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Journal of Holistic Nursing and Midwifery، جلد ۳۴، شماره ۳، صفحات ۵۱-۶۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Cervical Cancer Screening Uptake Inequality |
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| چکیده انگلیسی مقاله |
Abstract
Introduction: Cervical cancer is a significant public health concern and has caused numerous unfortunate deaths. The papapsmear mear test is a widely-recognized and affordable screening technique used to detect cervical cancer at an early stage.
Objective: This study aimed to investigate the inequality in cervical cancer screening uptake.
Materials and Methods: This cross-sectional research was conducted on 774 married 30 – 37 women selected by multi-stage cluster sampling. They were living in Kermanshah City, Iran, in 2019. Their socioeconomic status was evaluated using the Principal Component Analysis (PCA) and was shown by the index and curve of concentration of socioeconomic inequality in papsmear. The obtained data were analyzed using the Chi-square, t test, logistic regression, and compensation statistical tests.
Results: The mean age of participants was 45.42±10.66 years. About 43.9% of women had education levels under a diploma. Also, 89.3% of women were married, and 58.1% had already done a papsmear test at least once. In addition, 26.5% of women had a regular papsmear test uptake. The concentration index for papsmear test uptake was 0.062 (P=0.115). Education level (OR= 1.181, 95%CI; 1.022-1.364, P= 0.024) and a positive family history of cervical cancer (OR= 3.591, 95%CI; 1.811-7.120, P = 0.001) had significant impacts on regular papsmear uptake.
Conclusion: A person's level of education and family history of cervical cancer were the most critical factors for getting regular papsmear test uptake. Furthermore, the concentration index showed that the frequency of papsmear test uptake was slightly higher in the rich group. Focusing interventions on less educated and disadvantaged women may provide useful insights to promote papsmear test uptake, thereby reducing inequalities. Moreover, using fear appeal strategies to promote papsmear test uptake may be beneficial.
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| کلیدواژه‌های انگلیسی مقاله |
Papanicolaou test, Early detection of cancer, Health inequities |
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| نویسندگان مقاله |
| Mehdi Mirzaei-Alavijeh
Associate Professor, Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
| Mahin Amini
Epidemiology (MSc), Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| Seyyed Nasrollah Hosseini
Assistant Professor, Ministry of Health and Medical Sciences, Tehran, Iran
| Shima Khashij
Natural Resources Engineering (MSc), Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| Farzad Jalilian
Associate Professor, Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
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| نشانی اینترنتی |
http://hnmj.gums.ac.ir/browse.php?a_code=A-10-2000-2&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
عمومی |
| نوع مقاله منتشر شده |
پژوهشی |
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