Yıl: 2019 Cilt: 4 Sayı: 2 Sayfa Aralığı: 39 - 45 Metin Dili: İngilizce İndeks Tarihi: 02-11-2020

Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van

Öz:
Introduction: This study aimed to investigate the knowledge and behaviors of cervical cancer among women working in primary health careservices in Van.Methods: Among the 194 women working in primary care settings, 164 (85.4%) completed a self-administered questionnaire containing questionson demographic knowledge, cervical cancer knowledge (eight questions), attitudes related to cervical cancer (two questions), and cervical cancerrelated behaviors (two questions).Results: The mean age of the participants was 30.20±5.17 years. Of the women, 53.7% (n=88) were university graduates and 54.0% (n=88) weresingle. The median knowledge score of the participants was 6 (1stquartile 4; 3rdquartile 6). Of the participants, 17.8% (n=29) had regulargynecological examination, and only 19.2% (n=23) had a Pap smear test. The knowledge score of those with university degrees was higher thanthose with high school or lower education (Z=3.21; p=0.001), married women had higher knowledge scores compared to the single ones (Z=2.89;p=0.004), and those who had a Pap smear test had higher knowledge scores than those who did not (Z=2.85; p=0.004).Conclusions: Although the knowledge level of primary care health care providers about cervical cancer and Pap smear was high, their practiceswere not in accordance with the knowledge. On the other hand, considering that the participants were health workers, better results could beexpected. Primary care health professionals have a duty to transfer and implement preventive health services to society. Thus, it is regarded asuseful to increase in-service training and improve the knowledge and behavior of women working in primary health care services on cervicalcancer.
Anahtar Kelime:

Van ili birinci basamak sağlık hizmetlerinde çalışan kadınların serviks kanserine ilişkin bilgi tutum ve davranışlarının değerlendirilmesi

Öz:
Giriş: Bu çalışmada, Van ili birinci basamak sağlık hizmetlerinde çalışan kadınların serviks kanserine ilişkin bilgi ve davranışlarının araştırılması amaçlanmıştır. Yöntem: Birinci basamakta çalışan 194 kadından 164’üne (%85,4) demografik bilgileri içeren soruların yanında serviks kanseri bilgisini ölçen sekiz adet, serviks kanseriyle ilgili tutum ölçen iki adet ve serviks kanseriyle ilgili davranış ölçen dört adet sorudan oluşan bir anket kendi kendine doldurma yöntemiyle uygulandı. Bulgular: Katılımcıların yaş ortalaması 30,20±5,17 yıl idi. Kadınların %53,7’si (n=88) üniversite mezunu ve %54,0’ü (n=88) bekârdı. Katılımcıların ortanca bilgi puanı 6 (1. çeyrek 4; 3. Çeyrek 6) idi. Katılımcıların %17,8’i (n=29) düzenli jinekolojik muayene olmuş, sadece %19,2’si (n=23) Pap smear testi yaptırmıştı. Üniversite mezunu olanların bilgi puanı lise ve altı eğitimi olanlardan (Z=3,21; p=0,001), evli olanların bilgi puanı bekâr olanlardan (Z=2,89; p=0,004) ve Pap smear testi yaptıranların bilgi puanı yaptırmayanlardan (Z=2,85; p=0,004) daha yüksekti. Sonuç: Bu araştırmada birinci basamakta sağlık hizmeti veren kadınların SKa ve Pap smear ile ilgili bilgi düzeyleri genel olarak yüksek bulunmuş olmakla birlikte, uygulamaları düşük bulunmuştur. Diğer taraftan, katılımcıların sağlık çalışanları olduğu düşünüldüğünde sonuçları daha iyi olması beklenebilirdi. Koruyucu sağlık hizmetlerini topluma aktarma ve uygulama görevi bulunan birinci basamak sağlık çalışanlarının bilgi ve davranış eksikliklerinin giderilmesi için hizmet içi eğitimlerin artırılmasının yararlı olacağı düşünülmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-tieulent J, Jemal A. Global Cancer Statistics, 2012. CA: Cancer J Clin 2015. https://doi.org/10.3322/caac.21262
  • 2. Torre LA, Islami F, Siegel RL, Ward EM, Jemal A. global cancer in women: burden and trends. Cancer Epidemiol Biomarkers Prev 2017;26:444–57. https://doi.org/10.1158/1055-9965.EPI-16-0858
  • 3. Ilter H, Keskinkilic B. [Turkey Cancer Statistics] (in Turkish) 2015. Chapter 4.1. 1st ed. Ankara: Public Health General Directorate, Ministry of Health; 2018:20. Available at https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/Turkiye_Kanser_Istatistikleri_2015.pdf Access date: 10.03.2019
  • 4. Murphy J, Mark H. Cervical cancer screening in the era of human papillomavirus testing and vaccination. J Midwifery Womens Health 2012;57:569–76. https://doi.org/10.1111/j.1542-2011.2012.00207.x
  • 5. Fernandes J, Carvalho M, de Fernandes T, et al. Prevalence of human papillomavirus type 58 in women with or without cervical lesions in northeast Brazil. Ann Med Health Sci Res 2013. https://www.ncbi.nlm.nih.gov/pubmed/24379999
  • 6. Ergunay K. [Human papilloma viruses] (in Turkish) In: Us AD, Ergunay K, editors. Chapter 20: Molecular, Clinic and Diagnostic Virology, Ankara: Bilimsel Tip Publishing House; 2011:591.
  • 7. Erickson BK, Alvarez RD, Huh WK. Human papillomavirus: What every provider should know. Am J Obstet Gynecol 2013. https://doi.org/10.1016/j.ajog.2012.09.007
  • 8. Keen E, Aldous W. Genital infections and sexually transmitted diseases. In: Mahon, CR. Lehman, DC. Manuselis G, editor. Textb. Diagnostic Microbiol. 4th ed, Missouri: Saunders: Elsevier; 2011, p. 901–26.
  • 9. [Cervical cancer] (in Turkish). Public Health General Directorate, Cancer Department Directorate, 2019. Available at https://hsgm.saglik.gov.tr/tr/kanser-turleri/kanser-turleri/362-kanser-dairesi-baskanligi-kanser-turleri-serviks-kanseri.html Access date: 10.03.2019.
  • 10. Jennings-Dozier K, Lawrence D. Sociodemographic predictors of adherence to annual cervical cancer screening in minority women. Cancer Nurs 2000. https://doi.org/10.1097/00002820-200010000-00004
  • 11. Curry SJ, Krist AH, Owens DK, et al. Screening for cervical cancer us preventive services task force recommendation statement. JAMA - J Am Med Assoc 2018. https://doi.org/10.1001/jama.2018.10897
  • 12. Immunogenicity and Tolerability of Broad Spectrum Human Papillomavirus (HPV) Vaccine in Adult and Young Adult Women US National Library of Medicine. Clinical Trials. Available at https://clinicaltrials.gov/ct2/show/NCT03158220 Access date: 10.03.2019
  • 13. Yildirim AD, Ozaydin AN. [Sources of breast cancer knowledge of women living in Moda/İstanbul and their attendance to breast cancer screening] (in Turkish). J Breast Health 2014; 10: 47-56 https://doi.org/10.5152/tjbh.2014.1762
  • 14. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med 2007;4:1623–7. https://doi.org/10.1371/journal.pmed.0040296
  • 15. Faul F, Erdfelder E, Lang A-G, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007;39:175–91. https://doi.org/10.3758/BF03193146
  • 16. Donati S, Giambi C, Declich S, et al. Knowledge, attitude and practice in primary and secondary cervical cancer prevention among young adult Italian women. Vaccine 2012;30:2075–82. https://doi.org/10.1016/j.vaccine.2012.01.057
  • 17. ACOG Practice Bulletin No 157: Cervical Cancer Screening and Prevention (in Turkish). Turk Soc Gynecol Oncol. Available at http://www.trsgo.org/1/haber/63/acog-practice-bulletin-no-157-serviks-kanserinde-tarama-ve-onleme-ceviri-ozet Access date: 11.12.2018.
  • 18. Practice Bulletin No. 157: cervical cancer screening and prevention. Obstet Gynecol 2016;127:e1–20. https://doi.org/10.1097/AOG.0000000000001263
  • 19. Pinar G, Topuz S, An S, Dogan N, Kaya N, Algier L. [Knowledge of women applied to obstetrics and gynecology outpatient clinics of Baskent University Ankara Hospital about HPV vaccination and cervical cancer] (in Turkish). Turk J Gynecol Oncol 2010;1:11–8.
  • 20. Wellensiek N, Moodley M, Moodley J, Nkwanyana N. Knowledge of cervical cancer screening and use of cervical screening facilities among women from various socioeconomic backgrounds in Durban, Kwazulu Natal, South Africa. Int J Gynecol Cancer 2002. https://www.ncbi.nlm.nih.gov/pubmed/12144686
  • 21. Ersin F, Kissal A, Polat P, Benan D, Erdogan M. Perception of female medical personnel toward cervical cancer and the affecting factors (in Turkish). J Res Dev Nurs 2016;18(2-3): 31-43 Available at: http://hemarge.org.tr/ckfinder/userfiles/files/2016/vol18num2-3/4%20(1).pdf
  • 22. Can H, Kilic OY, Guclu YA, Ozturk F, Demir S. [Cervical cancer awareness of female health employees] (in Turkish). J Tepecik Edu Res Hosp 2010;20:77–84.
  • 23. Tuncer ZS. [Cervical Cancer] (in Turkish). In: Gunalp S, Tuncer S, editors. Obstetrics and Gynecology Diagnosis and Treatment, Ankara: Pelikan Publishing; 2004, p. 669–82.
APA atila d, EKİNCİ f, Altay M (2019). Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. , 39 - 45.
Chicago atila dinçer,EKİNCİ ferhat,Altay Mehpare Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. (2019): 39 - 45.
MLA atila dinçer,EKİNCİ ferhat,Altay Mehpare Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. , 2019, ss.39 - 45.
AMA atila d,EKİNCİ f,Altay M Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. . 2019; 39 - 45.
Vancouver atila d,EKİNCİ f,Altay M Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. . 2019; 39 - 45.
IEEE atila d,EKİNCİ f,Altay M "Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van." , ss.39 - 45, 2019.
ISNAD atila, dinçer vd. "Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van". (2019), 39-45.
APA atila d, EKİNCİ f, Altay M (2019). Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Aile Hekimliği ve Palyatif Bakım, 4(2), 39 - 45.
Chicago atila dinçer,EKİNCİ ferhat,Altay Mehpare Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Aile Hekimliği ve Palyatif Bakım 4, no.2 (2019): 39 - 45.
MLA atila dinçer,EKİNCİ ferhat,Altay Mehpare Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Aile Hekimliği ve Palyatif Bakım, vol.4, no.2, 2019, ss.39 - 45.
AMA atila d,EKİNCİ f,Altay M Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Aile Hekimliği ve Palyatif Bakım. 2019; 4(2): 39 - 45.
Vancouver atila d,EKİNCİ f,Altay M Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Aile Hekimliği ve Palyatif Bakım. 2019; 4(2): 39 - 45.
IEEE atila d,EKİNCİ f,Altay M "Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van." Aile Hekimliği ve Palyatif Bakım, 4, ss.39 - 45, 2019.
ISNAD atila, dinçer vd. "Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van". Aile Hekimliği ve Palyatif Bakım 4/2 (2019), 39-45.