Effects of Prevention Education on Human Papillomavirus linked to Cervix Cancer for Unmarried Female University Students

Kim, Hae Won

doi:10.4040/jkan.2009.39.4.490

J Korean Acad Nurs. 2009 Aug;39(4):490-498. Korean.
Published online Aug 31, 2009.
https://doi.org/10.4040/jkan.2009.39.4.490

Original Article

Effects of Prevention Education on Human Papillomavirus linked to Cervix Cancer for Unmarried Female University Students

Hae Won Kim

Author information

Author notes

Copyright and License

- Professor, Department of Nursing, Kwandong University, Gangneung, Korea.
Address reprint requests to: Kim, Hae Won. Department of Nursing, College of Medicine, Kwandong University, 522 Naegok-dong, Gangneung 210-701, Korea. Tel: 82-33-649-7613, Fax: 82-33-649-7620, Email: hwkim@kd.ac.kr

Received March 17, 2009; Accepted July 15, 2009.

Abstract

Purpose

This study was done to identify the effects of a Human Papillomavirus (HPV) linked to cervix cancer prevention education program for unmarried university female students. A new model in the cervix cancer prevention is provided.

Methods

The research design was a nonequivalent control group pretest-posttest design. Participants were 63 female students in one of two university in an experimental group (29 students) and control group (34 students). After 4 weeks education, the differences between the two groups in the measurement variables were compared. Twelve weeks later, a follow-up test was done for experimental group only.

Results

After the education, experimental group showed significantly higher scores in all variables, the intention for Pap test (Z=-3.73, p<.001), intention for HPV vaccination (Z=-3.14, p=.002), general cancer prevention behavior (Z=-2.20, p=.028), attitudes to Pap (Z=-3.23, p=.001), benefits of cancer prevention behavior (Z=-3.97, p<.001), and HPV linked to cervix cancer knowledge (Z=-5.40, p<.001). In the follow-up study, the experimental group showed intermediate effects in intention for Pap test, intention of HPV vaccination and HPV linked to cervix cancer knowledge as well as short term effects in general cancer prevention behavior, attitudes to Pap and benefits of cancer prevention behavior.

Conclusion

The program developed for this study on prevention education of HPV linked to cervix cancer was effective for unmarried university students in the short term and intermediate duration. Other educational approaches should be developed and short term effects and longitudinal changes of the education should be assessed. This education program should also be replicated for other female groups including unmarried working women or female adolescents.

Keywords

Human papillomavirus; Cervix cancer; Education; Female

Tables

Table 1
HPV linked to Cervix Cancer Prevention Education Program: Contents & Methodologies

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Table 2
Homogeneity Test for General Characteristics between Groups (N=63)

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Table 3
Homogeneity Test and Educational Effects for Measurement Variables between Groups: Pre & Post Test (N=63)

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Table 4
Changes of Measurement Variables in Experimental Group from Pre Test, Post Test, and 12 weeks Post Test

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Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2008-531-E00089).

References

1. Armstrong LL. In: Predicting cervical screening in college women: A test of the theory of reasoned action. Missoula, USA: University of Montana; 2001.
  Unpublished doctoral dissertation.
1. Choe SA. In: Factors influencing continuous Pap smear participation in women employed in a general hospital. Seoul: Yonsei University; 2002.
  Unpublished master's thesis.
1. Choi KA, Kim JH, Lee KS, Oh JK, Liu SN, Shin HR. Knowledge of human papillomavirus infection and acceptability of vaccination among adult women in Korea. Korean Journal of Obstetrics and Gynecology 2008;51:617–623.
1. Cohen J. In: Statistical power analysis for the behavioral sciences. 2nd ed. Mahwah: Lawrence Erlbaum Associates; 1988.
1. Fernandez-Esquer ME, Ross MW. The importance of psychosocial factors in the prevention of HPV infection and cervical cancer. International Journal of STD & AIDS 2000;11:701–713.
1. Fletcher PC, Bryden PJ. Preliminary examination of cervical health practices and knowledge among university aged females. College Student Journal 2005;39:469–477.
1. Ingledue K, Cotrrell R, Bernard A. College women's knowledge, perceptions, and preventive behaviors regarding Human Papillomavirus infection and cervical cancer. American Journal of Health Studies 2004;19:28–34.
1. Ji SW. In: A study on the knowledge of Human Papillomavirus and cervical cancer in nurses. Gangneung: Kwandong University; 2009.
  Unpublished master's thesis.
1. Jo SJ. In: Development and evaluation of community based program for promotion of cervical cancer screening via internet. Seoul: The Catholic University of Korea; 2003.
  Unpublished doctoral dissertation.
1. Joo WD, Kim SH, Kim DY, Suh DS, Kim JH, Kim YM, et al. Prevalence of Human papillomavirus infection in Korean women: Risk of abnormal Pap smear and cervical neoplasia. Korean Journal of Gynecology Oncology Colposcopy 2004;15:309–316.
1. Kim HW, Ahn HY. Study on the knowledge of Human papillomavirus in female university students. Korean Journal of Women Health Nursing 2007;13:13–20.
1. Kim JU. In: Relationship between middle aged women's cognitive perceptual factors and examination for detection of cancer. Incheon: Gachon Medical University; 2006.
  Unpublished master's thesis.
1. Kim M. In: The effect of nursing intervention on the rescreening compliance of cervical cancer screening clients. Gwangju: Chonman National University; 2005.
  Unpublished doctoral dissertation.
1. Kim SH. In: Study on the characteristics and related factors of female cancer's screening and repeat screening. Busan: Pusan National University; 2004.
  Unpublished master's thesis.
1. Marlow LA, Waller J, Wardle J. Public awareness that HPV is a risk factor for cervical cancer. British Journal of Cancer 2007;97:691–694.
1. Annual report of cancer incidence (2005) and survival (1993-2005) in Korea. Ministry of Health, Welfare and Family Affairs. 2008 Oct 30 [Retrieved from January 10, 2009].
  from http://www.w3.org/1999/xlink" xlink:href="http://stat.mw.go.kr/homepage/data/part_data_content.jsp?menu_id=21&curr_page=1&board_bcd=2&ctrl_command=doNothing&seq_no=10312.
1. Early examination of cervical cancer. National Cancer Information Center. 2009 Jan 23 [Retrieved July 9, 2009].
  from http://211.114.9.232/nciapps/user/basicinfo/each_cancer_main.jsp.
1. Park SM, Chang SB, Chung JW. Content analysis on cognitive affective experience in Pap smear participants. Journal of Korean Society of Maternal Child Health 2004;8:37–48.
1. Risi L, Bindman JP, Campbell OM, Imrie J, Everett K, Bradely J, et al. Media interventions to increase cervical screening uptake in South Africa: An evaluation study of effectiveness. Health Education Research Theory & Practice 2004;19:457–468.
1. Sabate R, Feinstein L. The role of education in the uptake of preventive health care: The case of cervical screening in Britain. Social Science & Medicine 2006;62:2998–3010.
1. Shin HR, Franceschi S, Vaccarella S, Roh JW, Ju YH, Oh JK, et al. Prevalence and determinants of genital infection with papilloma virus, in female and male university students in Busan, South Korea. Journal of Infectious Disease 2004;190:468–476.