DOI QR코드

DOI QR Code

Effects of a Peer Cervical Cancer Prevention Education Program on Korean Female College Students' Knowledge, Attitude, Self-efficacy, and Intention

  • Received : 2013.07.03
  • Accepted : 2013.12.19
  • Published : 2013.12.31

Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of a peer cervical cancer prevention education program on Korean female college students' knowledge, attitude, self-efficacy, and intention. Methods: A quasi-experimental pretest-posttest design with a non-equivalent control group was used. The participants were 58 female college students in a metropolitan city in Korea. The sample consisted of an intervention group (n=28) that participated in a peer education program and a control group (n=30). Data were measured using self-administered questionnaires at two time points: prior to the intervention and after the intervention. Results: Compared to the control group, the experimental group reported significantly positive changes for knowledge, attitude, self-efficacy, and intent to practice cervical cancer prevention behaviors. Conclusion: The findings of this study indicated that a peer education program developed for Korean female college students was a useful and effective intervention strategy to promote cervical cancer prevention behaviors in Korean sociocultural contexts.

Keywords

References

  1. Adolescent sexuality. (2013). In Wikipedia. Retrieved March 2, 2013, from http://en.wikipedia.org/wiki/Adolescent_sexuality
  2. Albarracin, D., Johnson, B. T., Fishbein, M., & Muellerleile, P. A. (2001). Theories of reasoned action and planned behavior as models of condom use: A meta-analysis. Psychological Bulletin, 127, 142-161. https://doi.org/10.1037/0033-2909.127.1.142
  3. Al-Naggar, R. A., Low, W. Y., & Isa, Z. M. (2010). Knowledge and barriers towards cervical cancer screening among young women in Malaysia. Asian Pacific Journal of Cancer Prevention, 11, 867-873.
  4. American Cancer Society. (2012). New screening guidelines for cervical cancer. Retrieved from http://www.cancer.org/cancer/news/new-screening-guidelines-for-cervical-cancer
  5. Brewer, N. T., & Fazekas, K. I. (2007). Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine, 45 (2-3), 107-114. http://dx.doi.org/10.1016/j.ypmed.2007.05.013
  6. Centers for Disease Control and Prevention. (2013). Sexually transmitted diseases: Genital HPV infection-Fact sheet. Retrieved from http://www.cdc.gov/hpv/whatishpv.html
  7. Chapman, E., Venkat, P., Ko, E., Orezzoli, J. P., Carmen, M. D., & Garner, E. I. O. (2010). Use of multimedia as an educational tool to improve human papillomavirus vaccine acceptability: A pilot study. Gynecologic Oncology, 118 (2), 103-107. http://dx.doi.org/10.1016/j.ygyno.2010.04.010
  8. Davey-Rothwell, M. A., Tobin, K., Yang, C., Sun, C. J., & Latkin C. A. (2011). Results of a randomized controlled trial of a peer mentor HIV/STI prevention intervention for women over an 18 month follow-up. AIDS and Behavior, 15 (8), 1654-1663. http://dx.doi.org/10.1007/s10461-011-9943-9
  9. Ferrara, M., Langiano, E., & De Vito, E. (2012). A school based community randomized trial of the effect of peer health education on primary prevention knowledge, attitude and behaviors towards HPV among adolescents. Italian Journal of Public Health, 9 (1), 20-32.
  10. French, S. E., & Holland, K. J. (2013). Condom negotiation strategies as a mediator of the relationship between selfefficacy and condom use. Journal of Sex Research, 50 (1), 48-59. http://dx.doi.org/10.1080/00224499.2011.626907
  11. Han, K. H. (2011). The impact of health belief components on the effectiveness of women's cancer prevention campaigns: A cross-national examination towards Korean and Japanese women. Korean Journal of Advertizing and Public Relations, 13 (2), 377-412.
  12. Head, S. K., Crosby, R. A., & Moore, G. R. (2009). Pap smear knowledge among young women following the introduction of the HPV vaccine. Journal of Pediatric and Adolescent Gynecology, 22 (4), 251-256. http://dx.doi.org/10.1016/j.jpag.2008.10.005
  13. Hsu, Y. Y., Fetzer, S. J., Hsu, K. F., Chang, Y. Y., Haung, C. P., & Chou C. Y. (2009). Intention to obtain human papillomavirus vaccination among Taiwanese undergraduate women. Sexually Transmitted Diseases, 36 (11), 686-692. http://dx.doi.org/10.1097/OLQ.0b013e3181ad28d3
  14. Kang, H. S., & Moneyham, L. (2010). Attitudes toward and intention to receive the human papilloma virus (HPV) vaccination and intention to use condoms among female Korean college students. Vaccine, 28 (3), 811-816. http://dx.doi.org/10.1016/j.vaccine.2009.10.052
  15. Kang, H. Y., & Kim, J. S. (2011). Knowledge, attitudes of human papillomavirus vaccine, and intention to obtain vaccine among Korean female undergraduate students. Women & Health, 51 (8), 759-776. http://dx.doi.org/10.1080/03630242.2011.627091
  16. Kaponda, C. P. N., Norr, K. F., Crittenden, K. S., Norr, J. L., Mccreary, L. L., & Kachinwe, S. I. (2011). Outcomes of an HIV prevention peer group intervention for rural adults in Malawi. Health Education & Behavior, 38 (2), 159-170. http://dx.doi.org/10.1177/1090198110378588
  17. Kim, C. J., Park, T. C., & Park, J. S. (2010). Efficacy of human papillomavirus vaccines including cross protection: A review of recent evidence. Korean Journal of Obstetrics & Gynecology, 53 (2),103-118. https://doi.org/10.5468/kjog.2010.53.2.103
  18. Kim, C. R., & Free, C. (2008). Recent evaluation of the peer-led approach in adolescent sexual health education: A systematic review. International Family Planning Perspectives, 34 (2), 89-96. http://dx.doi.org/10.1363/4014408
  19. Kim, H. W. (2009). Effects of prevention education of human papillomavirus linked to cervix cancer for unmarried female university students. Journal of Korean Academic Society of Nursing, 39 (4), 490-498. http://dx.doi.org/10.4040/jkan.2009.39.4.490
  20. Kim, H. W., & Ahn, H. Y. (2007). Study on the knowledge of human papillomavirus in female university students. Korean Journal of Women Health Nursing, 13, 13-20. https://doi.org/10.5977/JKASNE.2009.15.2.225
  21. Kim, J. H., & Park, M. K. (2009). Study on the knowledge of cervical cancer and human papillomavirus and preventive behavior intention of female university students. Journal of Korean Academic Socity of Nursing Education, 115, 225-231. http://dx.doi.org/10.5977/JKASNE.2009.15.2.225
  22. Korean Red Cross. (2007). An adolescent peer group sexual education. Retrieved from www.redcross.or.kr
  23. Kwan, T. T., Chan, K. K., Yip, A. M. W., Tam, K. F., Cheung, A. N. Y., Young, P. M., et al. (2008). Barriers and facilitators to human papillomavirus vaccination among Chinese adolescent girls in Hong Kong: A qualitative-quantitative study. Sexually Transmitted Infection, 84 (3), 227-232. http://dx.doi.org/10.1136/sti.2007.029363
  24. Lee, E. G., & Kim, H. O. (2011). Effects of HPV vaccination education on college women's knowledge, health beliefs, and intention. Journal of Korean Academic Society of Nursing, 41 (5), 715-723. http://dx.doi.org/10.4040/jkan.2011.41. 5.715
  25. Lee, E. J., & Park, J. S. (2011). Knowledge about cervical cancer, health beliefs and human papillomavirus vaccination rate in female university students. Journal of Korean Oncology Nursing, 11 (1), 65-73. http://dx.doi.org/10.1016/j.whi.2012.09.003
  26. Lee, H. K. (2010). Predictors of condom use intention according to experience of sexual intercourse in male college students. Korean Journal of Women Health Nursing, 16 (2), 194-203. http://dx.doi.org/10.4069/kjwhn.2010.16.2.194
  27. Lopez, R., & McMahan, S. (2007). College women's perception and knowledge of human papillomavirus (HPV) and cervical cancer. California Journal of Health Promotion, 5 (3), 12-25.
  28. Maddux, J., Bradley, L., & Boykin, A. (1995). Self-efficacy and health behavior: Prevention, promotion, and detection. In J. Maddux (Ed.), Self-efficacy, adaptation, and adjustment: Theory, research, and application (pp. 173-202). New York, Plenum Press.
  29. McKeever, A. (2008). Female college students' self-reported behavioral change after an educational intervention to reduce behaviors associated with cervical risk. Unpublished Doctoral Dissertation, Villanova University, Pennsylvania.
  30. Moore, S. G., Dahl, D. W., Gorn, G. J., Weinberg, C. B., Park, J., & Jiang, Y. (2008). Condom embarrassment: Coping and consequences for condom use in three countries. AIDS Care, 20 (5), 553-559. http://dx.doi.org/10.1080/09540120701867214
  31. Oh, J. K., Francesch, S., Kim, B. K., Kim, J. Y., Ju, Y. H., Hong, E. K., et al. (2009). Prevalence of human papillomavirus and chlamydia trachomatis infection among women attending cervical cancer screening in Republic of Korea. European Journal of Cancer Prevention, 18 (1), 56-61. http://dx.doi.org/10.1097/CEJ.0b013e328305a0a6
  32. Pitts, M. K., Smith, A., Croy, S., Lyons, A., Ryall. R., Garland, S., et al. (2009). Singaporean women's knowledge of human papillomavirus (HPV) and attitudes toward HPV vaccination. Women & Health, 49 (4), 334-351. http://dx.doi.org/10.1080/03630240903158420
  33. Read, D. S., Joseph, M. A., Polishchuk, V., & Suss, A. L. (2010). Attitudes and perceptions of the HPV vaccine in Caribbean and African-American adolescent girls and their parents. Journal of Adolescnet Gynecology, 23, 242-245. https://doi.org/10.1016/j.jpag.2010.02.002
  34. Rhee, J. E., Shin, J. E., Kim, M. Y., Kim, C. M., Chung, J. K., Min, S. K., et al. (2010). Prevalence of human papillomavirus infection and genotype distribution among high-risk Korean women for prospecting the strategy of vaccine development. Journal of Virology, 7 (1), 201-204. https://doi.org/10.1186/1743-422X-7-201
  35. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15 (2), 175-183. https://doi.org/10.1177/109019818801500203
  36. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1994). The health belief model and HIV risk behavior change. In R. J. Diclemente & J. L. Peterson (Eds.), Preventing AIDS: Theories of methods of behavioral interventions (pp. 5-24). New York, NY: Plenum Press.
  37. Saha, A., Chaudhury, A. N., Bhowmik, P., & Chatterjee, R. (2010). Awareness of cervical cancer among female students of premier colleges in Kolkata, India. Asian Pacific Journal of Cancer Prevention, 11, 1085-1090.
  38. Sarkar, N. N. (2008). Barriers to condom use. European Journal of Contraception & Reproductive Health Care, 13 (2), 114-122. http://dx.doi.org/10.1080/13625180802011302
  39. Shepherd, J. P., Frampton, G. K., & Harris, P. (2011). Interventions for encouraging sexual behaviours intended to prevent cervical cancer. Cochrane Database of Systematic Reviews, 4. Art. No.: CD001035. http://dx.doi.org/10.1002/14651858.CD001035.pub2
  40. Sriranganathan, G., Jaworsky, D., Larkin, J., Flicker, S., Campbell, L., & Flynn, S., et al. (2010). Peer sexual health education: Interventions for effective programme evaluation. Health Education Journal, 71 (1), 62-71. http://dx.doi.org/10.1177/0017896910386266
  41. Statistics Korea. (2012). Annual Report on the Cause of Death Statistics. Retrieved from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board
  42. Waller, J., Bartoszek, M., Marlow, L., & Wardle, J. (2009). Barriers to cervical cancer screening attendance in England: A population-based survey. Journal of Medical Screening, 16 (4), 199-204. http://dx.doi.org/10.1258/jms.2009.009073
  43. Wong, L. P. (2008). Young multiethnic women's attitudes toward the HPV vaccine and HPV vaccination. International Journal of Gynecology & Obstetrics, 103 (2), 131-5. http://dx.doi.org/10.1016/j.ijgo.2008.07.005
  44. Xiao, Z. (2012). Correlates of condom use among Chinese college students in Hunan province. AIDS Education and Prevention, 24, 469-482. http://dx.doi.org/10.1521/aeap.2012.24. 5.469

Cited by

  1. Cervical Cancer Knowledge, Self-Efficacy, and Health Literacy Levels of Married Women pp.1543-0154, 2017, https://doi.org/10.1007/s13187-017-1242-3
  2. 결혼이민여성의 자궁경부암 검진에 대한 건강신념, 문화적 장애성 및 자궁경부암 검진 의도의 영향 요인 vol.31, pp.4, 2013, https://doi.org/10.12799/jkachn.2020.31.4.405