Skip to main content

Advertisement

Log in

The Effects of an Educational Intervention on Preventing Cervical Cancer Among Vietnamese Women in Southern Taiwan

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Broberg G, Jonasson JM, Ellis J, Gyrd-Hansen D, Anjemark B, Glantz A, Söderberg L, Ryd ML, Holtenman M, Milsom I, Strander B (2013) Increasing participation in cervical cancer screening: telephone contact with long-term non-attendees in Sweden. Results from RACOMIP, a randomized controlled trial. Int J Cancer 133(1):164–171

    Article  CAS  PubMed  Google Scholar 

  2. Laws & Regulations Database of the Republic of China. National Health Insurance Act. Website http://law.moj.gov.tw/Law/LawSearchResult.aspx?p=A&t=A1A2E1F1&k1=%E5%85%A8%E6%B0%91%E5%81%A5%E5%BA%B7%E4%BF%9D%E9%9A%AA%E6%B3%95 Accessed Feb 22, 2015

  3. Ministry of Health and Welfare. Papanicolaou smear. Website http://www.mohw.gov.tw/cht/DOS/Statistic_P.aspx?f_list_no=312&fod_list_no=2218&doc_no=12116 Accessed Feb 22, 2015

  4. National Immigration Agency. The foreign brides in Taiwan. Website http://www.immigration.gov.tw/ct.asp?xItem=1291286&ctNode=29699&mp=1 Accessed Feb 21, 2015

  5. Wang MH (2004) An analysis of the structural minority situation on Taiwan’s foreign brides. Community Dev Q 107:320–334

    Google Scholar 

  6. Johnson CE, Mues KE, Mayne SL, Kiblawi AN (2008) Cervical cancer screening among immigrants and ethnic minorities: a systematic review using the Health Belief Model. J Low Genit Tract Dis 12(3):232–241

    Article  PubMed  Google Scholar 

  7. Ma GX, Fang CY, Feng Z, Tan Y, Gao W, Ge S, Nguyen C (2012) Correlates of cervical cancer screening among Vietnamese American women. Infect Dis Obstet Gynecol 2012:1–11

    Article  Google Scholar 

  8. Lee HY, Yang PN, do Lee K, Ghebre R (2015) Cervical cancer screening behavior among Hmong-American immigrant women. Am J Health Behav 39(3):301–307

    Article  PubMed  Google Scholar 

  9. Guvenc G, Akyuz A, Yenen MC (2013) Effectiveness of nursing interventions to increase Pap smear test screening. Res Nurs Health 36(2):146–157

    Article  PubMed  Google Scholar 

  10. Berger P, Luskin M, Krishel S (1998) Preventive health pamphlets in the emergency department. J Emerg Med 16(5):691–694

    Article  CAS  PubMed  Google Scholar 

  11. Yang TY, Hong JH, Tsai YH, Chen YP (2007) Development of an aerobic exercise training protocol and educational manual for patients with cancer related fatigue. Chang Gung Nurs 18(3):320–332

    Google Scholar 

  12. Paul CL, Redman S, Sanson-Fisher RW (2004) A cost-effective approach to the development of printed materials: a randomized controlled trial of three strategies. Health Educ Res 19(6):698–706

    Article  CAS  PubMed  Google Scholar 

  13. Paul CL, Redman S, Sanson-Fisher RW (2003) Print material content and design: is it relevant to effectiveness? Health Educ Res 18(2):181–190

    Article  CAS  PubMed  Google Scholar 

  14. Schwartz N (1975) Nutritional knowledge, attitudes, and practices of high school graduates. J Am Diet Assoc 66(1):28–31

    CAS  PubMed  Google Scholar 

  15. Rosenstock IM (1974) Historical origins of the health belief model. Health Educ Monogr 2(4):328–335

    Article  Google Scholar 

  16. Powe BD (1995) Cancer fatalism among elderly Caucasians and African Americans. Oncol Nurs Forum 22(9):1355–1359

    CAS  PubMed  Google Scholar 

  17. Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39(2):175–191

    Article  PubMed  Google Scholar 

  18. Wright P (1977) Presenting technical information: a survey of research findings. Instr Sci 6(2):93–134

    Article  Google Scholar 

  19. Morrow D, Leirer L, Sheikh J (1988) Adherence and medication instructions. Review and recommendations. J Am Geriatr Soc 36(12):1147–1160

    Article  CAS  PubMed  Google Scholar 

  20. Kitching JB (1990) Patient information leaflets—the state of the art. J R Soc Med 83:290–300

    Google Scholar 

  21. Jhou GN (2005) Behavioral intention for cervical cancer screening and related factors in women—a comparison between nurses and female employees of manufacturing industries. Kaohsiung Medical University, Taiwan

    Google Scholar 

  22. Wu SJ, Tsai SH, Tseng HF, Huang YY, Wang YH, Lin SY (2010) Perceived barriers to taking a Pap smear: predictors in immigrant women. J Nurs 57(5):36–46

    Google Scholar 

  23. Lee FH (2013) The influencing factors of receiving Pap tests among married immigrant women of Vietnamese origin in Taiwan. Kaohsiung Medical University, Taiwan

    Google Scholar 

  24. Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA (2014) Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health 14:814

    Article  PubMed  PubMed Central  Google Scholar 

  25. Chang CF (2008) The research about social need of foreign mates’ adapting to Taiwan. J Chin Publ Adm 5:165–174

    Google Scholar 

Download references

Acknowledgments

The financial support provided for our research by National Science Council (NSC 100-2314-B-037-008), Taiwan, is gratefully acknowledged.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hsiu-Hung Wang.

Ethics declarations

Conflict of Interest

The authors declare that they have no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lee, FH., Wang, HH., Yang, YM. et al. The Effects of an Educational Intervention on Preventing Cervical Cancer Among Vietnamese Women in Southern Taiwan. J Canc Educ 32, 622–628 (2017). https://doi.org/10.1007/s13187-016-1012-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-016-1012-7

Keywords

Navigation