پديد آورندگان :
كسمايي، پريسا نويسنده دانشگاه تربيت مدرس,ايران Kasmaei, parisa , باب اقبال، صديقه نويسنده دانشكده بهداشت, دانشگاه علوم پزشكي گيلان,رشت ,ايران bab eghbal, sedigheh , عطركار روشن، زهرا نويسنده دانشكده پزشكي,گروه پزشكي اجتماعي ,دانشگاه علوم پزشكي گيلان,رشت ,ايران Atrkare Roshan, zahra , استبصاري، فاطمه نويسنده دانشكده بهداشت,گروه آموزش بهداشت ,دانشگاه علوم پزشكي گيلان,رشت,ايران Estebsari, fatemeh , مهرابيان، فردين نويسنده دانشكده بهداشت, دانشگاه علوم پزشكي گيلان,رشت,ايران Mehrabian, fardin , كريمي، محمود نويسنده دانشكده بهداشت, دانشگاه علوم پزشكي اراك,اراك,ايران Karimi, mahmoud
كليدواژه :
Pap smear , cervical cancer , Health Belief Model , آزمايش پاپ اسمير , سرطان دهانه رحم , , زنان روستايي , rural women , الگوي اعتقاد بهداشتي
چكيده لاتين :
The Effect of Health Belief Model on Rural WOMENʹS PAP smear test
Kasmaei P[1], Bab Eghbal S[2]*, Atrkar Roshan Z[3], Estebsari F[4], Mehrabian F[5], Karimi M[6]
Received: 19 Apr , 2014 Accepted: 21 June , 2014
Abstract
Background Aim: Cervical cancer is the most prevalent, malignant female disease, and it is the second recognized cancer in women, all over the world. Pap smear test is the only recommended method for screening cervical cancer. The aim of this study was to determine the performance of rural women in the Health Houses of Shaft city in relation to the Pap smear test by using Health Belief Model.
Materials Methods: A descriptiveanalytical study was carried out on 205 rural married women referring to the Shaft Health Houses using twostage sling method. Data collection tool was a valid and reliable questionnaire including demographic variables, knowledge and Health Belief Model constructs. The data were analyzed by using descriptive statistics, Chisquare, MannWhitney U and Logistic Regression tests (SPSS 18 software).
Results: 66.88% of the women had at least once Pap smear test. There was significant differences between scores of knowledge and constructs such as severity, benefits, barriers, perceived selfefficacy and family history among persons with and without Pap smear test (p<0.05). Family history of Pap smear (OR= 2.183, 95% CI=1.1164.270, P=0.023), knowledge (OR= 1.101, 95% CI=1.0241.184, P=0.010), perceived severity (OR=0.733, 95% CI=0.5610.958, P=0.023) and perceived benefits (OR= 1.343, 95% CI=1.0791.670, P=0.008) were determined as predictors of behavior, using Logistic Regression.
Conclusion: Constructs such as severity, perceived benefits and family history of Pap smear test are important predictors, which are necessarily to be considered in designing educational programs.
Key words: Health Belief Model, Pap smear, Cervical Cancer, Rural Women
Address: School of Health, Guilan University of Medical Sciences. Shahid Siadaty street. Namju boulevard, Rasht, Iran.
Tel: (+98)09111343672
Email: sedigheh.eghbal@yahoo.com
[1] Instructor, Department of Health Education Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran and PhD Student of Health Education Promotion in Tarbiyat Modarres University.
[2] MSc student, Department of Health Education Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran. (Corresponding Author)
[3] Instructor, Department of Social Medicine, School of Medical, Guilan University of Medical Sciences, Rasht, Iran and PhD Student of Biostatistics in Tarbiyat Modarres University.
[4] Instructor, Department of Health Education Promotion, School of Health, Guilan University of Medical Sciences, Rasht, Iran and PhD Student of Health Education Promotion in Tehran University.
[5] Associate professor, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
[6] Assistant Professor, School of Health, Arak University of Medical Sciences, Arak, Iran.
