Health Beliefs Associated with the Follow-Up of Pap Smear Abnormalities Among Low-Income Women in Medellín, Colombia

Garcés-Palacio, Isabel C.; Ramos-Jaraba, Sara Milena; León, Diana Carolina Rubio

doi:10.1007/s13187-017-1172-0

Cited by 9 publications

(12 citation statements)

References 14 publications

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“…similar to our findings, Park et al [31], reported that after education, the experimental group had a higher score of perceived benefits of Pap smear test. Garces-Palacio et al [32], and Jirojwong et al [33], argued that there was a positive relation between the perceived benefits and the rate of doing Pap smear tests. According to the HBM, an individual performs an action when they rationally find its benefits more than the barriers.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran

et al. 2020

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Background: Cervical cancer is one of the major health problems and the third prevalent cancer in women all around the world. As a simple, inexpensive, and with no side-effects, Pap test is a reliable way to screen cervical cancer. This study aimed to investigate, the effects of educational intervention based on the Health Belief Model (HBM) on doing Pap smear tests among the rural women of the north of Iran. Methods: In a quasi-experimental study, 160 rural women were randomly divided into control and experimental groups to experience a three-session intervention. The experimental group received the usual educational programs of rural health center and educational programs based on the HBM constructs through personal consultation, asking/ answering questions, and an educational pamphlet. The control group, received the usual educational programs of rural health center. The post-test data were collected 2 months after the intervention and analyzed in SPSS-18. Results: Before the intervention, there was no significant difference between the control and experimental groups regarding the mean score of knowledge, performance and constructs of the HBM. After the intervention, however, there was a significant difference in the mean scores of knowledge performance and all constructs of the HBM in two groups (p < 0.001). Rate of doing the Pap smear test in the experimental group increased from 18.7 to 78.7% in the intervention group. Conclusion: These findings support the effectiveness of cervical cancer prevention programs based on the HBM. Therefore, conducting similar programs in other regions is recommended.

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Section: Discussionmentioning

confidence: 99%

Evaluating the effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran

et al. 2020

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“…This finding was similar to other studies that showed women generally need approval or support from their partners to access health services. [6,15] Similar to above, outreach and counseling interventions that incorporate stigma reduction could have a positive impact on partner support.…”

Section: Discussionmentioning

confidence: 94%

“…This finding was similar to that in other studies, which found that lack of social support was a potential barrier to follow-up care. [15,16] Lack of social support was a clear barrier among LTFU women and a clear proposed facilitator to treatment among all women. Using social support as a facilitator for treatment seeking has been proposed in other studies in the past, supporting this finding.…”

Section: Discussionmentioning

confidence: 99%

Stigma and Lack of Social Support Contribute to Loss-To-Follow-Up in a Cervical Cancer Prevention Program in Western Kenya

Novak¹,

Kaiser²,

Park³

et al. 2020

Preprint

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Background While highly preventable, cervical cancer remains a leading contributor to the global burden of cancer among women globally, with disproportionate impacts in Sub-Saharan Africa. Human papillomavirus (HPV) testing is a cost-effective screening strategy with the potential to increase screening uptake; however, the two-visit requirement often leads to substantial loss-to-follow-up (LTFU) for treatment. Understanding modifiable factors that contribute to LTFU is essential to ensuring maximal program impact. Methods We carried out a mixed-methods study to understand factors related to LTFU following an HPV-based cervical cancer screening campaign in rural Western Kenya. We randomly selected participants among women testing HPV positive as part of an existing intervention study to complete quantitative surveys, seeking equal numbers of treated and LTFU women. A subset of women from both groups was selected for in-depth interviews (IDIs). Results Sixty-one treated and 39 LTFU women completed the quantitative survey, and 10 women from each group completed IDIs. Cost of transportation and distance to the hospital were barriers among all women, who often depended on their partners to facilitate this. Among treated women 67% (n = 41) reported that their peers knew their HPV test result, compared to 38% (n = 15) among LTFU women (p = .007). Stigma and lack of partner and peer support emerged as strong barriers among LTFU women. Women proposed peer encouragement, including men in educational sessions, bringing facilities closer, and providing transportation as facilitators to treatment access. Conclusion Lack of partner and social support emerged as key barriers to treatment uptake among LTFU women. Future interventions should explore stigma reduction, male involvement, peer support, and alternative transportation options as potential facilitators to treatment seeking.

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“…Consistent with our findings, Park et al [22],reported that after education, the experiment group had a higher score of perceived benefits of Pap test. Garces-Palacio et al [23], and Jirojwong et al [24], argued that there was a positive relationship between the perceived benefits and the rate of doing pap tests. According to the HBM, an individual performs an action when they rationally find its benefits higher than the barriers.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran

Eghbal

Karimy

Kasmaei

et al. 2020

Preprint

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Background: Cervical cancer is one of the major health problems and the third prevalent cancer in women all around the world. As a simple, inexpensive, and with no side-effects test, Pap test is a reliable way to screen cervical cancer. This study aimed to investigate, the effects of educational intervention based on the Health Belief Model (HBM) on doing pap tests in the women living in the rural areas of the north of Iran.Methods: In a quasi-experimental study, 160 rural women were randomly divided into control and experiment groups to experience a three session’s intervention. The experiment group received, educational programs based on the HBM constructs through personal consultation, asking/answering questions, and an educational pamphlet. The control group, received the routine educational programs of the health center. The post-test data were collected two months after the intervention and analyzed on SPSS-18.Results: Before the intervention, there was no significant difference between the control and experiment groups in terms of the mean score of knowledge, performance, and the constructs of the HBM. After the intervention, however, there was a significant difference in the mean scores of knowledges, performance, and all constructs of the HBM of the two groups (p<0.001). The rate of doing a pap test in the experimental group increased from 18.7% to 78.7% in the intervention group.Conclusions: The findings supported the effectiveness of cervical cancer prevention programs based on the HBM. Therefore, conducting similar programs in other regions is recommended.

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Health Beliefs Associated with the Follow-Up of Pap Smear Abnormalities Among Low-Income Women in Medellín, Colombia

Cited by 9 publications

References 14 publications

Evaluating the effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran

Evaluating the effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran

Stigma and Lack of Social Support Contribute to Loss-To-Follow-Up in a Cervical Cancer Prevention Program in Western Kenya

Evaluating the Effect of an educational program on increasing cervical cancer screening behavior among rural women in Guilan, Iran

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