지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제31권4호
  • /
  • Pages.405-415
  • /
  • 2020
  • /
  • 1225-9594(pISSN)
  • /
  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

결혼이민여성의 자궁경부암 검진에 대한 건강신념, 문화적 장애성 및 자궁경부암 검진 의도의 영향 요인

The Related Factors on Cervical Cancer Screening Intention among Married Immigrant Women based on the Health Belief Model

  • 투고 : 2020.06.03
  • 심사 : 2020.10.05
  • 발행 : 2020.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study is to identify the factors of health beliefs, cultural barriers, and intentions of cervical cancer screening behaviors in married immigrant women and provide information for the development of intervention programs. Methods: The subjects were 207 married immigrant women living D and S cities, and G and Y counties. The data were collected from April to June 2019, using a self-report structured questionnaire that was translated into English, Chinese, Vietnamese, and Korean, and analyzed by the SPSS/WIN 24.0 program. Results: As a result of this study, it was found that the intention of cervical cancer screening for married immigrant women were high when they had a job (β=-.17, p=.014), experience of Pap testing within the past year (β=-.28, p<.001), experience of cervical cancer prevention education (β=-.18, p=.008), and a higher perceived sensitivity (β=.18, p=.016). All of these variables together explained 22% of the intention of cervical cancer screening behaviors in immigrant women married to Korean men. Conclusion: In order to increase the cervical cancer screening behaviors in married immigrant women, intervention strategies to increase perceived susceptibility and decrease cultural barriers for immigrant women should be developed.

키워드

참고문헌

  1. Center for Health Protection. Cancer Expert Working Group on Cancer Prevention and Screening: Recommendations on Prevention and screening for cervical cancer for health professionals [Internet]. Hong Kong: Center for Health Protection. 2018 [cited 2018 April 25]. Available from: http://www.chp.gov.hk/files/pdf/cervical_cancer_professional_hp.pdf
  2. World Health Organization (WHO). Human papillomavirus (HPV) and cervical cancer [Internet]. Geneva: World Health Organization(WHO). 2019 [cited 2019 January 24]. Available from: https://www.who.int/news-room/fact-sheets/detail/human-papillomavirus-(hpv)-and-cervical-cancer
  3. Ma GX, Gao W, Fang CY, Tan Y, Feng Z, Ge S, et al. Health beliefs associated with cervical cancer screening among Vietnamese Americans. Journal of Women's Health. 2013;22(3):276-288. https://doi.org/10.1089/jwh.2012.3587
  4. Nguyen-Truong CKY, Leo MC, Lee-Lin F, Gedaly-Duff V, Nail LM. Gregg J, et al. Adaptation and testing of instruments to measure cervical cancer screening factors among Vietnamese immigrant women. Journal of Transcultural Nursing. 2014;26 (3):244-253. https://doi.org/10.1177/1043659614524245
  5. Chan DNS, So WKW, Choi KC, Gurung S. Development of an explanatory model to explore cervical cancer screening behavior among South Asian women: The influence of multilevel factors. European Journal of Oncology Nursing. 2019;40:2-9. https://doi.org/10.1016/j.ejon.2019.03.001
  6. Ministry of Justice. Status of Married immigrant women [Internet]. Gwacheon-si: Ministry of Justice. 2019 [cited 2019 July 26]. Available from: https://www.index.go.kr/potal/stts/idxMain/selectPoSttsIdxMainPrint.do?idx_cd=2819&board_cd=INDX_001
  7. Yoo MS, Park JH, Oh SH, Kim YS. Health care and health status of immigrant women married to Koreans in the visiting care center. Journal of Korean Academic Society of Home Health Care Nursing. 2008;15(2):75-81.
  8. Kim SY, Choi SY. Pap smear screening participation behavior and related factors in married immigrant women. Korean Journal of Women Health Nursing. 2010;16(3):255-265. https://doi.org/10.4069/kjwhn.2010.16.3.255
  9. Choi NY, Lee BS. Factors of breast and cervical cancer screening behaviors in married female immigrants. Journal of The Korea Contents Association. 2015;15(6):326-336. https://doi.org/10.5392/JKCA.2015.15.06.326
  10. Jeong HS, Choi SY. A study on the knowledge and attitude of cervical cancer in married immigrant women. Journal of The Korean Data Analysis Society. 2013;15(6):3279-3292.
  11. Eo YS, Kim JS. Associations of health belief and health literacy with pap smear practice among Asian immigrant women. European Journal of Oncology Nursing. 2019;42:63-68. https://doi.org/10.1016/j.ejon.2019.08.003
  12. Glanz K, Rimer BK, Lewis FM. Health behavior and health education: theory, research, and practice, 3rd ed. Yoo TK, Yoo HR, translator. San Francisco: Jossey-Bass; 2002.
  13. Carpenter CJ. A meta-analysis of the effectiveness of health belief model vriables in predicting behavior. Health Communication. 2010;25(8):661-669. https://doi.org/10.1080/10410236.2010.521906
  14. Han DS. A study on cervical cancer screening among married women [master's thesis]. [Seoul]: Seoul National University; 2002. 57 p.
  15. Tang TS, Solomon LJ, Yeh JC, Worden JK. The role of cultural variables in breast self-examination and cervical cancer screening behavior in young Asian women living in the United states. Journal of Bahavioral Medecine. 1999;22(5):419-436.
  16. Do HH, Taylor VM, Burke N, Yasui Y, Schwartz SM, Jackson JC. Knowledge about cervical cancer risk factors, traditional health beliefs, and pap testing among Vietnamese American women. Journal of Immigrant and Minority Health. 2007;9(2):109-114. https://doi.org/10.1007/s10903-006-9025-7
  17. Nahm IS, Jang HS. Cultural understanding of the native countries of marriage immigrant women's families. Korean Journal of Social Theory. 2009;35:7-31.
  18. Lee HS. Association between dental health belief and dental health-related behavior in mothers and children. Journal of Korean Academy Dental Health, 1996;20(1):11-30.
  19. Moon JS. A study of instrument development for health belief of Korean adults [dissertation]. [Seoul]: Yonsei University; 1990. 113 p.
  20. Xiaotong M, Hwang SW, Lee ES. What factors are influential in promoting the preventive inoculation of cervical cancer for young Chinese people?: The expansion of health belief model based on perceived health status, self-efficacy, and fear. Media, Gender & Culture. 2019;34(2):5-50.
  21. Lee BK, Sohn YK, Lee SL, Yoon MY, Kim MH, Kim CR. An efficacy of social cognitive theory to predict health behavior. A meta-analysis on the health belief model studies in Korea. Journal of Public Relations Research. 2014;18(2):163-206. https://doi.org/10.15814/jpr.2014.18.2.163
  22. Nguyen-Truong CKY, Nguyen KQV, Nguyen TH, Le TV, Truong AM, Rodela K, et al. Vietnamese American women's beliefs and perceptions on cervical cancer, cervical cancer screening, and cancer prevention vaccines: A community-based participatory study. Asian/Pacific Island Nursing Journal. 2017;2(4):1-10. https://doi.org/10.9741/23736658.1067
  23. Koo SM. Development and evaluation of an educational program to prevent cervical cancer among Vietnamese married immigrant women [dissertation]. [Daejeon]: Daejeon University; 2015. 128 p.
  24. Mo HS, Choi KB, Kim JS. Effects of a peer cervical cancer prevention education program on Korean female college students' knowledge, attitude, self-efficacy, and intention. Korean Journal of Adult Nursing. 2013;25(6):736-746. https://doi.org/10.7475/kjan.2012.24.6.736
  25. Ralston JD, Taylor VM, Yasui Y, Kuniyuki A, Jackson JC, Tu SP. Knowledge of cervical cancer risk factors among Chinese immigrants in Seattle. Journal of Community Health. 2003;28(1):41-57. https://doi.org/10.1023/A:1021381105325
  26. Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly. 1984;11(1):1-47. https://doi.org/10.1177/109019818401100101