日本における若年女性の子宮頸がん予防行動を促すための母親への介入：スコーピングレビュー

Interventions Delivered to Mothers to Promote Cervical Cancer Preventive Behaviors Among Young Women in Japan: A Scoping Review

要旨

　目的：日本における若年女性の子宮頸がん予防行動促進のために，母親への効果的な介入方法とリサーチギャップを明らかにする．

　方法：PubMed，CINAHL，医学中央雑誌を用いて，2006年6月から2024年8月4日までに公表された英語と日本語の介入研究を検索し，14編の原著論文を分析した．

　結果：効果的な介入方法として，子どもの健康や未来を守る行動を促す親族養育メッセージと教育的情報を含む積極的な接種推奨媒体の配信，娘が子宮頸がんを経験した母親のナラティブメッセージ，医師による対面でのリーフレット配布と説明，自治体からの個別通知や複数回の啓発資料の郵送が示された．今後の研究課題として，効果的な教材開発，介入効果の長期的評価，20歳前後での子宮頸がん検診受診に対する母親への介入方法の検討が必要である．

　結論：母親への効果的な介入方法が示され，啓発・教育プログラムの立案に有用な知見を得た．

　Objective: We conducted a scoping review to identify effective interventions delivered to mothers to promote cervical cancer prevention behaviors among young women in Japan and to explore research gaps in the literature.

　Methods: The electronic databases PubMed, CINAHL and Ichushi Web were searched for original articles published in English and Japanese between June 2006 and August 4,2024, describing cervical cancer prevention interventions delivered to mothers. Fourteen original research papers were analyzed.

　Results: Effective intervention methods were identified that enhanced mothers' intensions of cervical cancer prevention in their daughters. These included the distribution of media content recommending vaccination against human papillomavirus and incorporating kinship caregiving messages that encourage actions to protect children's health and future, combined with educational information; narrative messages from mothers whose daughters have experienced cervical cancer; the distribution of information leaflets combined with information provided by physicians in face-to-face settings; and the mailing of individual vaccination invitation notifications and educational materials from local government. Future studies are needed to develop an effective media strategy to deliver educational materials, conduct long-term evaluations of intervention effects, and identify effective intervention strategies to promote cervical cancer screening targeted at mothers with daughters of approximately 20 years of age.

　Conclusion: Effective interventions to promote cervical cancer prevention behaviors targeted at mothers were identified. These findings provide valuable insights for planning cervical cancer awareness and education programs.