| Summary: | 碩士 === 高雄醫學大學 === 公共衛生學研究所碩士在職專班 === 91 === In 2001, Taiwan had cervical cancer death rate of 8.6 per one hundred thousands people, which caused 939 Taiwanese women to die. Without doubt, cervical cancer is threatening the Taiwanese women’s health. According to Bureau of National Health Insurance statistical data from 1995 to 1999, the estimated response rates of cervical cancer pap-smear were 10.55%, 21.97%, 28.06%, 30.36%, and 30.65%, respectively. Even though, the rates were increased annually, they were still very low comparing to 70-80% of western countries. Therefore, there are still wide improving space for Taiwan’s health authorities in the area of promoting women to receive cervical cancer pap-smear test.
The purposes of this study were: 1) to understand the status quo of women in Ho-Bi Hsiang on the knowledge, attitude, and reception of pap-smear test and to discuss their related effective factors; 2) to evaluate the appropriateness of health education intervention methods by comparing the pre and post changes in Ho-Bi Hsiang’s women’s knowledge, attitude, and reception behavior of cervical cancer and pap-smear test after health education intervention. Systematic sampling of 1:5 ratio was used in this study, where 482 women from a list provided by Bureau of National Health Insurance of women above 30 years old who did not receive pap-smear test in the past three years were selected as study subjects. Study subjects were grouped into experiment and control groups. Both groups were pre and post tested. Experiment group was given group and individual heath education and pamphlet, where the control group did not receive any.
The continuous variables were analyzed by t-test, repeated measures two—way ANOVA, where discontinuous variables were tested with chi-square. The study results were: those women under 50 years old were higher in regular reception of pap-smear test; women above 70 years old were higher in irregular reception of pap-smear test; married women were higher than those unmarried in regular reception of pap-smear test; those in small family were higher in regular reception of pap-smear test than irregular pap-smear test where big family(more than three generations living together) and core family(three generations living together) were lower in regular reception of pap-smear test than irregular reception of pap-smear. Participation in promoting activities could encourage women in regularly receiving pap-smear test, where those participated more than twice had the most significant effects. In the past gynecological treatment experiment, those with gynecological problems were more willing to receive regular pap-smear test. The reasons for not receiving pap-smear test were: first, “feeling not sick” with 33.6% and 39.9%, followed by “too busy, don’t have time”(27.2% and 20.9%). After education intervention, the reasons for regular reception of pap-smear test were: first, “notice from local health center” (81.5%), followed by “self perception of needs” (11.8%). After education intervention, related knowledge sources were mainly from television and local authorities, regardless of pre and post intervention. After education intervention, women received pap-smear test from the local health center (30.7%) and community station (28.9%) the most, than followed by hospitals (21.9%).
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