title: The Effects of an Educational Intervention on Preventing Cervical Cancer Among Vietnamese Women in Southern Taiwan.
abstract: This paper aims to conduct and evaluate an educational intervention on preventing cervical cancer among married immigrant women of Vietnamese origin. The study design was a quasi-experimental method with two groups. In total, 260 married immigrant women of Vietnamese origin with national health insurance at least 30 years of age were recruited from November 2013 to January 2015 in southern Taiwan. The effects of the educational intervention, including cervical cancer and Papanicolaou test knowledge, attitudes towards cervical cancer, fatalism, barriers to receiving Papanicolaou tests, intention for receiving Papanicolaou tests within the next year, and intention for receiving Papanicolaou tests within the next 3 years, were evaluated. Repeated measures analyses of variance showed significant interactions between the intervention group and time for cervical cancer knowledge, knowledge of Papanicolaou test, attitudes towards cervical cancer, and intention for receiving a Papanicolaou test within the next 3 years; in addition, 71.4 % reported being satisfied or very satisfied with the intervention. The results of this study can provide information for governments to make appropriate health policies for screening behavior of cervical cancer, increase healthcare professionals' competencies towards Vietnamese women, and increase Papanicolaou test screening rates to decrease cervical cancer mortality. Effective interventions may require particular consideration of married immigrant women.
authors.affiliation: Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.
authors.forename: Fang-Hsin
authors.initials: FH
authors.lastname: Lee
authors.affiliation: College of Nursing, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Road, San-Ming District, Kaohsiung, 80708, Taiwan. hhwang@kmu.edu.tw.
authors.forename: Hsiu-Hung
authors.initials: HH
authors.lastname: Wang
authors.affiliation: College of Nursing, Kaohsiung Medical University, No. 100 Shih-Chuan 1st Road, San-Ming District, Kaohsiung, 80708, Taiwan.
authors.forename: Yung-Mei
authors.initials: YM
authors.lastname: Yang
authors.affiliation: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
authors.forename: Hsiu-Min
authors.initials: HM
authors.lastname: Tsai
authors.affiliation: Department of Family Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.
authors.forename: Joh-Jong
authors.initials: JJ
authors.lastname: Huang
mesh_terms: D000328:Adult; D055088:Early Detection of Cancer / Q000379:methods; D054242:Emigrants and Immigrants / Q000193:education*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D010174:Pamphlets; D065006:Papanicolaou Test; D013624:Taiwan; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014744:Vietnam / Q000208:ethnology
keywords: Cervical cancer; Cervical cancer screening; Pap test; Vietnamese women