Please use this identifier to cite or link to this item:
An Examination of Pap Smear Screening Intention among Female Nurses in Taiwan Using the Health Belief Model: Exploring the Moderating Effects of Pap Smear Screening Experience and Gender Characteristic
Health Belief Model,Female nurses,Pap smear screening intention,Pap smear screening experience,Gender characteristic,
|Publication Year :||2018|
目的：以健康信念模式 (Health Belief Model) 探討女性護理人員之抹片意圖，及抹片經驗與性別氣質之調節作用。
結果：無抹片經驗者中，自覺罹患性高者 (AOR=1.77)，及有抹片經驗者中，自覺嚴重度高者 (AOR=2.37)，其抹片意圖較高。另發現性別氣質具調節作用：於無抹片經驗且性別氣質陽剛者，若自覺行動障礙（與個人信念相關）高時 (AOR=0.28)，其抹片意圖較低，但若自覺行動線索多時 (AOR=2.12)，其抹片意圖較高。於有抹片經驗且性別氣質陽剛者，若自覺行動障礙（與個人信念相關）高時 (AOR=0.19)，其抹片意圖較低，但若自覺行動障礙（與檢查相關）高時 (AOR=18.44)，其抹片意圖較高。
Background: Cancer ranked number one among the top ten causes of death in Taiwan in 2017, and among the 10 leading causes of cancer death in women, cervical cancer ranked seventh. Cervical cancer can be detected early through Pap smear screening, thereby allowing early treatment. Hence, Pap smear screening has been the focus of cancer prevention efforts of the Health Promotion Administration in Taiwan. Nurses are mostly female, but few studies based on behavior change theory have been conducted to investigate Pap smear screening intention among female nurses in Taiwan.
Objectives: Based on the Health Belief Model, this study aimed to examine female nurses’ Pap smear screening intention and to explore the moderating effects of their Pap smear screening experience and gender characteristic.
Methods: A questionnaire survey using purposive sampling was conducted among female nurses in a hospital in Taiwan. A total of 1,001 questionnaires were collected. Hierarchical logistic regression and stepwise regression were used for analysis. To explore the potential moderating effects of Pap smear screening experience, data were stratified as such to examine the relationships between health beliefs and Pap smear screening intention, as well as their interaction effects with gender characteristic.
Results: Among those without Pap smear screening experience, high perceived susceptibility (AOR=1.77) was related to greater Pap smear intention, whereas among those with Pap smear experience, high perceived severity (AOR=2.37) was associated with greater intention. Besides, gender characteristic was found to have moderating effects. Among masculine nurses without Pap smear experience, those who had high perceived barriers related to personal beliefs (AOR=0.28) were less inclined to receive a Pap smear; however, those who had more cues to action (AOR=2.12) had higher intention. Among masculine nurses with Pap smear experience, those who had high perceived barriers related to personal beliefs (AOR=0.19) had lower intention to receive a Pap smear; however, those who had high perceived barriers related to a Pap test (AOR=18.44) had greater Pap smear intention.
Conclusions: Perceived susceptibility and perceived severity were the main factors linked to Pap smear intention among those without and with Pap smear experience, respectively. Gender characteristic might moderate the effects of perceived barriers and cues to action on Pap smear intention. These findings can serve as an empirical basis for health promotion programs in the hospitals tailored for female nurses with different Pap smear screening experiences and gender characteristic.
|Appears in Collections:||公共衛生碩士學位學程|
Files in This Item:
|1.55 MB||Adobe PDF|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.