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:: Volume 11, Issue 4 (6-2014) ::
Mod Care J 2014, 11(4): 304-315 Back to browse issues page
Stages of pap smear screening change behavior based on TTM in women referring to health centers in Gonabad –years 1393
Maryam Ghahramani , Mitra Moodi , Ali Alami , Nargess Moasheri
Assistant professor, Social determinants of health research center, School of Health, Birjand University of Medical Sciences, Birjand, Iran , mitra_m2561@yahoo.com
Abstract:   (3202 Views)

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 Model.


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.

Keywords: Pap smear screening behavior, Cervical cancer, Transtheoretical Model, Stage of change model, Women, Gonabad
Full-Text [PDF 363 kb]   (1801 Downloads)    
Type of Study: Descriptive-Analytic | Subject: health education
Received: 2014/09/13 | Accepted: 2015/02/21 | Published: 2015/06/21
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Ghahramani M, Moodi M, Alami A, Moasheri N. Stages of pap smear screening change behavior based on TTM in women referring to health centers in Gonabad –years 1393. Mod Care J. 2014; 11 (4) :304-315
URL: http://moderncare.bums.ac.ir/article-1-746-en.html

Volume 11, Issue 4 (6-2014) Back to browse issues page
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