بررسي پيشگوئي كننده هاي انجام تست پاپ اسمير بر اساس تئوري انگيزش محافظت در زنان شهركرد

Predictors of Pap Smear Test Based on Protection Motivation Theory among Women of Shahree-kord

مقدمه: سرطان دهانه رحم چهارمين سرطان شايع و از مهمترين علل مرگ و مير زنان در سراسر جهان است. اين سرطان يكي از مهمترين مسايل بهداشتي زنان در كشورهاي در حال توسعه است ولي خوشبختانه قابل پيشگيري است و تست پاپ اسمير يك روش غربالگري موثر جهت پيشگيري و تشخيص به موقع اين سرطان است. اين مطالعه با هدف تعيين پيشگويي كننده هاي انجام تست پاپ اسمير در زنان شهركرد انجام شد. روش بررسي:در اين مطالعه مقطعي 290 نفر از زنان واجد شرايط شهرستان شهركرد در سال 1395 مورد بررسي قرار گرفتند. ابزار مطالعه پرسشنامه محقق ساخته بر اساس تيوري انگيزش محافظت بود. پرسشنامه ها به صورت خود گزارش دهي تكميل شدند. جهت آناليز داده ها از آزمون آماري T-Test ، واريانس و رگرسيون لجستيك استفاده شد.

Introduction: Cervical cancer is the fourth most common cancer and one of the most important causes of death among women worldwide. Although this cancer is one of the most important womenʹs health issues in the developing countries, it is preventable fortunately and Pap smear test is an effective screening method for its prevention and early diagnosis. This study aimed to determine the predictors of Pap smear test among women in Shahr-e-kord based on protection motivation theory. Methods: This cross-sectional study was carried out on 290 eligible women of Shahr-e-kord city in 2016. The study tool was a researcher-made questionnaire based on the protection motivation theory, which was completed by participants as self-report. To analyze the data, t-test, logistic regression, and ANOVA were used. Results: Statistically significant differences were observed in the mean scores of perceived severity (p=0.004), perceived self-efficacy (P=0.000), perceived response efficacy (P=0.008), and protection motivation (P=0.01) based on the behavior. Moreover, the perceived severity (OR=1.12) and perceived rewards (OR=0.90) were the statistically significant predictors of Pap smear test among women in Shahre-e-kord city. Conclusion: The study results confirmed the predictive role of protection motivation theory in the protective behavior of cervical cancer (Pap smear).