The Effectiveness of Health Education Program Applying Health Belief Model on Cervical Cancer Screening

Health Belief Model on Cervical Cancer Screening

Authors

  • Jirasak Jirakulsawas Laemchabang Hospital,Chonburi, Thailand

Keywords:

health education program, health belief model, cervical cancer screening

Abstract

Cervical cancer is a serious disease that is a major public health problem. In Thailand, cervical cancer is the second most common after breast cancer but can be cured if detected in the early stages. This quasi-experimental research aimed to  study the effectiveness of a health education program applying the health belief model on cervical cancer screening. The sample group consisted of 100 women aged 30-60 years assigned to experimental and control groups with 50 women in  each group. The health education program was instructed to experimental group while control group was instructed by regular teaching. Data were collected by perception of cervical cancer questionnaires and cervical cancer screening  behavior after experiment four weeks later. Compared between two groups using chi-square, Fisher's exact, paired t and independent t test. The level of statistical significance was set at 0.05. The results showed that after the trial, experimental group had a statistically significantly higher mean score of perception of cervical cancer than pretest and higher than control group. The proportion of cervical cancer screening behavior in experimental group was significantly higher than in  control group. In conclusion, a health education program could improve cervical cancer screening behavior and perception of cervical cancer. Therefore, this program should be further applied to encourage other female groups to attend cervical cancer creening.

References

1. American Cancer Society. Cervical cancer prevention and early detection [Internet]. 2014 [cited 2020 November 5]. Available from: http://www.cancer.org/cancer/cervical cancer/more information/cervical cancer prevention and detection-cervical-cancerscreening-guidelines.2014

2. Strategy and Planning Division, Ministry of Public health. Public Health Statistics A.D. 2019 [Internet]. 2020 [cited 2020 November 8]. Available from: http://bps.moph.go.th/new_bps/sites /default /files/statistic62.pdf

3. Aobchey P. Incident rate of cervical cancer in Thailand. Science and Technology Research Institute Chiangmai University [Internet]. 2018 [cited 2020 October 27]. Available from: http:// stri.cmu.ac.th/article_detail.php?id=17

4. National Cancer Institute, Department of Medicine, Ministry of Public Health. Definition of indicators, service plan, field of cancer in 2018-2022 [Internet]. 2020 [cited 2020 November 5]. Available from: https://www.nci.go.th/th/File_download/filePlan/Template%20%E0%B8%99%E0%B8%B4%E0%B8%A2%E0%B8%B2%E0%B8%A1%E0%B8%95%E0%B8%B1%E0%B8%A7%E0%B8%8A%E0% B8%B5%E0%B9%89%E0%B8%A7%E0%B8%B1%E0%B8%94%20Service%20Plan%20%E0%B8%AA%E0%B8%B2%E0%B8%82%E0%B8%B2%E0%B8%A1%E0%B8%B0%E0%B9%80%E0%B8%A3%E0%B9%87%E0%B8%87%20%E0%B8%9B%E0%B8%B561-65.pdf

5. Becker MH, Haefner DP, Kasl SV, Kirscht JP, Maiman LA, Rosenstock IM. Select psychosocial models and correlates of individual health related behaviors. Med Care 1977;15(5 Suppl):27-46.

6. Juntawong N, Tridech P, Siri S, Tridech C. Factors related to receiving cervical cancer screening service among women aged 30-60 years in Muang District, Pathumthani Province. J Phrapokklao Nurs Coll 2017;28(1):63-79.

7. Chinlawan N. A comparison of knowledge before and after health education media received of cervical cancer patients. Reg 11 Med J 2019;33(3):541-50.

8. Sritrakul K, Kanthawee P. The effect of health belief model (HBM) program on the attitudes of women who receive pap smear services in Tha Khao Plueak Sub-district, Mae-Chan District, Chiangrai. Chiangrai Med J 2017;9(1):123-32.

9. Rujakom P, Tritipsombut J. The effectiveness of cervical cancer screening program using health belief model and social support among females aged 35-60 year in Dankhuntod District, Nakhon Ratchasima Province. DPC 9 J 2017;23(2):35-45.

10. Chantakat A, Intaranongpai S, Singhala K. Effects of reminder of health volunteers program on knowledge health belief and behavior for cervical cancer screening of the women aged 30-60 years. Res Dev Health Sys J 2016;9(3):204-15.

11.Thamkang R, Khengkarnphanich T, Khengkarnphanich M, Kaewdumkueng K. An application of health belief model and social support for cervical cancer screening among women aged 30-60 years who had never been screened. Veridian E-J Sci Technol Silpakorn Univ 2013;1(5):19-29.

12. Apaipim B, Srisuriyawet R, Rattanagreethakul S. The effect of cervical cancer screening promoting program on behavior of cervical cancer screening among village health volunteers. Community Health Dev Q Khon Kaen Univ 2019;7(3):381-401.

13. Ma GX, Gao W, Fang CY, Tan Y, Feng Z, Ge S, et al. Health beliefs associated with cervical cancer screening among Vietnamese Americans. J Womens Health 2013;22(3):276-88.

14. Yakout SM, Moawed S, Gemeay EM. Cervical cancer and screening test (pap test): knowledge and beliefs of Egyptian women. Am J Nurs Sci 2016;5 (5):175-84.

15. Tanner-Smith E, Brown TN. Evaluating the health belief model: a critical review of studies predicting mammographic and pap screening. Soc Theor Health 2010;1(8):95-125.

Downloads

Published

2021-08-09