Background
Methods
Study design
Subjects and data collection procedure
Measures
Statistical analysis
Results
Characteristics of the study sample
Categories |
n
| % | |
---|---|---|---|
Sociodemographic factors | |||
Age | 44.40 ± 3.88 years (mean ± SD, range = 31–59 years) | ||
31–39 years | 114 | 7.3 | |
40–44 years | 692 | 44.4 | |
45–49 years | 601 | 38.6 | |
50–59 years | 149 | 9.6 | |
Education | ≤Middle school | 53 | 3.5 |
High school | 839 | 54.1 | |
≥College | 656 | 42.4 | |
Employment status | Housewife | 684 | 44.1 |
Part time | 517 | 33.4 | |
Full time | 349 | 22.5 | |
Monthly household income | 1000–2000 | 257 | 18.2 |
(Korean won × 1,000) | 2001–3500 | 472 | 33.6 |
3501–4500 | 296 | 21.0 | |
4501–5000 | 381 | 27.2 | |
Religion | None | 563 | 35.8 |
Christianity | 350 | 22.3 | |
Catholicism | 164 | 10.4 | |
Buddhism | 410 | 26.0 | |
Other | 86 | 5.5 | |
Have talked about HPV with daughter | Yes | 518 | 33.0 |
No | 1051 | 67.0 | |
Have talked about the Pap test with daughter | Yes | 369 | 23.7 |
No | 1191 | 76.3 | |
Daughter has received HPV vaccination | Yes | 112 | 7.2 |
No | 1446 | 92.8 | |
Has undergone the Pap test | Regularly | 297 | 19.1 |
Irregularly | 712 | 45.7 | |
No | 548 | 35.2 | |
Age at first Pap test (n = 974) | 32.9 ± 6.0 years (mean ± SD, range = 12–55 years) | ||
12–29 years | 208 | 21.3 | |
30–35 years | 463 | 47.6 | |
36–55 years | 303 | 31.0 | |
History of cervical cancer diagnosis | Yes | 136 | 8.6 |
No | 1442 | 91.4 | |
Family history of cervical cancer | Yes | 73 | 4.6 |
No | 1508 | 95.4 |
Awareness of mothers about methods for preventing cervical cancer in their daughters, including the Pap test
Mean ± SD or n (%) | |
---|---|
1) How important are the following methods in preventing cervical cancer in your daughter? (range, 0–100) | |
1. Initiating and undergoing the Pap test regularly | 78.4 ± 21.4 |
2. Abstinence from sexual intercourse until adulthood | 73.3 ± 27.9 |
3. Preventing sexually transmitted disease if sexually active | 74.3 ± 28.5 |
4. Using condoms regularly | 75.2 ± 26.6 |
5. Receiving an HPV vaccination | 85.2 ± 16.6 |
2) When is the most suitable period for your daughter to undergo her first Pap test? | |
1. Prior to adulthood if she is sexually active | 595 (38.5) |
2. In adulthood regardless of her sexual activity | 538 (34.0) |
3. After she marries | 221 (14.3) |
4. My daughter can decide for herself | 190 (12.0) |
3) If your daughter has already received HPV vaccination and is sexually active, does she also need to undergo the Pap test? | |
1. The Pap test is not necessary because she has already received the HPV vaccination | 18 (1.2) |
2. I don’t know | 312 (20.5) |
3. She needs to undergo the Pap test in adulthood | 277 (18.2) |
4. She needs to undergo the Pap test prior to adulthood even though she has already received the HPV vaccination | 914 (60.1) |
4) Do you intend to recommend the Pap test to your daughter if it is considered necessary? | |
Yes | 1076 (69.2) |
No | 490 (30.9) |
Health beliefs of mothers about preventing cervical cancer in their daughters, including regarding the Pap test
Health beliefs related to my daughter | Strongly agree (1) | Agree (2) | Disagree (3) | Strongly disagree (4) | |
---|---|---|---|---|---|
n (%) | mean ± SD | ||||
Cervical cancer may lead to my daughter’s death | 267 (17.0) | 965 (61.4) | 308 (19.6) | 32 (2.0) | 2.07 ± 0.67 |
Cervical cancer may lead to my daughter having a hysterectomy | 258 (16.4) | 1076 (68.6) | 213 (13.6) | 22 (1.4) | 2.00 ± 0.60 |
Cervical cancer is a serious health problem for my daughter | 294 (18.7) | 1044 (66.5) | 210 (13.4) | 23 (1.5) | 1.98 ± 0.62 |
Cervical cancer can lead to my daughter needing to receive chemotherapy or radiotherapy treatment | 225 (14.4) | 1113 (71.3) | 212 (13.6) | 12 (0.8) | 2.01 ± 0.56 |
My daughter would be at risk of developing cervical cancer | 106 (6.7) | 989 (62.8) | 434 (27.5) | 47 (3.0) | 2.27 ± 0.62 |
If my daughter has cervical cancer, she could die | 160 (10.1) | 956 (60.6) | 439 (27.8) | 23 (1.5) | 2.21 ± 0.63 |
Cervical cancer is one of the most common cancers in women | 161 (10.2) | 982 (62.2) | 416 (26.3) | 20 (1.3) | 2.19 ± 0.62 |
Subtotal: Risks of cervical cancer (7 items) | 14.71 ± 2.97 | ||||
My daughter would not have time to undergo the Pap test | 37 (2.4) | 346 (22.2) | 950 (60.9) | 227 (14.6) | 2.88 ± 0.67 |
My daughter would not undergo the Pap test because she would not be treated in a health-care center | 31 (2.0) | 231 (14.9) | 964 (62.3) | 322 (20.8) | 3.02 ± 0.66 |
My daughter would not undergo the Pap test because she would need to wait a long time to be seen | 49 (3.2) | 283 (18.4) | 929 (60.4) | 277 (18.0) | 2.93 ± 0.70 |
My daughter would not undergo the Pap test because she would be afraid to find out if she has a cancer | 62 (4.0) | 332 (21.2) | 949 (60.6) | 222 (14.2) | 2.85 ± 0.70 |
My daughter would not undergo the Pap test because the health-care center would only be open when she is not available | 22 (1.4) | 122 (7.8) | 942 (60.4) | 474 (30.4) | 3.20 ± 0.63 |
My daughter would not undergo the Pap test because she would be too embarrassed to have a genital exam | 88 (5.7) | 493 (31.7) | 801 (51.5) | 172 (11.1) | 2.68 ± 0.74 |
My daughter would not undergo the Pap test because it would be difficult to get an appointment | 32 (2.1) | 233 (15.0) | 955 (61.5) | 332 (21.4) | 3.02 ± 0.67 |
Subtotal: Barriers to the Pap test (7 items) | 20.57 ± 3.22 | ||||
My daughter would undergo the Pap test if advised by a nurse or midwife | 50 (3.2) | 650 (41.8) | 777 (49.9) | 79 (5.1) | 2.57 ± 0.64 |
My daughter would undergo the Pap test if advised by a doctor | 131 (8.4) | 845 (54.0) | 523 (33.4) | 65 (4.2) | 2.33 ± 0.69 |
My daughter would undergo the Pap test if I would speak to her about it | 99 (6.4) | 577 (37.1) | 786 (50.6) | 92 (5.9) | 2.56 ± 0.70 |
My daughter would undergo the Pap test if a friend or neighbor would speak to her about it | 109 (7.0) | 811 (51.9) | 603 (38.6) | 41 (2.6) | 2.37 ± 0.65 |
My daughter would undergo the Pap test if members of my family would advise her to do it | 76 (4.9) | 718 (46.2) | 685 (44.1) | 74 (4.8) | 2.49 ± 0.67 |
My daughter would undergo the Pap test if she heard or read something in the newspaper or in a television or radio program | 143 (9.1) | 949 (60.6) | 438 (28.0) | 36 (2.3) | 2.23 ± 0.64 |
Subtotal: External pressures to undergo the Pap test (6 items) | 14.55 ± 2.94 | ||||
My daughter does not know at what age it would be necessary to first undergo the Pap test | 129 (8.3) | 820 (52.8) | 506 (32.6) | 97 (6.3) | 2.37 ± 0.72 |
My daughter does not know how often she would need to undergo the Pap test | 127 (8.1) | 783 (49.8) | 556 (35.4) | 106 (6.7) | 2.40 ± 0.73 |
Subtotal: Awareness of the Pap test (2 items) | 4.77 ± 1.24 | ||||
Getting the Pap test would not make my daughter feel good because it does not means that she would take care of her health | 298 (19.0) | 1090 (69.3) | 176 (11.2) | 8 (0.5) | 1.93 ± 0.56 |
The Pap test could not save my daughter’s life | 325 (20.7) | 1045 (66.6) | 175 (11.2) | 24 (1.5) | 1.94 ± 0.61 |
The Pap test would not influence my daughter’s health | 473 (29.9) | 1055 (66.7) | 50 (3.2) | 3 (0.2) | 1.74 ± 0.52 |
Subtotal: Benefits of the Pap test (3 items) | 5.61 ± 1.33 | ||||
If my daughter has no symptoms, she would not need the Pap test | 42 (2.7) | 263 (16.6) | 1092 (69.1) | 184 (11.6) | 2.90 ± 0.62 |
If my daughter does not have a child, she would not need the Pap test | 18 (1.1) | 158 (10.0) | 1175 (74.5) | 227 (14.4) | 3.02 ± 0.54 |
If my daughter does not have intercourse, she would not need the Pap test | 29 (1.8) | 204 (13.0) | 1117 (70.9) | 225 (14.3) | 2.98 ± 0.59 |
Subtotal: Necessity of the Pap test (3 items) | 8.90 ± 1.53 | ||||
Total 28 items | 69.08 ± 7.15 |
Factors associated with the intention of mothers to recommend the Pap test to their daughters
Univariate regression analysis | Adjusted regression analysis | |||||
---|---|---|---|---|---|---|
Categories |
n (%) | OR | 95 % CI | OR | 95 % CI | |
Sociodemographic factors | ||||||
Age | 31–44 years | 806 (51.8) | 1 | - | ||
45–59 years | 750 (48.2) | 1.14 | 0.92–1.42 | |||
Education | Middle or high school | 892 (57.6) | 1 | - | 1 | - |
≥College | 656 (42.4) | 1.37 | 1.10–1.71** | 1.52 | 1.08–2.13* | |
Employment status | Housewife | 684 (44.1) | 1 | 1 | - | |
Part or full time | 866 (55.9) | 1.27 | 1.01–1.57* | 1.17 | 0.84–1.63 | |
Monthly house income | 1000–3500 | 729 (51.8) | 1 | |||
(Korean won × 1,000) | 3501–5000 | 677 (48.2) | 1.10 | 0.93–1.29 | ||
Religion | No | 563 (35.8) | 1 | - | ||
Yes | 1010 (64.2) | 1.17 | 0.94–1.47 | |||
Have talked about HPV with my daughter | No | 1051 (67.0) | 1 | - | 1 | - |
Yes | 518 (33.0) | 2.01 | 1.57–2.58*** | 1.06 | 0.64–1.75 | |
Have talked about the Pap test with my daughter | No | 1191 (76.3) | 1 | - | 1 | - |
Yes | 369 (23.6) | 2.98 | 2.19–4.05*** | 2.11 | 1.23–3.64** | |
My daughter has received the HPV vaccination | No | 1446 (92.8) | 1 | - | ||
Yes | 112 (7.2) | 1.21 | 0.78–1.86 | |||
I have undergone the Pap test | No | 536 (35.2) | 1 | - | 1 | - |
Irregularly | 712 (45.7) | 2.55 | 1.82–3.57*** | 2.03 | 0.78–7.50 | |
Regularly | 297 (19.1) | 2.04 | 1.43–2.89*** | 1.98 | 1.30–3.03** | |
Age at first the Pap test | 12–32 years | 388 (39.8) | 1 | 1 | ||
33–55 years | 586 (60.2) | 0.60 | 0.46–0.79*** | 0.60 | 0.43–0.82** | |
I have been diagnosed with cervical cancer | No | 1442 (91.4) | 1 | 1 | - | |
Yes | 136 (8.6) | 2.15 | 1.36–3.39** | 1.90 | 0.99–3.66 | |
Family history of cervical cancer | No | 1058 (95.4) | 1 | - | ||
Yes | 73 (4.6) | 1.19 | 0.71–2.02 | |||
Health-beliefs variables | ||||||
Risks of cervical cancera
| High (7–14b) | 758 (47.9) | 1 | 1 | ||
Low (15–26b) | 781 (50.7) | 1.40 | 1.12–1.74** | 1.10 | 0.79–1.52 | |
Barriers to the Pap testa
| High (9–20b) | 807 (54.5) | 1 | 1 | ||
Low (21–28b) | 674 (45.5) | 1.35 | 1.01–1.69** | 1.47 | 1.03–2.11* | |
External pressure to undergo the Pap testa
| High (6–14b) | 733 (47.5) | 1 | |||
Low (15–24b) | 810 (52.5) | 1.11 | 0.89–1.38 | |||
Awareness of the Pap test | Low (2–4b) | 729 (47.1) | 1 | 1 | ||
High (5–8b) | 818 (52.9) | 1.44 | 1.24–1.67** | 1.11 | 0.78–1.58 | |
Benefits of the Pap test | Low (3–5b) | 571 (36.6) | 1 | 1 | ||
High (6–12b) | 990 (63.4) | 2.73 | 2.13–3.51*** | 2.25 | 1.55–3.25*** | |
Necessity of the Pap test | Low (3–8b) | 361 (22.9) | 1 | 1 | ||
High (9–12b) | 1213 (77.1) | 1.33 | 1.14–1.56*** | 1.50 | 0.96–2.35 |