Increasing Cervical Cancer Awareness and Screening in Jamaica: Effectiveness of a Theory-Based Educational Intervention
Increasing Cervical Cancer Awareness and Screening in Jamaica: Effectiveness of a Theory-Based Educational Intervention
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DOI：
10.3390/ijerph13010053
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发表时间：
2016-01-01
影响因子：
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通讯作者：
Jolly, Pauline E.
中科院分区：
文献类型：
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作者：
Interis, Evelyn Coronado;Anakwenze, Chidinma P.;Jolly, Pauline E.
尽管发达国家的宫颈癌死亡率有所下降，但由于筛查水平低，牙买加的宫颈癌发病率和死亡率仍然很高。需要采取有效的干预措施，以减少预防行为的障碍，并增加采用行为和服务，以改善生存前景。我们招募了225名妇女参加卫生设施的干预，包括前测试，教育介绍和后测试。调查问卷评估了妇女对宫颈癌的态度、知识、危险因素和症状。使用配对t检验和相关比例检验评估知识和筛查意图的变化。参与者在干预后大约六个月进行随访，以确定宫颈癌筛查率。我们发现，从测试前到测试后，正确回答问题的百分比和参与者筛查宫颈癌的意愿在统计上显着增加。最大的改善是在对知识，症状和预防问题的回答中，有些项目从测试前到测试后增加了62%。在接受随访的123名妇女中，有50名（40.7%）接受了宫颈癌筛查。这种以理论为基础的教育干预措施显著提高了对宫颈癌筛查的认识和意愿，并可在类似环境中复制，以提高认识和提高筛查率。
Despite declines in cervical cancer mortality in developed countries, cervical cancer incidence and mortality rates remain high in Jamaica due to low levels of screening. Effective interventions are needed to decrease barriers to preventive behaviors and increase adoption of behaviors and services to improve prospects of survival. We enrolled 225 women attending health facilities in an intervention consisting of a pre-test, educational presentation and post-test. The questionnaires assessed attitudes, knowledge, risk factors, and symptoms of cervical cancer among women. Changes in knowledge and intention to screen were assessed using paired t-tests and tests for correlated proportions. Participants were followed approximately six months post-intervention to determine cervical cancer screening rates. We found statistically significant increases from pre-test to post-test in the percentage of questions correctly answered and in participants' intention to screen for cervical cancer. The greatest improvements were observed in responses to questions on knowledge, symptoms and prevention, with some items increasing up to 62% from pre-test to post-test. Of the 123 women reached for follow-up, 50 (40.7%) screened for cervical cancer. This theory-based education intervention significantly increased knowledge of and intention to screen for cervical cancer, and may be replicated in similar settings to promote awareness and increase screening rates.