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Analysis of Behavior of Women in Their Twenties for Uterus Cancer Screening And Expected Screening Environmental Factors Kazuyo IWASAKI 1 , Yoshiko MATUNAGA 2 1Tohto College of Health Sciences 2TOHO University Keyword: conjoint analysis , health literacy , internet survey , screening environmental factor , uterus cancer screening rate , 子宮がん検診受診者率 , インターネット調査 , コンジョイント分析 , 検診環境要件 , HL pp.35-48
Published Date 2016/2/1
DOI https://doi.org/10.11477/mf.7011200051
  • Abstract
  • Reference

Objective

This study was conducted to (1) elucidate the behavior of women in their twenties for uterus cancer screening and (2) analyze the expected screening environmental factors by conjoint analysis.

Methods

An internet survey was conducted on single women in their twenties living in Tokyo and five adjacent prefectures to investigate the uterus cancer screening rate, motives for screening, reasons for not undergoing the screening, a relationship between health literacy ("HL") for use of health information and the screening rate, and their preference on the screening environment revealed by conjoint analysis of eight profile patterns composed in different combinations of elements for each of five environmental factors.

Results

The mean age of the subjects was 25.4(SD±2.7) years and the rate of those who had undergone a cervical cancer screening test ("the screening") during the latest two years was 27.3%. As for the frequency, "once a year" was the most popular as seen in 33.3% of the subjects. A public free-coupon was utilized by 48.3% of the subjects. No clinical abnormalities were found in 91.0%. For motives for the screening, "recommendation by municipal government" was seen in 33.7% and "self-motivated" in 23.0%. Of those who had not undergone the screening, 52.8% were ignorant about a public free-coupon. The reasons for not undergoing the screening were "ignorance about how to apply for the screening" in 21.5%, "resistance to gynecological examinations" in 21.0% and "fear of an examination table" in 19.5%. As for assessment with the HL scale composed of two subscales, the score in women who had undergone the screening was higher (meaning a higher HL level) than those who had not, and significant differences were observed (F=15.94, p<.000 ; F=9.81, p<.01). The most favored profile pattern was a combination of "free screening fee", "Sunday", "waiting time of less than 60 minutes", "female doctor" and "general hospital".

Conclusions

The subjects of this internet survey were supposed to have a group characteristic of a higher screening rate. There is a possibility that if more women would know of a public free-coupon more women will use the coupon. The conjoint analysis suggested that charge-free screening will boost their willingness for the screening. The analysis also suggested that the preferable screening day of week and time are the factors to alter their acceptable range of waiting time. Their behavior for the screening was associated with HL levels.


Copyright © 2016, The Japan Maternal and Infant Caring Association All rights reserved.

基本情報

電子版ISSN 2758-8092 印刷版ISSN 1882-2495 日本母子看護学会

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