Background and Aim: In developing
countries, cervical cancer is the second most common cancer in women and in
Iran the third is allocated between common cancers. Therefore,
regular screening for the prevention of this disease is of great value. This study done، aimed to determine
Pap smear screening behavior in women, according to the Trans-theoretical
Materials and Methods: In this cross-sectional study, selected 800 women
referred to urban health centers Gonabad, with quota sampling
method. The instrument was a researcher-made questionnaire including:
demographic information, knowledge about cervical cancer and stages of change
behavior pap smear screening of prochaska's model. The obtained data were
analyzed by SPSS 16.
Results: Mean age±SD of women was 36.76±9.25 years. The results indicate that 10.3, 8.4, 5.1, 13.1,
32.6 and 30.5 % of the women studied were in the stages of Pre-contemplation,
Contemplation, preparation , Action, Maintenance, and Relapse, respectively
.While 54.3 percent of subjects had experienced uterine infection , only 33.2%
were aware of cervical cancer and how to recognize it. The statistical analyses
show that there were significant difference between Pap smear screening
behavior stage of change and age, marriage age, pregnancy age, pregnancy
number, delivery number, child number and education, education and uterine
infection background (P<0.001).
Conclusion: This study indicated that 54.3 % of subjects do not Pap smear
screening behavior and 66.8% haven’t knowledge of cervical cancer and its early
detection methods. Therefore, appropriate educational intervention based on
stage of change for promotion of Pap smear screening behavior seems to be essential.