DOI QR코드

DOI QR Code

Perception of Cervical Cancer Screening Among Japanese University Students Who Have Never Had a Pap Smear: A Qualitative Study

  • Oshima, Sumiko (Department of Psychology and Communication, School of Humanities, Hokusei Gakuen University) ;
  • Maezawa, Masaji (Hokkaido University)
  • Published : 2013.07.30

Abstract

This study aimed to explore attitudes towards cervical cancer screening among Japanese university students who had never had a Pap smear. Four focus-group discussions, each with 15 female university students, took place in November and December 2009. Discussions were recorded and transcripts were analyzed to extract attitudes of young women towards cervical cancer screening. The four themes that emerged were: i) a low sense of reality about cervical cancer; ii) a lack of knowledge about both cervical cancer and Pap smears; iii) a lack of motivation to get screened, and iv) a reluctance to visit the gynecologist. Participants who were interested in undergoing screening for cervical cancer cited the influence of conversations with friends and family, a diagnosis of cancer within their family, and relevant information from the media. The results indicate the importance of getting young women more interested in cervical cancer screening and overcoming their tendency to avoid visiting a gynecologist.

Keywords

References

  1. Abotchie PN, Shokar NK (2009). Cervical cancer screening among college students in Ghana: knowledge and health beliefs. Int J Gynecol Cancer, 19, 412-6. https://doi.org/10.1111/IGC.0b013e3181a1d6de
  2. Al-Naggar RA, Isa ZM (2010). Perception and opinion of medical students about Pap smear test: a qualitative study. Asian Pac J Cancer Prev, 11, 435-40
  3. Blake DR, Weber BM, Fletcher KE (2004). Adolescent and young adult women's misunderstanding of the term pap smear. Arch Pediatr Adolesc Med, 158, 966-70. https://doi.org/10.1001/archpedi.158.10.966
  4. Corbin J, Strauss A (2008). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory (3rd ed.). London: Sage.
  5. Curry LA, Nembhard IM, Bradley EH (2009). Qualitative and mixed methods provide unique contributions to outcomes research. Circulation, 119, 1442-52. https://doi.org/10.1161/CIRCULATIONAHA.107.742775
  6. Eiser JR, Cole N (2002). Participation in cervical screening as a function of perceived risk, barriers and need for cognitive closure. J Health Psychol, 7, 99-105. https://doi.org/10.1177/1359105302007001657
  7. Hoque ME (2010). Cervical cancer awareness and preventive behaviour among female university students in South Africa. Asian Pac J Cancer Prev, 11, 127-30.
  8. King N, Horrocks C (2010). Interviews in Qualitative Research. London: Sage.
  9. Kruger RA, Casey MA (2000). Focus Groups: A Practical Guide for Applied Research (3rd ed.). Thousand Oaks, CA: Sage.
  10. Kwok C, White K, Roydhouse JK (2011). Chinese-Australian women's knowledge, facilitators and barriers related to cervical cancer screening: a qualitative study. J Immigr Minor Health, 13, 1076-83. https://doi.org/10.1007/s10903-011-9491-4
  11. Lenselink CH, Schmeink CE, Melchers WJ, et al (2008). Young adults and acceptance of the human papillomavirus vaccine. Public Health, 122, 1295-301. https://doi.org/10.1016/j.puhe.2008.02.010
  12. Matsuda T, Marugame T, Kamo K, et al (2012). Cancer incidence and incidence rates in Japan in 2006: based on data from 15 population-based cancer registries in the monitoring of cancer incidence in Japan (MCIJ) project. Jpn J Clin Oncol, 42, 139-47. https://doi.org/10.1093/jjco/hyr184
  13. Ministry of Education, Culture, Sports, Science, and Technology (2012). School Basic Survey 2012 Available at: http://www.mext.go.jp/b_menu/houdou/24/08/attach/1324865.htm.
  14. Moreira ED, Oliveira BG, Ferraz FM, et al (2006). Knowledge and attitudes about human papillomavirus, Pap smears, and cervical cancer among young women in Brazil: implications for health education and prevention. Int J Gynecol Canc, 16, 599-603.
  15. Nguyen TT, McPhee SJ, Nguyen T, et al (2002). Predictors of cervical Pap smear screening awareness, intention, and receipt among Vietnamese-American women. Am J Prev Med, 23, 207-14. https://doi.org/10.1016/S0749-3797(02)00499-3
  16. Organisation for Economic Co-operation and Development (OECD) (2011). Health at a Glance 2011: OECD Indicators. Available at: http://dx.doi.org/10.1787/health_glance-2011- en. Accessed: February 6 2013.
  17. Patton MQ (1999) Enhancing the quality and credibility of qualitative analysis. Health Serv Res, 34, 1189-208.
  18. Philips Z, Johnson S, Avis, M, et al (2003). Human papillomavirus and the value of screening: young women's knowledge of cervical cancer. Health Educ Res, 18, 318-28. https://doi.org/10.1093/her/cyf022
  19. Tang TS, Solomon LJ, Yeh CJ, et al (1999). The role of cultural variables in breast self-examination and cervical cancer screening behavior in young Asian women living in the United States. J Behav Med, 22, 419-36. https://doi.org/10.1023/A:1018653306776
  20. Wong LP, Sam IC (2010). Ethnically diverse female university students' knowledge and attitudes toward human papillomavirus (HPV), HPV vaccination and cervical cancer. Eur J Obstet Gynecol Reprod Biol, 148, 90-5. https://doi.org/10.1016/j.ejogrb.2009.10.002
  21. Woo JST, Brotto LA, Gorzalka BB (2009). The role of sexuality in cervical cancer screening among Chinese women. Health Psychol, 28, 598-604. https://doi.org/10.1037/a0015986
  22. Yanikkerem E, Ozdemir M, Bingol H, et al (2009). Women's attitudes and expectations regarding gynaecological examination. Midwifery, 25, 500-8. https://doi.org/10.1016/j.midw.2007.08.006

Cited by

  1. Attitudes and Practice of Cervical Cancer Screening among Female University Students from 25 Low, Middle Income and Emerging Economy Countries vol.15, pp.17, 2014, https://doi.org/10.7314/APJCP.2014.15.17.7235
  2. Barriers to Cancer Screening among Medical Aid Program Recipients in the Republic of Korea: A Qualitative Study vol.15, pp.2, 2014, https://doi.org/10.7314/APJCP.2014.15.2.589
  3. The cultural context of teaching and learning sexual health care examinations in Japan: a mixed methods case study assessing the use of standardized patient instructors among Japanese family physician trainees of the Shizuoka Family Medicine Program vol.14, pp.1, 2015, https://doi.org/10.1186/s12930-015-0025-4
  4. HPV self-sampling in Japanese women: A feasibility study in a population with limited experience of tampon use vol.23, pp.3, 2016, https://doi.org/10.1177/0969141315625702