Women’s decision to adopt or not adopt cervical cancer screening: Application of precaution adoption process model as the theoretical framework
نویسندگان
1 Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Health Promotion and Education, School of Health, Alborz University of Medical Sciences, Alborz, Iran
4 Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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doi
چکیده
BACKGROUND: The cancer is uncontrolled growth and spread of cells that affect almost all parts ofthe body. One of the most prevalent cancers in the female genital system is cervical cancer. The aimof present study was to determine the effect of educational intervention using the Precaution AdoptionProcess Model (PAPM) on cervical cancer screening behavior (Pap smear test) among women.MATERIALS AND METHODS: In this interventional study that was done in Karaj health centers (2016),women (aged 15‑49 years) were in the third stage of behavior change process based on PAPMrandomly assigned to experimental and control groups. The data collection tool was a PAPM‑basedquestionnaire whose validity and reliability were confirmed. Gathered data were analyzed usingstatistical software SPSS 16 and statistical tests (t‑test, repeated measures analysis of variance,and Wilcoxon, Chi‑squared, Fisher’s exact, and Mann‑Whitney tests).RESULTS: The result showed that the stages of the decision‑making process between the two groupswere significantly different at the time immediately and 2 months after the intervention (P > 0.001). Alsothe results of the intervention based on the health belief model health belief model (HBM) components,regarding variables of knowledge, perceived susceptibility, perceived benefits, perceived barriers,and subjective norms, the mean scores in the experimental group were significantly different betweenthe three sections before, immediately, and 2 months after the intervention (P > 0.001).CONCLUSIONS: This study provides hints how persons could be influenced to move from the“Deciding about action” positions into to the stages of decided to act, adoption, and maintenancefor promoting cervical cancer screening behavior.
