Influencing Factors of Intention to Receive Pap Tests in Vietnamese Women who Immigrated to Taiwan for Marriage.
OBJECTIVE
This study aimed to explore the factors associated with the intention to receive a Pap test among married immigrant women of Vietnamese origin living in Taiwan.


METHODS
This was a cross-sectional community-based study. We enrolled 281 women aged 30 years and over in the study, from July 2013 to January 2014. The participants' characteristics, cervical cancer knowledge, Pap test knowledge, attitudes toward cervical cancer, barriers to receiving a Pap test, fatalism, and intention to receive a Pap test, were measured using self-report questionnaires. Hierarchical multiple regression analyses were performed to examine the variables associated with participants' intentions to receive a Pap test.


RESULTS
Vietnamese women with low scores on the measures of cervical cancer knowledge and perceived barriers to receiving a Pap test were more willing to receive the test, as were those with high scores on the measures of Pap test knowledge and fatalism. Women who received a Pap test in the previous year were more willing to receive a Pap test within the next 3 years.


CONCLUSIONS
Preventive healthcare for immigrant women should be a focus of nurses. The development of culturally appropriate health education and strategies should enhance their knowledge of Pap tests and reduce perceived barriers to Pap test participation. This study's results can be a reference for nurses who work with immigrant women.
Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.
Fang-Hsin
FH
Lee
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: hhwang@kmu.edu.tw.
Hsiu-Hung
HH
Wang
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
Yung-Mei
YM
Yang
Department of Family Medicine, Yuan's General Hospital, Taiwan.
Joh-Jong
JJ
Huang
Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Hsiu-Min
HM
Tsai
D000328:Adult; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D033182:Intention; D008393:Marriage / Q000523:psychology; D065006:Papanicolaou Test / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D057566:Self Report; D012959:Socioeconomic Factors; D013624:Taiwan / Q000453:epidemiology; D014744:Vietnam / Q000208:ethnology
Pap tests; Vietnamese; cervical cancer; immigrants