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

Year 2019, Volume: 4 Issue: 2, 39 - 45, 30.08.2019

Dincer Atila , Ferhat Ekinci Mehpare Altay

https://doi.org/10.22391/fppc.460407

Abstract

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.‎

Keywords

Serviks kanseri Sağlık çalışanları Pap smear Aile hekimliği

References

  • 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.

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

Year 2019, Volume: 4 Issue: 2, 39 - 45, 30.08.2019

Dincer Atila , Ferhat Ekinci Mehpare Altay

https://doi.org/10.22391/fppc.460407

Abstract

Introduction: This study
aimed to investigate the knowledge and behaviors of cervical cancer among women
working in primary health care services in Van.

Methods: Among the 194 women working in primary care settings, 164 (85.4%)
completed a self-administered questionnaire containing questions on demographic
knowledge, cervical cancer knowledge (eight questions), attitudes related to
cervical cancer (two questions), and cervical cancer-related 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) were single. The median
knowledge score of the participants was 6 (1stquartile 4; 3rdquartile
6). Of the participants, 17.8% (n=29) had regular gynecological examination, and
only 19.2% (n=23) had a Pap smear test. The knowledge score of those with university
degrees was higher than those 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 practices were not in
accordance with the knowledge. On the other hand, considering that the
participants were health workers, better results could be expected. Primary
care health professionals have a duty to transfer and implement preventive
health services to society. Thus, it is regarded as useful to increase
in-service training and improve the knowledge and behavior of women working in
primary health care services on cervical cancer.

Keywords

Uterine Cervical Neoplasms Healthcare Workers Papanicolaou Test Primary Care

References

  • 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.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Dincer Atila 0000-0003-0835-2740

Ferhat Ekinci 0000-0002-9943-7602

Mehpare Altay 0000-0002-4794-8793

Publication Date August 30, 2019
Submission Date September 16, 2018
Acceptance Date February 21, 2019
Published in Issue Year 2019 Volume: 4 Issue: 2

Cite

APA Atila, D., Ekinci, F., & Altay, M. (2019). Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Family Practice and Palliative Care, 4(2), 39-45. https://doi.org/10.22391/fppc.460407
AMA Atila D, Ekinci F, Altay M. Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Fam Pract Palliat Care. August 2019;4(2):39-45. doi:10.22391/fppc.460407
Chicago Atila, Dincer, Ferhat Ekinci, and Mehpare Altay. “Knowledge, Attitudes, and Behaviors about Cervical Cancer Among Women Working in Primary Health Care Services in Van”. Family Practice and Palliative Care 4, no. 2 (August 2019): 39-45. https://doi.org/10.22391/fppc.460407.
EndNote Atila D, Ekinci F, Altay M (August 1, 2019) Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Family Practice and Palliative Care 4 2 39–45.
IEEE D. Atila, F. Ekinci, and M. Altay, “Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van”, Fam Pract Palliat Care, vol. 4, no. 2, pp. 39–45, 2019, doi: 10.22391/fppc.460407.
ISNAD Atila, Dincer et al. “Knowledge, Attitudes, and Behaviors about Cervical Cancer Among Women Working in Primary Health Care Services in Van”. Family Practice and Palliative Care 4/2 (August2019), 39-45. https://doi.org/10.22391/fppc.460407.
JAMA Atila D, Ekinci F, Altay M. Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Fam Pract Palliat Care. 2019;4:39–45.
MLA Atila, Dincer et al. “Knowledge, Attitudes, and Behaviors about Cervical Cancer Among Women Working in Primary Health Care Services in Van”. Family Practice and Palliative Care, vol. 4, no. 2, 2019, pp. 39-45, doi:10.22391/fppc.460407.
Vancouver Atila D, Ekinci F, Altay M. Knowledge, attitudes, and behaviors about cervical cancer among women working in primary health care services in Van. Fam Pract Palliat Care. 2019;4(2):39-45.

Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505