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Understanding of Cervical Screening Adoption among Female University Students Based on the Precaution Adoption Process Model and Health-Belief Model

Bibliographic Data

ID15514347
AuthorsHye Young Shin (0000-0002-5353-8897, National Cancer Center), Purum Kang (0000-0003-0458-099X, Woosuk University), Soo Yeon Song (0000-0002-5860-0477, National Cancer Center), Jae Kwan Jun (0000-0003-1647-0675, National Cancer Center, corresponding author)
Year2022
Volume20
Issue1
Pages700-700
Publication date2022-12-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20010700
PMID36613020
OpenAlexW4313473278
LanguageEN
Citations received2
References cited33

This study aimed to identify the decisional stages for cervical screening and corresponding cognitive factors in female university students. A cross-sectional study was conducted among Korean female university students aged 20-29 years through an online survey. The main outcome was the decisional stage of cervical screening adoption using the precaution adoption process model. The stages were classified into pre-adoption (the unawareness, unengaged, and undecided stages), adoption (the decided to act and acting stages), and refusal (the decided not to act stage). The cognitive factors in each stage were analyzed using the key concepts of the health-belief model. Cervical screening was defined as a clinical Papanicolaou (Pap) smear performed by a physician in a clinic. The final analysis included 1024 students. Approximately 89.0%, 1.0%, and 10.2% were classified as the pre-adoption, refusal, and adoption stages, respectively. Compared to the pre-adoption stage group, the adoption stage group was more likely to be older and have higher self-efficacy and knowledge. Most participants belonged to the pre-adoption stage-those unaware of cervical screening. Furthermore, most had a low level of knowledge and perception of cervical cancer and its screening. Therefore, our study highlighted the need for education to increase awareness and knowledge of cervical screening in this population

Cancer · Cervical cancer · Cervical cancer screening · Cervical screening · Cognition · Cross-sectional study · Environmental health · Family medicine · Gynecology · Health belief model · Health education · Papanicolaou stain · Perception · Population · Psychiatry · Public health · Stage (stratigraphy · Cervical Cancer and HPV Research · Diverse Approaches in Healthcare and Education Studies · Health and Wellbeing Research · Medicine · Nursing · Psychology

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Unique citing works2
Citations per year2
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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