahim Asmaa A, Ameen Abeer E
Department of Public Health, Community, Environmental, and Occupational Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Department of Public Health and Community Medicine, Faculty of Medicine, Suez University, Suez, Egypt.
J Family Community Med. 2025 Jul-Sep;32(3):207-216. doi: 10.4103/jfcm.jfcm_45_25. Epub 2025 Jul 14.
Cervical cancer (CC) is a major public health issue. This study assessed the alteration in students' knowledge and willingness to undergo CC screening, and take human papilloma virus (HPV) vaccine after an educational intervention.
A quasi-experimental pre/post study design was adopted. A sample of 379 medical students at Suez University was selected using simple random sampling method. A self-administrated valid reliable questionnaire was utilized to collect the socio demographic data, knowledge about CC, and respondents' willingness and obstacles to CC screening and HPV vaccine. The health education program was delivered to students via the Microsoft team platform. Repeated measures ANOVA was utilized to compare the mean score of knowledge before the educational intervention, immediately, and 1 month later. Cochran's test was used to compare the level of knowledge before intervention, immediately after, and 1 month after the educational intervention.
About 52% of participants reported poor knowledge (<60%) before the educational intervention but significantly improving after the education program (20.3%). The mean knowledge score before the educational intervention, immediate post and 1 month later was 16.5 ± 7.3, 21.8 ± 6.3, and 21.9 ± 6.6, respectively, and this difference was statistically significant ( < 0.001). Before the health education intervention, about 55% of the participants were willing to get vaccinated, but their willingness significantly improved to 67% immediately and 1 month after the intervention ( < 0.001). The major reason for their unwillingness was the lack of awareness of the vaccine. About 58% of female students showed willingness to have pap smear and about 58% of male students showed willingness to counsel family members to have pap smear. Their willingness improved immediately after the educational intervention and 1 month thereafter to 70.7% and 72.3%, respectively. No statistically significant correlation was observed between knowledge and sociodemographic characteristics.
The educational intervention enhanced students' knowledge about CC.
宫颈癌是一个重大的公共卫生问题。本研究评估了教育干预后学生对宫颈癌筛查的知识和意愿的变化,以及接种人乳头瘤病毒(HPV)疫苗的意愿。
采用准实验性前后对照研究设计。使用简单随机抽样方法从苏伊士大学选取了379名医学生作为样本。采用一份自行填写的有效可靠问卷来收集社会人口统计学数据、关于宫颈癌的知识,以及受访者对宫颈癌筛查和HPV疫苗的意愿及障碍。通过微软团队平台向学生提供健康教育计划。采用重复测量方差分析比较教育干预前、干预后即刻和干预后1个月的知识平均得分。使用 Cochr an检验比较干预前、干预后即刻和干预后1个月的知识水平。
约52%的参与者在教育干预前报告知识水平较差(<60%),但在教育计划后有显著改善(20.3%)。教育干预前、干预后即刻和干预后1个月的知识平均得分分别为16.5±7.3、21.8±6.3和21.9±6.6,差异具有统计学意义(<0.001)。在健康教育干预前,约55%的参与者愿意接种疫苗,但干预后即刻和1个月时,他们的意愿显著提高到67%(<0.001)。他们不愿意接种的主要原因是对疫苗缺乏了解。约58%的女学生表示愿意进行巴氏涂片检查,约58%的男学生表示愿意建议家庭成员进行巴氏涂片检查。教育干预后即刻和1个月后,他们的意愿分别提高到70.7%和72.3%。未观察到知识与社会人口统计学特征之间存在统计学显著相关性。
教育干预提高了学生对宫颈癌的知识水平。